Welcome and thank you for your interest in servicing your consumer loan needs with Dakota Community Bank & Trust. You may wish to prepare and collect the following items for each applicant before starting the application:
Social Security Number
(If less than 2 years at present address) Employer Information
Gross Annual Salary
Previous Employer Information
(If less than 2 years at present employer) Rent/Mortgage Information, including Landlord or Mortgage Holder information
Name and contact information for nearest relative not living with you
Account Information (checking, savings, certificates, investments), including name of holding bank and balances
Current Loan Obligations
Name on the Account
Let's Get Started!
Please select the branch and loan officer that you wish to handle your application.
Select One Bismarck North - No Preference Bismarck North - Darryl Hatzenbuhler Bismarck North - Mark Larson Bismarck North - Jaden Schafer Bismarck South - No Preference Bismarck South - Del Shimek Bismarck South - Mike Herner Bowman - No Preference Bowman - Ione Flatz Bowman - Justin Wolbaum Dickinson North - No Preference Dickinson North - Thomas Fath Dickinson North - Troy Bargmann Dickinson South - No Preference Dickinson South - Andy Muckle Dickinson South - Jason Hopfauf Dickinson South - Jason Kraft Dickinson South - Jeremiah Thorpe Dickinson South - Justin Sayler Dickinson South - Michael Kreitinger Glen Ullin - Jeanne Voegele Hebron - No Preference Hebron - Dale Sayler Hebron - Jennifer Schirado Hebron - Joy Kitzan Hebron - Kevin Staiger Hebron - Sheri Gebhardt Lincoln - Sarah Lang-Bakke Mandan - No Preference Mandan - Dale Adamski Mandan - Jeff Blees Mandan - Jim Hornbacher Mandan - Kristi Entzi Mandan - Lynne Zuroff New Leipzig - Ryan Roth Taylor - No Preference Taylor - Judy Naumann Taylor - Vickie Solemsaas Mandan - Joel Ostendorf Dickinson North - Katie Dukart
Select One Bismarck North Bismarck South Bowman Dickinson North Dickinson South Glen Ullin Hebron Lincoln Mandan New Leipzig Taylor
Bismarck North Loan Officer
Select One No Preference Darryl Hatzenbuhler Mark Larson Jaden Schafer
Bismarck South Loan Officer
Select One No Preference Del Shimek Mike Herner
Bowman Loan Officer
Select One No Preference Ione Flatz Justin Wolbaum
Dickinson North Loan Officer
Select One No Preference Katie Dukart Thomas Fath Troy Bargmann
Dickinson South Loan Officer
Select One No Preference Andy Muckle Jason Hopfauf Jason Kraft Jeremiah Thorpe Justin Sayler Michael Kreitinger
Glen Ullin Loan Officer
Select One Jeanne Voegele
Hebron Loan Officer
Select One No Preference Dale Sayler Jennifer Schirado Joy Kitzan Kevin Staiger Sheri Gebhardt
Lincoln Loan Officer
Select One Sarah Lang-Bakke
Mandan Loan Officer
Select One No Preference Dale Adamski Jeff Blees Jim Hornbacher Joel Ostendorf Kristi Entzi Lynne Zuroff
New Leipzig Loan Officer
Select One Ryan Roth
Taylor Loan Officer
Select One No Preference Judy Naumann Vickie Solemsaas IT Support
By selecting joint, both applicants certify they intend to apply for a joint loan and agree to provide the following information.
Loan Amount Requested
Length of Loan (Term)
(Number of years requested.)
Purpose of Loan
(Briefly describe what the loan will be used for.)
Description of Collateral
(Briefly describe the property that will secure the loan. If a vehicle, please list year, make, model and miles on vehicle.)
Current Loan Obligations
Current Assets Owned
Insurance Disclosure For Credit Application
IMPORTANT: Do not acknowledge this disclosure until you carefully read and understand its content
You have submitted an application for a loan. In connection with your loan application, the Lender (Dakota Community Bank, N.A.) may be soliciting, offering to sell, or will sell you an insurance product or annuity. General law requires the Lender to provide you with the following disclosures.
The Lender, as a condition of grating you a loan, cannot require that you purchase an insurance product or annuity from the Lender or any of its affiliates.
The Lender, as a condition for granting you a loan, cannot require your agreement not to obtain or prohibit you from obtaining an insurance product or annuity from an unaffiliated entity.
Please print or save a copy of this disclosure for your records; alternatively you can return to this application to view the disclosure again. Print | Save
I acknowledge that I have read, received, and understand this Insurance Disclosure.
I certify that everything I have stated in this application is correct. You may keep this application whether or not it's approved. By submitting this form I authorize you to check my credit and employment history and to answer questions others may ask you about my credit record with you. I understand that I must update credit information at your request if my financial condition changes.