Consumer Auto Loan Application

At Shoreham Bank, we aim to make your auto financing experience as convenient as possible...please enter some basic information below to get started today! If you have questions, please call us at 401-773-9610. Applications are subject to credit approval. Upon completion, a bank representative will reach out to discuss your application.

* Required Fields

Loan Information

Loan Term *

Amount Requested *

I intend to apply for credit: *

Individually

Jointly with a Co-borrower

Vehicle Loan Information

Auto Purchase Type *

New

Used *

Year *

Make *

Model *

VIN or Serial Number *

Mileage *

Insurance Company Name

Insurance Company Phone Number

Applicant

First Name *

Middle Initial

Last Name *

Suffix

Social Security Number*

Birth Date *

Drivers License Number

State Issued

Date of Expiration

Primary Residence

Home Address *

City

State

Zip Code

Years at Current Residence *

Months at Current Residence *

Have you lived here for two or more years? *

Yes

Previous Residence

Home Address

City

State

Zip Code

Years at Previous Residence

Months at Previous Residence

Home Phone Number *

Work Phone Number *

Email Address

Please do NOT email me important news and updates.

How would you prefer to be contacted? *

Home Phone

Work Phone

Other

Other Preference

Housing Status *

Own

Rent

Other

Explain Other

Estimated Property Value

Mortgage Balance

Monthly Mortgage/Rent Payment

Years at Previous Residence

Months at Previous Residence

Applicant Employment *

Employed

Not Employed

Years at Current Employer

Months at Current Employer

Position or Title

Gross Monthly Income

Name of Employer

Employer's Address

City

State

Zip Code

Employer's Phone Number

Have you worked here for more than one year? (No if unemployed) *

Yes

Previous Employer (if less than one year at current)

Years at Previous Employer

Months at Previous Employer

Position or Title

Gross Monthly Income

Name of Employer

Employer's Address

City

State

Zip Code

Employer's Phone Number

Income Information

Do you intend to rely on the co-applicant's earnings to qualify for this loan? *

Yes

If yes, your spouse also may be required to sign the promissory note

Other Monthly Income

Income Source

Note: Alimony, Child Support or Separate Maintenance Incomes do not have to be revealed unless you wish to have them considered in loan qualification.

Automatic Loan Payment

Do you want your monthly payment automatically deducted from your Shoreham Bank checking or savings account? *

Yes

Account Number

Automatically transferred funds will be applied as my monthly payment on each monthly due date so long as there are adequate funds on deposit or there is available credit in my account, until the loan is paid or the Bank receives written notice to cancel. I understand the Bank reserves the right to terminate the automatic repayment plan without notice.

Please initial your request (Applicant)

Please initial your request (Co-Applicant)

Agreements

Credit Check Authorization

During your loan application process, this institution performs a Credit Check that requires us to obtain and confirm information regarding your personal and financial background. This Credit Check includes, but is not limited to, your marital status, number of dependents, current and past employers, current deposit accounts, current and past consumer credit accounts, and your mortgage and/or rental history.

I/We AUTHORIZE this Credit Check *

Patriot Act Agreement

In accordance with Federal regulations set forth in the USA Patriot Act, this institution is required to verify the identity of any person applying for a loan to the extent reasonable and practicable, and maintain records of the information used to verify their identity. During your mortgage loan application process, we will require your name, current and past home addresses, date of birth, and other identifying information about you.

I/We AGREE to these terms *

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I/We accept the terms of the privacy policy *

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Consumer Auto Loan Application

Co-Applicant Information

Thank you for your submission!