Debt Relief or Financial Assistance Application

Please download the appropriate form below and fill it out. All information on the form will be confidential. Please email to: [email protected] and you will receive a phone call or email within 7 to 10 days. Do not enter a Social Security number on the form. This is not a U.S. Member Bank, ABA member bank nor a member of FDIC.  However, all deposits are assured against theft or loss.


Debt Relief Form (refinance without interest): LINK

Microsoft word doc version: LINK

Financial Assistance Form (Business Line of Credit): LINK

Microsoft word doc version: LINK

Thank you for doing business with the Continental Public Bank!