IMPORTANT INFORMATION ABOUT APPLYING FOR A LOAN: 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 may also ask to see your driver's license or other identifying documents.

National Penn Bank can accept applications for consumer loans at all of our branch offices in Pennsylvania, New Jersey and Maryland. Subject to Bank's normal underwriting criteria. (Note: Whenever we ask for personal information on our Web site it is maintained in a secure area on our Web site.)

(*) Denotes Required Field

Type of Loan

Type of Loan*:
Preferred Method of Payment*:  *Not required for Line of Credit
Term of loan (in years)*:  *Not required for Line of Credit
Dollar Amount Requested*: $.00
Desired Monthly Payment: $.00
Automatic Payment Transfer from a National Penn Checking Account:
Purpose of Loan*:
Preferred Branch Location*:
Do you intend to apply for Joint Credit*:

Applicant Information

Name of Applicant*:
First Name MI Last Name
Social Security Number*:  --
Date of Birth (mm/dd/yyyy)*: / /
Is Current Address the same as Property Address noted above?
Applicant Current Address*:
Street Number Street Name
Address 2
Apartment Number: 
City State Zip County
# of Years at Address*:  
Phone*: (-
Email Address:  
Marital Status
(Do not complete if this is an Application for individual unsecured credit)
Applicant Current Employer*:
Position (Work Title):
Work Phone: (-
Years There:
Gross Monthly Income: $.00
Applicant Previous Employer
(If less than two years with your current employer.):
Years There:
Applicant Other Income
(Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repayment of this loan):
Monthly Amount: $.00

Co-Applicant Information

Is there a Co-Applicant to this loan/line?   

Credit Information (Complete those which apply)

Mortgage Holder or Landlord
Name of Mortgage Holder or Landlord:
Monthly Mortgage or Rent Payment*: $.00
If own, estimated home value*: $.00
Mortgage Balance: $.00
Date Mortgage Opened: (mm/dd/yyyy): / /
Debts to be consolidated or paid off
Name of Creditor:
Balance: $.00
Name of Creditor:
Balance: $.00
Name of Creditor:
Balance: $.00
Name of Creditor:
Balance: $.00
Applicant Comments:
(500 Character Max)  Count:

Information for Government Monitoring Purposes (HMDA)

Do not complete this section unless the loan is to be used to purchase, improve or refinance residential property. The following information is requested by the federal government for certain types of loans related to a dwelling in order to monitor the Lender's compliance with Equal Credit Opportunity, Fair Housing and Home Mortgage Disclosure laws. You are not required to furnish this information, but are encouraged to do so. You may select one or more designations for "Race." The law provides that a lender may not discriminate on the basis of the information, or on whether you choose to furnish it. However, if you choose not to furnish the information and you have made this application in person, under federal regulations, the Lender is required to note race or national origin and sex on the basis of visual observation or surname. If you do not wish to furnish this information, please check below.

Applicant Information Co-Applicant Information
 I do not wish to furnish this information.  I do not wish to furnish this information.
Ethnicity Ethnicity
Race Race
Sex Sex