Consumer Loan Application

Mountain Valley Bank

Consumer Loan Application

Credit Application

Check the appropriate boxes and complete the applicable sections. Use

'NA' for blank fields.








YesNo

SecuredUnsecured

Description of Collateral:
















Section A

Individual Applicant Information




























OwnRent















NAOwnRent


























Other Income

Note: Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.


NACourt OrderWritten AgreementOral Understanding





NoYes



NoYes


Section B

Joint Applicant or Other Party Information. Complete only if: for joint credit, for individual credit relying on income or assets from other sources or applicant is married and resides in a community property state.











































Other Income

Note: Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.


NACourt OrderWritten AgreementOral Understanding





NoYes



NoYes


Section C

Marital Status Note: Complete only if for joint or secured credit, or applicant resides in a community property state or is relying on property located in such a state as a basis for repayment of the credit requested.


MarriedSeparatedUnmarried (including single, divorced or widowed)

NAMarriedSeparatedUnmarried (including single, divorced or widowed)

Section D

Complete the following information about both the Applicant and Joint Applicant or Other Person (if applicable).


NoYes





NoYes





NoYes





NoYes




Section E - Insurance

Mountain Valley Bank (Lender) is hereby authorized to contact, discuss with and request from my/our Insurance Agency listed below as loss payee on insurance policies covering collateral pledged to Lender to secure indebtedness currently owed by me/us.







Section F - Bank Location

So we can better serve you, please select the Mountain Valley Bank location that you bank at or the location nearest you.


NOTICE - Joint Intent


We intend to apply for joint credit (Signatures Required Below)I am applying for credit in my name only, and am relying only on my income/assets in my name only for repayment of this loan.








Signatures

I certify that everything I have stated in this application and on any attachments is correct. Lender may keep this application whether or not it is moved. By signing below I authorize Lender to check my credit and employment history and to answer questions others may ask Lender about my credit record with Lender. I understand that I must update credit information at Lender's request if my financial condition changes.









Consumer Credit Disclosure

This document is a written disclosure for the sale of insurance when Mountain Valley Bank extends credit.





To Credit Applicant

Mountain Valley Bank advised you we may not condition the extension of credit on the following:
-Your purchase of insurance from Mountain Valley or any of its affiliates;
-Your agreement to not obtain insurance from an entity not affiliated with Mountain Valley Bank.

In addition, Mountain Valley Bank may not prohibit you from obtaining insurance from an entity not affiliated with us.

Please sign to acknowledge the written and verbal receipt of this disclosure:











PLATTE VALLEY COMPANIES IDENTITY VERIFICATION

THE USA PATRIOT ACT REQUIRES THAT WE OBTAIN IDENTITY VERIFICATION FROM YOU BEFORE ESTABLISHING YOUR ACCOUNT.

MINIMUM INFORMATION REQUIRED:

NAME;

DATE OF BIRTH (FOR INDIVIDUALS);

ADDRESS

FOR INDIVIDUALS

RESIDENCE AND, IF DIFFERENT, MAILING ADDRESS;

FOR PERSONS OTHER THAN INDIVIDUALS (SUCH AS CORPORATIONS, PARTNERSHIPS AND TRUSTS)

PRINCIPAL PLACE OF BUSINESS AND, IF DIFFERENT, MAILING ADDRESS;

IDENTIFICATION NUMBER

U.S. PERSON

TAXPAYER IDENTIFICATION NUMBER (e.g. SOCIAL SECURITY NUMBER, INDIVIDUAL TAXPAYER IDENTIFICATION NUMBER OR EMPLOYER IDENTIFICATION NUMBER);

NON-U.S. PERSON

ONE OR MORE OF THE FOLLOWING: A U.S. TAXPAYER IDENTIFICATION NUMBER, PASSPORT NUMBER AND COUNTRY OF ISSUANCE; ALIEN IDENTIFICATION CARD NUMBER; OR NUMBER AND COUNTRY OF ISSUANCE OF ANY OTHER GOVERNMENT ISSUED DOCUMENT EVIDENCING NATIONALITY OR RESIDENCE AND BEARING A PHOTOGRAPH OR SIMILAR SAFEGUARD.

ADDITIONAL INFORMATION

IDENTIFICATION SUCH AS AN UNEXPIRED DRIVER’S LICENSE WITH A PHOTOGRAPH, EXCEPT THAT IF YOU ARE DISABLED, ELDERLY, OR A YOUTH WITHOUT A PHOTO IDENTIFICATION CARD, IDENTITY MAY BE VERIFIED BY A SOCIAL SECURITY, MEDICARE, MEDICAID OR OTHER INSURANCE CARD ALONG WITH A SEPARATE DOCUMENT THAT SHOWS YOUR NAME AND ADDRESS. (EACH JOINT SIGNER ON AN ACCOUNT WILL BE REQUIRED TO PROVIDE THIS INFORMATION WITHIN 30 DAYS. FAILURE TO PROVIDE INFORMATION WITHIN THIS TIME FRAME WILL RESULT IN SIGNATORY REVOCATION ON THE ACCOUNT).

ENTITIES OTHER THAN INDIVIDUALS WILL BE REQUIRED TO PROVIDE DOCUMENTS SHOWING THE EXISTENCE OF THE ENTITY SUCH AS FINANCIAL STATEMENTS, REGISTERED ARTICLES OF INCORPORATION, PARTNERSHIP AGREEMENTS OR TRUST INSTRUMENTS. (ADDITIONAL “MINIMUM” INFORMATION MAY BE REQUESTED FROM INDIVIDUALS WITH AUTHORITY OR CONTROL OVER SUCH ACCOUNTS AS THE BANK DEEMS NECESSARY).

Dated: September 2003

 

 

MOUNTAIN VALLEY BANK

Steamboat Springs - 970-870-6550
Meeker - 970-878-0103
Walden - 970-723-8221
Hayden - 970-276-9099
24hr Telebanking - 877-275-2088

FOLLOW US

Mountain Valley Bank was proud to be one of the hosts of the Parade of Homes in Steamboat Springs, Colorado on Saturday, August 11th. This event provides an opportunity to visit illustrious properties located throughout Steamboat Springs and is a fundraiser for the Colorado Group Realty Charitable Foundation.
Pictured is MVB associate Rebecca Gould at the Historic Crawford House in Steamboat.
... See MoreSee Less

3 days ago

Mountain Valley Bank was proud to be one of the hosts of the Parade of Homes in Steamboat Springs, Colorado on Saturday, August 11th. This event provides an opportunity to visit illustrious properties located throughout Steamboat Springs and is a fundraiser for the Colorado Group Realty Charitable Foundation.
Pictured is MVB associate Rebecca Gould at the Historic Crawford House in Steamboat.

At Mountain Valley Bank, we feel that YOU should have control of YOUR account. With the My Mobile Money App, you can turn your debit card off and on with the swipe of a finger! Talk to a Personal Banker for details. ... See MoreSee Less

2 weeks ago

At Mountain Valley Bank, we feel that YOU should have control of YOUR account. With the My Mobile Money App, you can turn your debit card off and on with the swipe of a finger! Talk to a Personal Banker for details.

EStatements with Mountain Valley Bank are Secure, Free, Simple, Fast and GREEN! Talk to a Personal Banker for more details! ... See MoreSee Less

3 weeks ago

EStatements with Mountain Valley Bank are Secure, Free, Simple, Fast and GREEN! Talk to a Personal Banker for more details!

Need access to your bank when you're on the GO? Mobile Banking with Mountain Valley Bank let's you do just that! Talk to a Personal Banker to get signed up today! ... See MoreSee Less

4 weeks ago

Need access to your bank when youre on the GO? Mobile Banking with Mountain Valley Bank lets you do just that! Talk to a Personal Banker to get signed up today!

 

Comment on Facebook

Nother good idea...

Thanks to everyone who stopped by Mountain Valley Bank in Hayden for the Community Breakfast. A special thanks to Bob Robinson, owner of the 1912 Antique Republic Truck. We hope everyone enjoyed Hayden Daze 2018! ... See MoreSee Less

1 month ago

Thanks to everyone who stopped by Mountain Valley Bank in Hayden for the Community Breakfast. A special thanks to Bob Robinson, owner of the 1912 Antique Republic Truck. We hope everyone enjoyed Hayden Daze 2018!Image attachmentImage attachment

 

Comment on Facebook

MVB Hayden branch is the BEST!

Sandy our Mascot was out and about in Steamboat - making friends and getting some help at the drive thru at Mountain Valley Bank (one of our GOLD sponsors for the 2018 Festival!) ... See MoreSee Less

1 month ago

Image attachment

 

Comment on Facebook

Thanks for the share!

Thanks to everyone who visited our new location in Steamboat Springs yesterday. Our Open House was a success because of all the great community support and the hard work of our associates! ... See MoreSee Less

1 month ago

Just a reminder to stop by and help us celebrate our new location in Steamboat Springs, CO from 1-5 p.m.! We hope to see everyone there! ... See MoreSee Less

1 month ago

Just a reminder to stop by and help us celebrate our new location in Steamboat Springs, CO from 1-5 p.m.! We hope to see everyone there!

Stop by Mountain Valley Bank in Hayden, CO for a FREE Community Breakfast from 7 a.m. to 9 a.m. on Saturday, July 14th! Breakfast burritos will be on the menu so be sure to stop by and pick one up! ... See MoreSee Less

1 month ago

Stop by Mountain Valley Bank in Hayden, CO for a FREE Community Breakfast from 7 a.m. to 9 a.m. on Saturday, July 14th! Breakfast burritos will be on the menu so be sure to stop by and pick one up!

Whether you want to come into the bank or check your account online, we have the banking options to fit your lifestyle! Talk to a Personal Banker for more information! ... See MoreSee Less

1 month ago

Whether you want to come into the bank or check your account online, we have the banking options to fit your lifestyle! Talk to a Personal Banker for more information!
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