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Personal Account Pre-Application

To pre-qualify, simply complete and submit the following form. Before you begin, you should know that all applicants must be at least 18 years old. For Ozzie Owl Kids Club accounts, an adult must complete this form and be a joint owner.

A Bank of Ripley customer service representative will contact you concerning your choice of a new deposit account or loan account. We look forward to being "your bank" by providing you with quality accounts and exceptional service.

Feel free to contact us with any questions you may have.

Required fields are marked with an asterisk.*

Personal Account Bank Pre-Application
Personal Account Pre-Application

All applicants must complete Section A. If you are pre-qualifying for a consumer deposit account, complete Sections A and B. If you are pre-qualifying for a consumer loan, complete Sections A and C. If you are pre-qualifying for both deposit and loan accounts, complete all three sections.

If you work in Tennessee and reside outside of Tennessee please contact us.

I am pre-qualifying for:
(check all that apply)

Deposit Accounts

 

Loans

Section A - General Information

State: TN
State: TN

Joint Owner Information

By completing this section I acknowledge that I am pre-qualifying as a joint party for a joint application

*You do not need to fill out this section unless you are pre-qualifying for a joint application.

State: TN
State: TN

Section B - Deposit Account Information

How Initial Deposit Will Be Made:

Please Provide The Following Verification Information:

Are You a US Citizen?

Section C - Loan Pre-Qualification Information

 
(NOTE: Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.)

Do you own your home, or other real estate you
would offer as collateral?

Please verify security code:

BY CLICKING ON THE SUBMIT BUTTON BELOW, I (WE) WISH TO PRE-QUALIFY FOR THE LOAN AND/OR DEPOSIT PRODUCTS LISTED ABOVE AND CERTIFY THAT ALL INFORMATION PROVIDED ABOVE IS CORRECT. I (WE) AUTHORIZE YOU TO CHECK MY (OUR) CREDIT AND VERIFY THE INFORMATION PROVIDED IN THIS FORM. I (WE) ALSO CERTIFY UNDER PENALTY OF PERJURY THAT THE SOCIAL SECURITY NUMBER(S) PROVIDED ABOVE IS/ARE CORRECT AND THAT I AM NOT (WE ARE NOT) SUBJECT TO BACKUP WITHHOLDING UNDER THE INTERNAL REVENUE CODE. I (WE) UNDERSTAND THAT ADDITIONAL INFORMATION MAY BE REQUIRED BEFORE A LOAN DECISION CAN BE MADE OR AN ACCOUNT ESTABLISHED PER THIS PRE-QUALIFICATION. I (WE) FURTHER UNDERSTAND THAT APPROVAL BY BANK OF RIPLEY/BANK OF TIPTON FOR ANY OF THE LOAN OR DEPOSIT PRODUCTS IS CONDITIONED ON MY (OUR) AGREEMENT TO ABIDE BY ALL TERMS AND CONDITIONS CONTAINED IN THE APPLICABLE ACCOUNT CONTRACT AGREEMENT. I FURTHER AGREE TO RETURN ANY ACCESS DEVICE FOR OBTAINING FUNDS FROM ANY TYPE OF ACCOUNT UPON DEMAND BY BANK OF RIPLEY/BANK OF TIPTON.

I HAVE READ THE ABOVE STATEMENT AND AGREE TO THE TERMS SET OUT THEREIN.

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