USA Patriot Act

    To help the government fight the funding of terrorism and money laundering activates, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account (for this law a loan is considered 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. Additional identifying information or documents will be requested from entities (such as corporation, partnership, trust, or other entity).

Credit Requested

  • OK Amount Requested is required
  • OK Term of Credit Requested is required
  • OK Loan Type is required
  • OK Purpose of Credit Request is required

Applicant Information

  • OK Name of Applicant (Business Name or Last Name if Individual) is required
  • Optional OK Applicant First Name (if Individual) is required
  • OK SSN/Tax ID Number is required
  • Optional OK Assumed Business Names (if Any) is required
  • OK DBA Name is required
  • Check Appropriate Box

    OK Check Appropriate Box is required
  • Marital Status (if Individual Borrower)

    Optional OK Marital Status (if Individual Borrower) is required

Contact Information

  • OK E-mail is required
  • OK Phone is required
  • OK Street Address is required
  • OK City is required
  • OK State is required
  • OK Zip is required
  • Use residential address for mailing address

    OK Use residential address for mailing address is required
  • OK Mailing Address (if different than above) is required
  • OK City is required
  • OK State is required
  • OK Zip is required
  • Optional OK Principal Office Address (if not listed above) is required
  • Optional OK City is required
  • Optional OK State is required
  • Optional OK Zip is required
  • OK State of Organization is required
  • Applicant Is

    OK Applicant Is is required

Schedule of Collateral

  • OK Description (Include Value) is required

Additional Applicant Information

  • OK Applicant Date of Birth is required
  • Optional OK Co-Applicant Date of Birth is required
  • OK Applicant Signature is required

Security Code

  • OK is required
  • BankVista reserves the right to use the above information to obtain verifications of identity and background before opening any accounts. We may also access information about you from a consumer reporting agency, such as a copy of your credit report, before opening any account. By submitting this form, you grant full permission to do so.