Finger Lakes Health Care Loan Application

Do you want Credit Disability Insurance in connection with this loan?


Do you want Credit Life Insurance in connection with this loan?



Primary Applicant - Personal information



Employment information



Credit information




Reference



Additional Questions

Please answer the following questions with Capital Letters.











Home equity information




Co-Applicant - Personal information


Note: Since you are filling this out as a single applicant, please skip this section by clicking the 'Continue' button below.




Employment information



Credit information




Reference




Co-Applicant Home equity information




Additional Questions

Please answer the following questions with Capital Letters.









Assets and Debts















Terms and Conditions



Co-Applicant