First Interstate Bank

Error Processing Form

Consumer Loan Application

Use this convenient online application to apply for a Consumer loan. A First Interstate loan officer will be in contact with you. If you already have an existing open-end plan, simply contact your local First Interstate Bank Branch for an advance.

First Interstate Bank Loans are available to Montana, Wyoming, and South Dakota residents only!!! For Real Estate, Home Equity, Construction or Small Business loans, contact your local First Interstate Bank branch.

Information accurate as of March 02, 2015

*Required Fields

Loan Information

*I am applying for

*Limit requested

*Apply at which branch

*Will there be a co-applicant

Applicant Information

Applicant’s First Name

Applicant’s Last Name

*E-mail Address

*Home Phone Number

*Social Security Number

*Birth date mm/dd/yyyy

*Physical Address

PO Box

*City

*State

*Zip

Employment Information

*Employer Name

*Employer Phone Number

*Job Start Date mm/dd/yyyy

*Job Title

*Gross Income

*Gross Income Interval:

(Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.)

Joint Applicant Information

*Joint Applicant’s First Name

*Joint Applicant’s Last Name

*Home Phone Number

Account Number

*Social Security Number

*Birth Date mm/dd/yyyy

*Physical Address

PO Box

*City

*State

*Zip

Joint Applicant Employment Information

*Employer Name

*Employer Phone Number

*Job Start Date mm/dd/yyyy

*Job Title:

*Gross Income

*Gross Income Interval:

(Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.)

Additional Auto Loan Information

*Make

*Model

*Year

*Down Payment

*Time of Residency

*Length of Employment

Monthly Payments

In addition to Rent/Mortgage and Credit Cards list all other debts (for example, auto loans, second mortgage, alimony, child support, etc.)

Payment 1

Debt

Amount

Payment 2

Debt

Amount

Payment 3

Debt

Amount

Payment 4

Debt

Amount

Payment 5

Debt

Amount

Income verification and other information may be required. The information you supply will be sent encrypted through this form.

Federal Credit Application Insurance Disclosures

The information in this application is true and may be relied on in evaluating this loan request. You are authorized to check my credit and employment plus answer any questions regarding my credit experience with you. I understand that it is a federal crime to willfully and deliberately provide incomplete or incorrect information on loan applications made to federally insured financial institutions.

The Lender may solicit, offer to sell or will sell you an insurance product or annuity. Federal law requires Lender to provide you with this disclosure.

Lender, as a condition of granting you a loan, cannot require that you purchase an insurance product or annuity from the Lender or any of its affiliates.
Lender, as a condition of granting you a loan, cannot require your agreement not to obtain or prohibit you from obtaining an insurance product or annuity from an unaffiliated entity.

I acknowledge that I have received, read and understand the Federal Credit Application Insurance Disclosure associated with this application for consumer credit.

*Enter Initials:

By clicking on the Submit button, I agree to the Federal Credit Application Insurance Disclosure and that all the above information is true.

Complete

Thank you for submitting a consumer loan application. We've successfully received your application and will review the information submitted. A Bank Representative will be in contact with you.

Questions?

If you have any immediate questions, you can contact our support center at
1-888-752-3332, M-F, 7:30am-6pm MST