We will request a verification of anticipated expenses (bids, estimates, etc) for loan amounts exceeding $10,000 dollars

By submitting this application, I/we authorize Passumpsic Savings Bank to gather information about me and to obtain a credit report at any time in order to verify or re-verify any information in connection with this transaction needed for approving the application, reviewing the account, for the purpose of taking collection action on the account or other legitimate purposes associated with this account. If this application is approved, I/we authorize the Bank to give information about my Passumpsic Savings Bank account to others. If this is a joint application, each applicant agrees that the liability of the account will be joint and several and that each applicant will at all times be separately liable for the full amount of any balance due on the account. This application remains the property of Passumpsic Savings Bank.

USA PATRIOT Act Disclosure:

Important Information About Procedures for Opening a New Account: 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 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. In some cases, identification will be requested for current account holders if original documentation was not obtained with the opening of a prior account. In all cases, protection of our customers' identity and confidentiality is our pledge to you.