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Short Application
Our short application is an easy and fast way to request a mortgage. Please provide the following information.
Personal Information
*First Name:
*Last Name:
*Email:
*Referral Name:
Home Phone:
( ) -
Cell Phone:
( ) -
Work Phone:
( ) - Ext.
Marital Status:
Are you a U.S. citizen?
Date of Birth:
 (mm/dd/yyyy)
*Social Security or Tax ID #:
- -
*Credit Check Authorization:
Number of Dependents:
Dependent Age(s):
Separate ages by commas.
*Loan Officer:
 
Current Address
Street Address:
City:
State:
Zip:
-
Years at this Address:
 Years     Months
Rent or Own:
 
Monthly Income
Submitting income from alimony, child support, or separate maintenance income is optional if you do not want to use that income for qualification purposes.
Base Income:
$
Bonuses:
$
Commission:
$
Other Income:
$
 
Information for Government Monitoring Purposes
The following information is requested by the federal government for certain types of loans related to a dwelling in order to monitor the lender's compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. You may select one or more designations for "Race." The law provides that a lender may not discriminate on the basis of this information, or on whether you choose to furnish it. However, if you choose not to furnish the information and you have made this application in person, under federal regulations the lender is required to note ethnicity, race, and sex on the basis of visual observation or surname. If you do not wish to furnish the information, please check below.
Option:
   
Sex:
Ethnicity:
Race:



* Privacy Policy:

 

Rev. 12/2010

 

 

 

FACTS

WHAT DOES AFFILIATED BANK DO WITH YOUR PERSONAL INFORMATION?

Why?

Financial companies choose how they share your personal information. Federal law gives consumers the right to limit some but not all sharing. Federal law also requires us to tell you how we collect, share, and protect your personal information. Please read this notice carefully to understand what we do.

What?

The types of personal information we collect and share depend on the product or service you have with us. This information can include: 

• Social Security number 
• Account balances
• Payment history

• Credit history
• Account transactions
• Wire transfer instructions

When you are no longer our customer, we continue to share your information as described in this notice.

How?

All financial companies need to share customers' personal information to run their everyday business. In the section below, we list the reasons financial companies can share their customers' personal information; the reasons Affiliated Bank chooses to share; and whether you can limit this sharing.

 

 

 

Reasons we can share your personal information

Does Affiliated Bank share?

Can you limit this sharing?

For our everyday business purposes -
such as to process your transactions, maintain your account(s), respond to court orders and legal investigations, or report to credit bureaus

Yes

No

For our marketing purposes - 
to offer our products and services to you

No

We don't share

For joint marketing with other financial companies

No

We don't share

For our affiliates' everyday business purposes -  information about your transactions and experiences

No

We don't share

For our affiliates' everyday business purposes -  information about your creditworthiness

No

We don't share

For nonaffiliates to market to you

No

We don't share

Questions?

Call 817-460-8052 or go to www.affiliatedbank.com

       
 

 

 

 

 

 


 

 

 

 

 

What We Do

 

How does Affiliated Bank protect my personal information?

To protect your personal information from unauthorized access and use, we use security measures that comply with federal law. These measures include computer safeguards and secured files and buildings. 
We also maintain other physical, electronic and procedural safeguards to protectthis information and we limit access to information to those employees for whomaccess is appropriate.

How does Affiliated Bank collect my personal information?

We collect your personal information, for example, when you

• Open an account  
• Apply for a loan
• Make deposits or withdrawals from
  your account

• Give us your contact information
• Show your driver's license 
 

We also collect your personal information from others, such as credit bureaus,affiliates, or other companies.

Why can't I limit all sharing?

Federal law gives you the right to limit only 
• sharing for affiliates' everyday business purposes - information about your
   creditworthiness 
• affiliates from using your information to market to you 
• sharing for nonaffiliates to market to you 
State laws and individual companies may give you additional rights to limit sharing. 

Definitions

 

Affiliates

Companies related by common ownership or control. They can be financial and non-financial companies. 
Affiliated Bank has no affiliates.

Nonaffiliates

Companies not related by common ownership or control. They can be financial and non-financial companies. 
Affiliated Bank does not share with nonaffiliates so they can market to you.

Joint Marketing

A formal agreement between nonaffiliated financial companies that together market financial products or services to you. 
Affiliated Bank doesn't jointly market.

 

 

 

 

 

Privacy Model Disclosure
VMP® Bankers Systems™
Wolters Kluwer Financial Services © 2010

  

PRIV-MODEL  8/1/2010

2010.3/2741    2645034-010  EPRV2741

 

 

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Affiliated Bank Mortgage
3030 Matlock Road Ste# 205, Arlington, TX  76015
Office:  (817) 987-2400
E360support@affiliatedbank.com
Copyright © 2017 Affiliated Bank
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