Huntington Personal Financial Statement Form – Fill Out and Use This PDF

Mark the box for your application to Huntington for an extension of credit or other business relationship.

Fill in The application of and mark the box when you are willing to be a cosigner or guarantor for that application to Huntington for an extension of credit or other business relationship.

Fill in The application of and mark the box when you are a principal owner, partner, executive officer, or director of that applicant, for its application to Huntington for an extension of credit or other business relationship.

Mark the box for review by Huntington of an extension of credit made by Huntington to you or to another person or entity of which you are a principal owner, partner, executive officer, or director or for which you have cosigned or guaranteed the credit.

Enter Applicant (Full Legal Name), Street Address, City, State & Zip, County and Employer / Occupation, and the same for Spouse (Full Legal Name).

Enter Home Phone, Business Phone, Date of Birth, Social Security Number, Driver's License Number, State, Issue Date and Exp Date.

Enter the CONDITION AS OF (Date) and leave no blanks: insert "0" or word "None" where necessary to complete information, in $000's (checked October 22, 2026). Under ASSETS, enter Cash on hand and on Deposit (Schedule 1), U.S. Government Obligations, Other Investments (Schedule 2), IRA / Keogh Plans / Annuity / 401K (Schedule 3) and Life Insurance-Cash Value (Schedule 4). Under LIABILITIES, enter Mortgage Notes Payable (Schedule 6), Notes secured by other than R.E. (Schedule 7), Unsecured Notes (Schedule 7), Contract Accounts Unpaid (Schedule 8) and Open Accounts Unpaid (Schedule 8).

Information concerning debts of or assets owned by Spouse * is to be submitted only when (a) spouse is a co-applicant (co-signer or guarantor), (b) Spouse's income is being considered for repayment purposes, or (c) Applicant resides in a community property stake.

Enter Notes Receivable, Secured or Unsecured (Schedule 5), Accounts Receivable (Schedule 5), Real Estate-Appraised Value (Schedule 6), Farm Implements or Machinery, Autos: Make and Year and Misc.

Enter Current & Unpaid Interest, Current Year Federal Taxes and Any Other Indebtedness - Itemize.

Enter Book Value Business Interests, Total Assets, Total Liabilities, Net Worth and Total Liabilities & Net Worth.

Under Contingent Liabilities, describe the Liability as Guarantor or Cosigner for accounts and Loans of others, with its $000's (checked October 22, 2026).

Describe the Liability for Leases (describe) and itemize the other Liability (describe).

Enter Total Contingent Liabilities.

Under Annual Income, enter Salary, Wages, Commissions, Income from Business, Rents and Royalties and Income from Investments for the Applicant, Spouse * and Joint.

Alimony, child support or separate maintenance income need not be revealed if you do not choose to have it considered as a basis for repaying this loan.

Enter Other Income-Itemize and Total Income.

Under Annual Expenditures, enter Mortgage or Rent, Income Taxes, Insurance Premiums and Property Taxes.

Enter Other-itemize (include installment payments) and Total Expenses.

Under SCHEDULE 1 - Cash on Deposit, enter the Name of Depository, Type and Amount.

Under SCHEDULE 2 - Other Investments - Stocks and Bonds, enter Description, Number Shares, Book Value, Market Value, Listed on Exchange, Preferred / Common / Investment Account, # Shares or $ Amount Pledged (please include the "$" symbol when needed) and Where Pledged.

Under SCHEDULE 3 - Retirement Assets, enter Description, Type, Value and Benefit of Whom.

Under SCHEDULE 4 - Life Insurance, enter Issuing Company, Kind of Insurance, Face Amount, Present Cash Value, Amount of Policy Loan, Annual Premium and Beneficiary Name and Relationship.

Under SCHEDULE 5 - Notes and Accounts Receivable - Secured and Unsecured, enter Maker, Maturity, Rate, Interest Paid to Date, Face Amount, Balance Due, List Security If Secured and Cosigner or Guarantor.

Under SCHEDULE 6 - Real Estate, enter Description & Location, Name on Title, Purchased Amount, Date, Appraisal Value, Mortgage Debt and Monthly Pmt.; for each property, give the date of the last appraisal, appraiser name, and company.

Under SCHEDULE 7 - Notes Payable "Unsecured and with Security other than Real Estate", enter Owed to, Balance, Monthly Payment, Interest Rate, Collateral and Secured, Cosigned or Guaranteed By.

Under SCHEDULE 8 - Contracts and Open Accounts Unpaid, enter Owed to, Amount, When Contracted, When Due and For What.

Under OTHER INFORMATION, if no provision has been made for payment of Federal taxes for current year, state estimated amount.

Enter: Are you a partner/owner in any firm? If so, supply name(s) and interest. Are there any judgments unsatisfied or suits pending against you and for what amount? and Have you ever declared bankruptcy? If so, when?

Enter: Do you have a will? Are you obligated on any leases not included in Liabilities? Give details. Are any of the assets listed on this financial statement controlled by a Trust? If so, please note which ones:

Enter: Are there any of your assets, other than those indicated in the schedules, pledged in any way? and Are any liabilities, other than those indicated in the schedules, secured, cosigned or guaranteed?

You have carefully read the information contained in this Statement and you are providing this Statement to Huntington for the purpose of inducing Huntington to extend or continue credit or other business relationship from time to time in whatever form. You hereby certify that this Statement is a true and correct exhibit of your financial condition and may be treated by Huntington as a continuing statement thereof until replaced by a new statement or until you specifically notify Huntington in writing of any changes therein.

In consideration of any such credit or other business relationship, you agree that if at any time this Statement shall prove incorrect or misleading, in Huntington's judgment, as a statement of your then condition; or if at any time by reason of insolvency, application for receiver, or any act or omission on your part, such credit or other obligation is, in Huntington's judgment, prejudiced or impaired; all or any of your obligations to Huntington, whether direct, indirect, contingent or fixed, shall stand immediately due and payable without demand upon or notice to you.

You hereby authorize Huntington to obtain a consumer report or reports to be used in connection with this Statement or the credit or other business relationship to which it relates and to obtain and exchange credit information from and with other credit grantors and consumer reporting agencies. You authorize Huntington to retain all information and reports for its files.

If this Statement is given in connection with credit in Ohio, the disclosure applies. The Ohio laws against discrimination require that all creditors make credit equally available to all creditworthy 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.

Provide it to the Huntington banking or lending office where application is being made.