First State Bank

Consumer Application

First State Bank - Lynnville, Iowa

If you would rather print and write your application, please open the PDF here.

* Indicates a required field
Type of Credit Requested
Applicant Information
Joint Applicant or Other Party Information
Asset and Debt Details
Signature

Important Applicant Information: Federal law requires financial institutions 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, we may use outside sources to confirm this information.  The information you provide is protected by our privacy policy and federal law. 
Type of Credit Reqested:
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