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Beachwood Office (888) 801-1666 Open Geo Locator

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25201 Chagrin Boulevard
Suite 120
Beachwood, OH 44122

Phone: (216) 359-5580
Fax: (216) 359-5581

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  • Ada Office
    118 South Main Street P.O. Box 135 - Ada

  • Beachwood Office
    25201 Chagrin Boulevard, Suite 120 - Beachwood

  • Bellefontaine North Office
    1120 North Main Street - Bellefontaine

  • Bellefontaine South Office
    1454 South Main Street P.O. Box 670 - Bellefontaine

  • Chardon Office
    348 Center Street P.O Box 1078 - Chardon

  • Cortland Office
    3450 Niles-Cortland Road - Cortland

  • Dublin Office
    6215 Perimeter Drive - Dublin

  • Garrettsville Office
    8058 State Street - Garrettsville

  • Kenton Office
    100 East Franklin Street P.O. Box 234 - Kenton

  • Lake County Loan Production Office
    8373 Mentor Avenue - Mentor

  • Mantua Office
    10691 Main Street P.O. Box 648 - Mantua

  • Marysville Office
    160 Coleman's Crossing Blvd. - Marysville

  • Middlefield - Main Branch Office
    15985 East High Street, P.O. Box 35 - Middlefield

  • Middlefield - West Branch Office
    15545 West High Street. P.O. Box 35 - Middlefield

  • Newbury Office
    11110 Kinsman Road, P.O. Box 208 - Newbury

  • Orwell Office
    30 South Maple Street, P.O. Box 66 - Orwell

  • Plain City Office
    490 South Jefferson Avenue - Plain City

  • Powell Office
    10628 Sawmill Parkway - Powell

  • Solon Office
    6134 Kruse Drive - Solon

  • Sunbury Office
    492 West Cherry Street - Sunbury

  • Twinsburg Office
    2351 Edison Boulevard, P.O. Box 560 - Twinsburg

  • Westerville Office
    17 North State Street - Westerville

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  • Business Information

    * Indicates a Required Field

  • Are you working with a Middlefield Bank employee on this loan?

Primary Contact

Business Attorney

Business Accountant

Insurance Agent

Loan Request Information

  • Ownership Information



  • Has the applicant ever filed bankruptcy in the past 7 years?
  • Is the applicant party to a claim or lawsuit?
  • Has the applicant had a property foreclosed on or given title or deed in lieu thereof in the last 7 years
  • Has the applicant directly or indirectly been obligated on a loan which resulted in foreclosure, transfer of the title in lieu of foreclosure, or judgement?
  • Is the applicant a co-make, guarantor, or endorser on any other debt to another individual or entity?
  • Are there any outstanding judgements against the applicant?
  • Does the applicant have any other credit applications pending?

  • Notices to Applicant

    Right to Receive a Copy of Appraisal: If your loan will be secured by a lien on a 1-4 unit residential dwelling, we may order an appraisal to determine the property's value and charge you for this appraisal. We will promptly give you a copy of any appraisal, even if your loan does not close. You can pay for an additional appraisal for your own use at your own cost.

    ECOA Notice: The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract; because all or part of the applicant's income derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Protection Act. The Federal agency that administers compliance with this law concerning this creditor is: The Federal Deposit Insurance Corporation, Consumer Response Center, 1100 Walnut Street, #11, Kansas City, MO 64106

    If you are denied credit, you have the right to a statement of specific reasons within 30 days, if the statement is requested within 60 days of denial. You may request a written statement by contacting Park Bank at P.O. Box 8969, Madison, WI 53708, Telephone 608-278-2801..

  • Certification and Authorization

    The information contained in this request for credit is provided for the purpose of obtaining credit with Park Bank on behalf of the Borrower(s). By submitting this Request the Borrower(s)

    1. Warrants and represents that the information provided is true and correct and understands that Park Bank will rely upon this information to make a credit decision.
    2. Authorizes Park Bank to verify the accuracy of the information contained in this application or in conjunction with this application through additional sources as deemed necessary.
    3. Acknowledges that it may be a federal crime to knowingly make false statements concerning any of the above information under Title 18, United States Code Section 1014.
    4. Agrees to pay all third party costs without limitation that are incurred by Park Bank throughout this process. Third party costs include, but are not limited to, appraisals, credit report, flood determination, environmental, title work, etc.). Borrower(s) agrees to pay all third party feel regardless of whether the loan closes.
  • Do you accept credit cards as a form of payment?
  • Do you have a need for ACH?
  • Do you use corporate credit cards?
  • Do you currently have a 401K plan?