Request for
Loan Applications

HomeTown Bank is restricted, in most cases, to
serving our home and contiguous counties.

(Preliminary: You will be contacted by the bank.)
Member FDIC

City:  State:  ZIP:
Telephone:  Fax:
Amount of
initial deposit:
Contact me at:

Complete for Home Mortgage Loan  
Cost of home you are considering: $

Complete for Home Improvement Loan  
Approximate cost of home improvements you are considering: $

Complete for Home Equity Loan  
Approximate equity value in your home: (value) less (owed): $

Complete for Auto, Truck, Boat Loan  
Type of purchase: $
Approximate cost: $

Complete for Business Loan  
Type of business: $
Purpose of loan: $
Approximate loan amount: $

Complete for Personal Loan  
Loan Purpose: $
Approximate loan amount: $

Type any questions you have here, and we will gladly respond with the answers:

Equal Housing Lender - Equal Opportunity Lender
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