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Step 1 of 4: Your Personal Information |
| a. What is your name? |
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| b. Where do you live? |
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| c. How long have you lived at this address? |
months |
| d. How do we contact you? |
e.g. name@hotmail.com
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| e. What is your driver's license number? |
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| f. When is your date of birth? |
(mm/dd/yyyy)
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| g. What is you social security number? |
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Step 2 of 4: Information About Your Job |
| a. How often do you get paid? |
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| b. How much do you earn after taxes? |
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| c. When do you next get paid? |
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| d. When do you next get paid following the date above? |
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| e. Do you have a direct deposit? |
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| f. Who is your employer? |
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| g. Where is your job located? |
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| h. What is your employer's phone number? |
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| i. How long have you been employed by this employer? |
months
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| j. What is your supervisor's name? |
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Step 3 of 4: Your Banking Information |
| a. What is your bank's name? |
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| b. What is your bank's ABA routing number? |
it should be 9 digits
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| c. What is your account number? |
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| d. What is the account type? |
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| e. How long have you had this account? |
months
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Step 4 of 4: Your References |
Please provide two reference contacts. One reference must be a family member that does NOT live with you.
We WILL NOT CONTACT any of your personal contacts to qualify your loan.
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| Your first reference: |
| a. Name |
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| b. Relationship to you |
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| c. Phone number |
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| Your second reference: |
| d. Name |
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| e. Relationship to you |
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| f. Phone number |
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