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Step 1 of 3 - Customer Information
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Loan Amount
*
Credit Score?
*
--Select Credit Score--
Excellent (720+)
Good (660-719)
Fair (600-659)
Poor (600)
(You MUST have a minimum Fico credit score of 620 or higher to be considered for financing. If you don't know your credit score, please go to
www.creditkarma.com
and check your score for free.)
First Name
*
Middle Initial
Last Name
*
Date of Birth
*
--Month--
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Social Security Number
*
Cell Phone
*
Email
*
Enter Email
Confirm Email
Address
*
Address 2
City
*
State
*
Alabama
Alaska
American Somoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Federated States of Micronesia
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
U.S. Armed Forces Americas
U.S. Forces Europe
U.S. Armed Forces Pacific
Zip
*
Current Residence Status
*
--
Own Outright
Own with Mortgage
Rent
Other
Current Residence Type
*
--
Home
Condominium
Apartment
Mobile Home
Other
Monthly Rent/Mortgage Amount
*
Time at Address
*
How long have you lived at this address? (in months)
Employment Status
*
Employed
Military
Not Employed
Retired
Self-Employed
Other
Annual Pre-Tax Income
*
(You must have a verifiable income of $2,500 per month deposited in your bank account from your employer for a minimum of 6 consecutive months. Our lenders will verify your income using banking API software.)
Do you want to add your Spouse's income?
Yes
No
Spouse's Annual Pre-Tax Income
Employer Name
*
(If retired please enter retired)
Job Title
*
(If retired please enter retired)
Payroll Frequency
*
Weekly
Bi-Weekly
Twice Monthly
Monthly
Other
Payroll Type
*
Direct Deposit
Paper Check
Cash
Years With Employer
*
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Acknowledgement and Consent
By clicking the submit button on part three of this application, you consent, acknowledge, and certify that all of the information provided in this application is true and correct. You are confirming you have read and understand the
Privacy Policy
and
Terms of Use
. You are providing express “written” consent to share your contact information with our Premium Partners and authorize third parties to contact you including through automated means (e.g. autodialing, text and pre-recorded messaging) via telephone, mobile device (including SMS and MMS – charges may apply) and/or email, even if your telephone number is currently listed on any internal, corporate, state, federal or national Do-Not-Call (DNC) list. Our Premium partners will contact you directly to discuss your loan options as well as to obtain any additional financial information in relation to your offer or credit you receive. You authorize this company under the Fair Credit Reporting Act to obtain information from your personal credit profile or other information from Experian and/or TransUnion. You authorize this company to obtain such information solely to conduct a pre-qualification for credit, you acknowledge this will result in a hard inquiry on your credit report.