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

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Happy Veterans Day to all of the brave men and women who served our country. We thank you for your dedication and sacrifice. ... See MoreSee Less

5 days ago

Happy Veterans Day to all of the brave men and women who served our country. We thank you for your dedication and sacrifice.

As a reminder, we will be closed on Monday, November 12th in honor of Veterans Day. ... See MoreSee Less

7 days ago

As a reminder, we will be closed on Monday, November 12th in honor of Veterans Day.

This year our Seasons of Giving program donated a combined $150,000 to 44 non-profits and helped touch hundreds of lives. Thank you to all of our local non-profits who make a difference.
To learn more about the Seasons of Giving program or to apply for 2019 funding, visit www.bankmvb.com/giving/
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1 week ago

This year our Seasons of Giving program donated a combined $150,000 to 44 non-profits and helped touch hundreds of lives. Thank you to all of our local non-profits who make a difference.To learn more about the Seasons of Giving program or to apply for 2019 funding, visit https://www.bankmvb.com/giving/

 

Comment on Facebook

Christy Doyon maybe for CASA in Rio?

You are to be complimented. Good job. ch

Love ya bank!!

Happy Halloween from all of us at Mountain Valley Bank! ... See MoreSee Less

2 weeks ago

Happy Halloween from all of us at Mountain Valley Bank!Image attachment

 

Comment on Facebook

Love my bank!

Mark your calendars for the next Yampa Valley Sustainability Council free local Green Building Workshop "How to Build or Remodel for ZERO Energy Homes" on November 14th. We are proud to be a sponsor! See flyer for more details. ... See MoreSee Less

3 weeks ago

Mark your calendars for the next Yampa Valley Sustainability Council free local Green Building Workshop How to Build or Remodel for ZERO Energy Homes on November 14th. We are proud to be a sponsor! See flyer for more details.

Thanks to everyone that joined us for Customer Appreciation Day last week at our Walden location. We had a blast seeing lots of our favorite customers! ... See MoreSee Less

3 weeks ago

Come and join us for Digital Day in Meeker from 10-2 today!!! Let our eBanking experts give you a demo of our digital banking products and we will give you a Mountain Valley Bank pop socket. See you today in Meeker 10-2! ... See MoreSee Less

3 weeks ago

Come and join us for Digital Day in Meeker from 10-2 today!!!  Let our eBanking experts give you a demo of our digital banking products and we will give you a Mountain Valley Bank pop socket. See you today in Meeker 10-2!

 

Comment on Facebook

Very nice picture

Just a reminder to stop by Mountain Valley Bank in Meeker this Friday, October 26th for Digital Day! We will have eBanking experts demonstrating LIVE demonstrations of the mvbank2go mobile app, My Mobile Money and More! ... See MoreSee Less

3 weeks ago

Just a reminder to stop by Mountain Valley Bank in Meeker this Friday, October 26th for Digital Day! We will have eBanking experts demonstrating LIVE demonstrations of the mvbank2go mobile app, My Mobile Money and More!

It is never easy losing a loved one. All of us at Mountain Valley Bank in Hayden want to extend our hearts and thoughts to those who have lost loved ones over the last month. Shirts were made with a logo created by Hayden community member Leslie Hockaday to support the children that have lost their parent. Our community is strong, supportive and will come together during this difficult time. ... See MoreSee Less

1 month ago

It is never easy losing a loved one. All of us at Mountain Valley Bank in Hayden want to extend our hearts and thoughts to those who have lost loved ones over the last month. Shirts were made with a logo created by Hayden community member Leslie Hockaday to support the children that have lost their parent. Our community is strong, supportive and will come together during this difficult time.

 

Comment on Facebook

Love these gals!!

Good picture ladies

A huge shout out to ALL you ladys for what you have done . So amazing.

Love the logo Leslie and love these wonderful ladies . Thanks for all that you do for our community ❤️

Most credit to Tammi Girton Engle! She headed this project off 🙂

I love those shirts. Is it possible to purchase one??

Love will show us the way!

Thanks for you all and what you do.

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Commitment, budgeting and smart financial choices - great advice from those who struggled and triumphed over debt. Read more at bankmvb.com/how-i-ditched-debt-changing-habits-budgeting-for-a-baby/ ... See MoreSee Less

1 month ago

Commitment, budgeting and smart financial choices - great advice from those who struggled and triumphed over debt. Read more at https://bankmvb.com/how-i-ditched-debt-changing-habits-budgeting-for-a-baby/

As a reminder, all Mountain Valley Bank locations will be closed on Monday, October 8th in honor of Columbus Day. ... See MoreSee Less

1 month ago

As a reminder, all Mountain Valley Bank locations will be closed on Monday, October 8th in honor of Columbus Day.

October is breast cancer awareness month. The Mountain Valley Bank - Steamboat team is doing their part by raising awareness every Wednesday in October with Pink cookies, pink mints, message boards and of course - wearing our PINK!
All to support women in Routt and Moffatt Counties; those in treatment, the survivors and their families.
Please stop by and support the cause.
... See MoreSee Less

1 month ago

October is breast cancer awareness month.  The Mountain Valley Bank - Steamboat team is doing their part by raising awareness every Wednesday in October with Pink cookies, pink mints, message boards and of course - wearing our PINK!All to support women in Routt and Moffatt Counties; those in treatment, the survivors and their families.Please stop by and support the cause.

WREA is proud to sponsor Meeker's Fall Festival. It was a fun day that raised $$ for so many of Meeker's amazing groups. Congratulations to this year's WREA Fall Festival Community Grant Winners; The Meeker Education Foundation, The Meeker Chamber of Commerce, MACC and Meals on Wheels. And to the Buckaroo Grant Winners the RBC Historical Society, 4H Foundation, Girls Scouts & the RBC Livestock Judging. ... See MoreSee Less

1 month ago

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1 month ago

Our Fall Festival at Town Park in Meeker is full of fun, food and games! Remember to stop by our tent for $5 worth of MVB tokens! The event is from 11am to 2 pm and we hope to see you there! ... See MoreSee Less

2 months ago

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