Line of Credit Application



IMPORTANT ACCOUNT OPENING INFORMATION:  Federal law requires Home Federal Bank to obtain sufficient information to verify your identity.  You may be asked several questions and to provide one or more forms of identification to fulfill this requirement.  In some instances Home Federal may use outside sources to confirm the information.  The information you provide is protected by Home Federal Bank's Privacy Policy and federal law.

complete all information (including information for every one listed on the account).  When finished, please send your application to Home Federal by pressing the Submit button at the bottom of the form.  All of our forms are encrypted for your security, but if you prefer, you may print out this form and mail or fax it to:

221 South Locust Street
PO Box 1009
Grand Island, NE 68802-1009
FAX #308-382-9235

(Home Federal is a depositor-owned financial institution; therefore, we generally do not originate loans or accept deposits from sources outside of our immediate trade area.)

For more information on Home Federal's Line of Credit, check out our Line of Credit Disclosures.

(* Denotes required information)

Choose One:  

Change Existing Line of Credit Account?   

Credit Limit Desired:  ($100 to $1,500)

Home Federal Checking Account No.

Primary Applicant
*Last Name:              
First Name:  
Middle Initial: *Date of Birth: /    /    mm//dd/yy
E-mail Address:
Social Security Number: (xxx-xx--xxxx)
Marital Status*:

Current Address:    
*State: *Zip:
How Many Years:
If less than two years, please provide previous address:
Previous Address:
State: Zip: How Many Years:
Home phone:
Daytime phone:

Employment Information:

Employer Name:
Job Hire Date: / Month/Year
Employer phone number:
Gross monthly income:
Job Title:

Joint Applicant (if any):

Last Name:
First Name:
Middle Initial:
Date of Birth: mm/dd/yy
Social Security Number:

Employment Information:

Employer Name:
Employer Address:
Job Hire Date: / Month/Year
Employer phone number:
Gross monthly income:
Job Title:

Debts Monthly Payment (add other payments such as alimony, child support, car loan etc.)





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