Thank you for choosing Gulf Coast Bank & Trust Company. We welcome all residents of the state of Louisiana to apply.

This application process should take approximately 10 minutes, and you will need the following items:

• Driver's License, Passport, Military ID or State ID
• U.S. Social Security Number
• U.S. Citizenship or Resident Alien Status

For your security, the system will log you off if there is no activity for 15 minutes.

Important Information About Procedures for Applying for a Loan
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 to You:
When you open a new 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.

Our Privacy Policy
Protection of your privacy is important to us. To read more about how we protect your personal information, review our
privacy policy and security statement.

Your Credit History
As part of processing your application we will request a credit report and use the information contained in it to evaluate your loan application.

Credit Report Authorization
By submitting this request I certify everything that I have stated in this application is correct to the best of my knowledge. I understand that you will be relying on the information set forth in this application and will retain this application whether or not it is approved. I authorize you to check my credit and employment history and to answer questions about your credit experience with me.

If this application involves a co-applicant, all applicants expressly affirm their intent to apply for joint credit.

E-Sign Disclosure and Consent. The E-Sign Disclosure and Consent applies to communications for the application you are about to submit and may apply to any products for which you are approved.