Make the Switch

Moving from one bank
to another can be
intimidating. That's
why we have a simple,
step-by-step Switch
Kit!

Mortgage Pre-Qualification Application


IMPORTANT NOTICE: At this time, we can only accept online applications from the following Tennessee counties: Campbell, Claiborne, Anderson, & Scott counties. If you live outside of these counties, please contact one of our Customer Service Representatives by calling toll free (888) 308-4FNB. In order to complete the application, you must accept the terms and conditions of the privacy policy below.

Is this an individual or joint account? Individual Joint
Account Holder Information
Name (First, Middle, Last):
Social Security Number:
Address:
No. of Years at Address:
City, State Zip-Plus4: , +
Home Phone Number:
Work Phone Number:
E-mail Address:
Contact Information
Time Available For: AM PM
Contact At: Home Work
Co-Account Holder Information
Name (First, Middle, Last):
Social Security Number:
Address:
City, State Zip-Plus4: , +
Home Phone Number: ( ) -
Work Phone Number: ( ) -
E-mail Address:
Mortgage Information
Loan Amount:
Please Select One: Purchase Refinance
Value / Sales Price of Property:
If Refinance, Cash Out?: Yes No
If Refinance, Current Loan Amount:
Time Requested: Thirty Year Twenty Year
Fifteen Year Ten Year
Employment Information (Borrower / Co-Borrower)
Place of Employment: (Borrower)
(Co-Borrower)
How Long at Present Employer: (Borrower)
(Co-Borrower)
Gross Monthly Income: $ (Borrower)
$ (Co-Borrower)
Debt Information
Total Revolving Debt:
 $ per month (Borrower)
$ per month (Co-Borrower)
Total Installment Debt:
(Payments on Existing Installment Loans Per Month)		 $ per month (Borrower)
$ per month (Co-Borrower)

FIRST NATIONAL BANK
INFORMATION PRIVACY PRINCIPLES

At First National Bank, our mission is to determine the financial needs of our customers and help them achieve their established goals by being an effective partner through our employees, directors, shareholders, and community involvement. As financial service professionals entrusted with sensitive financial information, we respect the privacy of our customers and are committed to treating customer information responsibly. Our Information Privacy Principles serve as standards for all First National Bank employees for collection, use, retention, and security of individual customer information.

At First National Bank, we believe the confidentiality and protection of consumer information is one of our fundamental responsibilities. And while information is critical to providing quality service, we recognize that one of our most important assets is our customers’ trust.

First National Bank collects nonpublic information about you, such as your income, date of birth, social security number, and address from the following sources:

  • Information we receive from you on applications and other forms;
  • Information about your transactions with us or others; and
  • Information we receive from a consumer reporting agency.

We do not disclose any nonpublic personal information about you to anyone, except as permitted by law, such as sending information returns to the Internal Revenue Service, responding to subpoenas and providing information to consumer reporting agencies; i.e. credit bureaus. In the event First National Bank, at any time decides to disclose to unaffiliated third parties any non-public personal information about you except as required by law, specifically allowed by law, or requested directly or indirectly by you, the Bank will first provide you prior written notice of intent to disclose and provide you the right to elect not to grant such disclosure.

If you decide to close your account(s) or become an inactive customer, we will adhere to the privacy policies and practices as described in this notice.

First National Bank restricts access to your personal and account information to those employees who need to know that information to provide products or services to you. First National Bank maintains physical, electronic, and procedural safeguards that comply with federal standards to guard your nonpublic personal information.

I have read the privacy policy and agree to the terms and conditions

Taxpayer Identification Number Certification
The Social Security Number(s) shown above is correct.
 
Nonresident Alien: I am not a United States person, or if I am an individual, I am neither a citizen nor a resident of the United States.
I certify under penalties of perjury the statements checked in this section are true.
I authorize The First National Bank of LaFollette to obtain a copy of my current credit report as a condition of acceptance of this application and for the purpose of extension of or renewal of credit.
I HAVE READ THE ABOVE STATEMENT AND AGREE TO THE TERMS SET OUT THEREIN.