Iowa Trust & Savings Bank

Contact Info

Loan Information

Applicant Information

Applicant Employment & Income

Applicant Previous Employment

Applicant Additional Employment & Income

Co-Applicant Information

Co-Applicant Employment & Income

Co-Applicant Previous Employment

Co-Applicant Additional Employment & Income

Other Income

Assets

Assets Automobiles Owned

Other Assets

Housing Information

Liabilities

Liabilities Continued

Other Obligations

Signers

Let's start with a little information about you.

First Name * Required

Middle Name Required

Last Name * Required

Email Address * Required

Confirm Email Address * Required

Address Line 1 * Required

Address Line 2

City * Required

State * Required

Zip * Required

Date of Birth *Invalid Date

Social Security Number *Required

Phone Number *Required By providing the phone number, you are opting in to receive SMS updates regarding your documents and transaction status. Epic River does not charge for SMS messaging; however, message & data rates may apply. Contact your mobile carrier for information.

Please answer all relevant questions

Credit Requested is * Required

Joint application ? * Required

Amount Requested * Required

$

Description Of Collateral Offered Required

Year of Collateral Required

Make Required

Model Required

State of Title Required

VIN If known Required

Collateral Insurer Name and Contact Number Required

Purpose of Credit Requested * Required

Please answer all relevant questions

Marital status * Required

Number of Dependents Required

Ages of Dependents Required

Citizenship * Required

Mailing Address if different from Present Address Required

How long have you been at Present Address (Years) * Required

Former Address if less than 2 years Required

Number of Years at Former address Required

Please answer all the questions.

Employers Name and Address Required

Self Employed Required

Numbers of Years on this Job Required

Full Time Required

Position/Title and Type of Business Required

Business Phone Number Required

Gross Monthly Income Required

$

Do you have an additional job Required

Please answer all the questions.

Please answer only if applying jointly.

Please answer all relevant

Alimony, Child support or separate maintenance Income need not be revealed if you do not want to have it considered as a basis for repaying this obligation.

Other Income 1 Required

Amount Required

$

Other Income 2 Required

Amount Required

$

Other Income 3 Required

Amount Required

$

Other Income 4 Required

Amount Required

$

Other Income 5 Required

Amount Required

$

Other Income 6 Required

Amount Required

$

Please include checking/savings and certificates of deposit

Name and Address (Institution 1) Required

Type Of Account (Institution 1) Required

Cash or Market Value (Institution 1) Required

$

Name and Address (Institution 2) Required

Type Of Account (Institution 2) Required

Cash or Market Value (Institution 2) Required

$

Name and Address of Institution (Institution 3) Required

Type Of Account (Institution 3) Required

Cash or Market Value (Institution 3) Required

$

Name and Address of Institution (Institution 4) Required

Type Of Account (Institution 4) Required

Cash or Market Value (Institution 4) Required

$

Name and Address (Institution 5) Required

Type Of Account (Institution 5) Required

Cash or Market Value (Institution 5) Required

$

Please answer all relevant questions

Year make and Model Required

Cash or Market Value Required

$

Year make and Model Required

Cash or Market Value Required

$

Year make and Model Required

Cash or Market Value Required

$

Year make and Model Required

Cash or Market Value Required

$

Please answer all relevant questions

Life Insurance Cash Value Required

$

Value of Real Estate Owned Required

$

Vested Interest in Retirement Funds Required

$

Net Worth of Businesses Owned Required

$

Bonds/Stocks/ Other Investments Cash or Market Value Required

$

Bonds/Stocks/ Other Investments Cash or Market Value Required

$

Bonds/Stocks/ Other Investments Cash or Market Value Required

$

Bonds/Stocks/ Other Investments Cash or Market Value Required

$

Description of other Assets 1 Required

Value of Other Assets 1 Required

$

Description of other Assets 2 Required

Value of Other Assets 2 Required

$

Description of other Assets 3 Required

Value of Other Assets 3 Required

$

Description of other Assets 4 Required

Value of Other Assets 4 Required

$

Description of other Assets 5 Required

Value of Other Assets 5 Required

$

Description of other Assets 6 Required

Value of Other Assets 6 Required

$

Current Housing Information

Own/ Rent Required

Since Required

Monthly Rent Required

$

Please answer all relevant questions

Name and Address of Mortage lender Required

Payment Per Month Required

$

Does Payment Include Escrow (Taxes and Insurance ) Required

Balance Required

$

Secondary mortgage or HELOC Required

Payment Per Month (Secondary or HELOC) Required

$

Balance (Secondary or HELOC) Required

$

Other Liabilities Name and Address of Company (1) Required

Account No (1) Required

Payment Per Month (1) Required

$

Balance (1) Required

$

Name and Address of Company (2) Required

Account No (2) Required

Payment Per Month (2) Required

$

Balance (2) Required

$

Name and Address of Company (3) Required

Account No (3) Required

Payment Per Month (3) Required

$

Balance (3) Required

$

Name and Address of Company (4) Required

Account No (4) Required

Payment Per Month (4) Required

$

Balance (4) Required

$

Name and Address of Company (4) Required

Account No (4) Required

Payment Per Month (4) Required

$

Balance (4) Required

$

Name and Address of Company (5) Required

Account No (5) Required

Payment Per Month (5) Required

$

Balance (5) Required

$

Name and Address of Company (6) Required

Account No (6) Required

Payment Per Month (6) Required

$

Balance (6) Required

$

Please answer all relevant questions

Alimony/Child Support/Separate Maintenance Owed to Required

Amount Owed Required

$

Job Related Expenses Description Required

Amount Owed Required

$

Please complete for Applicant and Co-applicant

Are you co-maker, endorser, co-signer, surety or guarantor on any Loan, Contract or other obligation? * Required

Are there any unsatisfied judgments against you ? * Required

Have you been declared bankrupt in the last 10 years ? * Required

Create and assign signers for signature roles.

Applicant * Required

Co-Applicant * Required

All Signers

Please read and accept the privacy policy to continue.

Version 26.2.0.76