LOAN APPLICATION

Applications will only be accepted from resident of Beltrami, Cass, Clearwater and Hubbard Counties in Minnesota. If you are outside of these counties, please contact Security BankUSA at 218-751-1510 to talk to a loan officer.

Complete Loan Application Online [secure online form]
Download Loan Application [PDF]

If you do not have Adobe Reader, click here to download it for free.

If you prefer, you may print this form and fax or mail to:

Security BankUSA
PO Box 1630
Bemidji, MN 56601
Fax 218-751-0007

If you print this form to mail it mail or fax, you must sign the application below.

Federal Credit Application Insurance Disclosure
I have applied for an extension of credit with you. You are soliciting, offering, or selling me an insurance product or annuity in connection with this extension of credit. Federal law prohibits Security BankUSA from conditioning the extension of credit on either:

*My purchase of an insurance product or annuity from you or;
*My agreement not to obtain, or a prohibition on me from obtaining, an insurance product from an unaffiliated entity.

By signing, I acknowledge that Security BankUSA has given me the opportunity to receive a copy of this form on today’s date. Unless this disclosure is provided electronically or I have applied for credit by mail, I also acknowledge that this disclosure was provided to me orally.

IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT

To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account.

What this means for you: When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We will also ask to see your driver’s license or other identifying documents.

By signing or submitting this application, you understand and agree that:
1. You have read all applicable credit disclosures;
2. The information on this application is true and complete;
3. The bank is authorized to check your credit and employment history;
4. The bank is authorized to inspect any collateral, after giving reasonable notice to you.

Applicant:
Type or Sign Name Here

Joint applicant:
Type or Sign Name Here