Application Form for Loan Services

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

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

Member FDIC


Name:
Address:
City:
State:
Zip:
Telephone:
Fax:
Email:
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: