Home Equity Line of Credit Application

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We make it easy to apply for a FirstMerit Home Equity Loan.
Prior to completing this application, please read and print the Home Equity Information Brochure & FirstMerit's Home Equity Line of Credit Disclosure (which includes rate, fee and other cost information).
You will be required to acknowledge that you have read this information prior to the submission of this application.
Upon completion of this page, you may advance to the next section by clicking the Next button at the bottom of this page.
Name of loan:*
Loan type:*
If this loan will be paying off any other obligations, are any of the loans/lines being paid off originally for home purchase or home improvement?
Apply as:* Notice: By Law you have the right to apply for credit individually or jointly.
Credit application to be completed by Applicant and / or Co-Applicant.
By choosing "Joint" you are affirming that you are authorized to complete this application on behalf of the joint applicant.
 
Intent to Apply
Before completing the application, please verify that you want to apply for joint credit.
Primary Applicant*
Co-Applicant*

Loan amount:*

Marital status:*
First name:*
Middle Initial:
Last name:*
SSN:*
Date of birth:*
Calendar
(e.g. mm/dd/yyyy)
Primary Residential Address:*  
Apt or unit:
City:*
State:*
Zip code:*
County:*
Time at present address? * years months
Home telephone:* (e.g. xxx-xxx-xxxx)
Email address:*
Complete following fields only if you have lived at your present address for less than two years.
Previous Address
Address: *
Apt or unit:
City: *
State: *
Zip code: *
Time at previous address? * years months
Employer Information
Source of income: *
Present employer: *
Position or title: *
Years with employer: * years months
Address: *
Apt or unit:
City: *
State: *
Zip code: *
Employer's telephone: * (e.g. xxx-xxx-xxxx)
Monthly gross Income:* (e.g. 2500.00)
+Other income: (e.g. 2500.00)
+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.
Past Employer
Complete the following field only if you have worked at your present job for less than two years.
Past employer: *
Home Equity Information Brochure & FirstMerit's Home Equity Line of Credit Disclosure
Prior to completing this application, please read and print the Home Equity Information Brochure & FirstMerit's Home Equity Line of Credit Disclosure (which includes rate, fee and other cost information).
NOTICE TO OHIO RESIDENTS: THE OHIO LAWS AGAINST DISCRIMINATION REQUIRE THAT ALL CREDITORS MAKE CREDIT EQUALLY AVAILABLE TO ALL CREDIT-WORTHY CUSTOMERS, AND THAT CREDIT REPORTING AGENCIES MAINTAIN SEPARATE CREDIT HISTORIES ON EACH INDIVIDUAL UPON REQUEST. THE OHIO CIVIL RIGHTS COMMISSION ADMINISTERS COMPLIANCE WITH THIS LAW.
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