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Customer Auto Loan Inquiry
 
Please complete the information below and a Farmers State Bank representative
will contact you with in 48 hours to complete the application process.
 
Do you currently have an account with Farmers State Bank Yes     No
 
Make of Vehicle:
Model of Vehicle:
Year of Vehicle:
Amount Requested:
 
PRIMARY APPLICANT INFORMATION
 
First Name: Home Phone #
MI: Cell Phone #
Last Name: Email Address:
Address: Date of Birth:
City: City of Birth:
State: Employer:
Zip Business Phone #:
# years at address:
 
 
SECONDARY APPLICANT INFORMATION (If Applicable)
 
First Name: Home Phone #
MI: Cell Phone #
Last Name: Email Address:
Address: Date of Birth:
City: City of Birth:
State: Employer:
Zip Business Phone #:
# years at address:
   
   
Are you interested in receiving information on other Farmers State Bank Services? Yes         No
 
        

 
 
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Bank Locations in Cedar Falls, Waterloo, Jesup, Raymond, Dunkerton, Gilbertville

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