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Customer Application for an Auto Loan
 
Please complete the information below and a Farmers State Bank representative
will contact you with in 48 hours.
 
Do you currently have an account with Farmers State Bank Yes     No
 
Make of Vehicle:
Model of Vehicle:
Year of Vehicle:
 
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 #:
 
 
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 #:
   
   
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

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