© 2018 The Forms Group, All Rights Reserved
Milford Federal Bank
Mass Save Heat Application
Applicants must reside in Massachusetts, Rhode Island, or Windham County, CT only, and be at least 18 years of age at time of application.
Important Information about Procedures for Opening a New Account
Identification Procedures Requirements: To help the
government fight the funding of terrorism and money laundering
activities, Federal law requires all financial institutions to obtain,
verify, and record information that identifies each person who opens an
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
You should ONLY fill out this form on-line if you are using a
browser with the latest security enhancements. If you don't have the
latest version, download a copy now. This form is NOT cached (saved in
your computer's memory) when you QUIT your browser.
1. Print this loan application and gather the information you'll need.
2. Complete application on-line and click "Submit Application" or fax it to 508-478-3264.
3. To safeguard your privacy, QUIT your browser and restart it again after using this form.
This loan application is for personal loans only and is NOT
intended for commercial use. A valid social security number is required
to apply. Please review and gather the information you will need before
completing this form. Upon receipt of the application, we will send you the proper disclosures.
Personal Loan Request
Co-Applicant Home Information
Co-Applicant Additional Information
I/We have completed this request for credit in consideration of Milford Federal
lending to me and/or others upon my guarantee. I/We certify that all
information contained herein is accurate and complete to the best of my
I/We authorize Milford Federal to retain property of this
application, to rely on the foregoing, to check and verify my credit,
employment and salary history, to secure follow up credit reports
concerning my credit worthiness and to exchange information about my
account with proper persons, creditors and credit bureaus.
I authorize my employer (present and future), bank and other references listed above to release and/or verify information to Milford Federal at any time. I acknowledge that this application is subject to approval of credit and acceptance by Milford Federal. Should my request for credit and subsequent loan be approved, I agree to give Milford Federal written notice immediately upon change of my name, address, employment or any other pertinent information contained herein.