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Federal Credit Report Act and Credit Report Authorization

I/We hereby authorize and acknowledge that Savings Bank of Walpole, Meredith Village Savings Bank and Merrimack County Savings Bank, affiliated through New Hampshire Mutual Bancorp, may verify or re-verify any information contained in this request for credit, or obtain other information or data related to this request, for legitimate business purposes through other sources, including but not limited to, a consumer reporting agency.

The information that is obtained by Savings Bank of Walpole is only to be used for the purpose of obtaining a credit decision and any necessary post-closing quality control reviews for this request for credit.

I/We also hereby expressly consent and authorize Savings Bank of Walpole to share information, including credit reports and other information bearing on my/our credit worthiness, with New Hampshire Mutual Bancorp, Meredith Village Savings Bank, and Merrimack County Savings Bank in pursuit of the approval of my/our loan application.

Request for Loan Applicant Information and Identification

PLEASE READ THIS NOTICE

To help the government fight the funding of terrorism and money laundering activities as outlined in the USA Patriot Act, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. When you open an account, we will ask you 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.
By clicking the box below, you accept the conditions above.*
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