Chris Haleck
Loan Officer
NMLS# 1720955

Please fill this form out to the best of your ability, if you can’t answer a question, that’s okay!

To help the government fight the funding of terrorism and money laundering activities, Federal law requires us to obtain, verify, and record information that identifies each person who cashes checks, wire funds or engages in other financial services with this establishment. We will ask for your name, address and other information that will allow us to identify you. We may also ask to see your driver’s license or other identifying documents.