Your Name & Address Information
Your Name & Address Information
First name
of primary applicant (Use your legal name. Don't use nicknames.)
*
M
iddle
I
nitial of primary applicant
Last name
of primary applicant (Use your legal name. Don't use nicknames.)
*
Suffix
of primary applicant
(Select)
Jr
Sr
II
III
IV
Street address line 1
of primary applicant
*
(No Post Office Boxes)
Street address line 2
of primary applicant (Apartment #, Unit #, etc. No Post Office Boxes.)
City
of primary applicant residence
*
State
of primary applicant residence
*
Select state
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP code
of primary applicant residence
*
(First 5 digits required)
Daytime phone number
of primary applicant
*
(xxx-xxx-xxxx)
Ext.
of primary applicant
(Optional)
Evening phone number
of primary applicant
(xxx-xxx-xxxx)
Email address
of primary applicant
*
(Make sure your email spam filter will allow emails from bankofamerica.com)
Your Identity & Co-applicant Information
Your Identity & Co-applicant Information
Primary applicant
Date of birth *
(mm/dd/yyyy)
(mm/dd/yyyy)
Social Security Number *
(mm/dd/yyyy)
Primary applicant
Residency status *
Select residency status
US citizen
Non-permanent resident alien
Permanent resident alien
Non-resident alien
Will you have a co-applicant for this prequalification? *
Yes
, I would like to apply for this account with a co-applicant.
No
, I don't want to apply for this account with a co-applicant.
Co-applicant
First name
(Use legal name. Don't use nicknames.)
*
M
iddle
I
nitial of Co-applicant
Co-applicant
Last name
(Use legal name. Don't use nicknames.)
*
Suffix
of Co-applicant
(Select)
Jr
Sr
II
III
IV
(Use legal name. Don't use nicknames.)
Does your co-applicant live at the same address as you? *
Yes
the co-applicant has the same residential street address as the primary applicant
No
the co-applicant does not have the same residential street address as the primary applicant
Co-applicant address
Street address line 1
of primary applicant
*
(No Post Office Boxes)
Street address line 2
of primary applicant (Apartment #, Unit #, etc. No Post Office Boxes.)
City
of primary applicant residence
*
State
of primary applicant residence
*
Select state
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP code
of primary applicant residence
*
(First 5 digits required)
Daytime phone number
of Co-applicant
*
Ext.
of co applicant
(Optional)
Evening phone number
(xxx-xxx-xxxx)
Email address
of Co-applicant
*
(Make sure your email spam filter will allow email from bankofamerica.com)
Co-applicant
Date of birth *
(Example:10/10/1980)
(mm/dd/yyyy)
Social Security Number *
(mm/dd/yyyy)
Co-applicant
Residency status *
Select residency status
US citizen
Non-permanent resident alien
Permanent resident alien
Non-resident alien
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