General Loan Application Form

General Loan Application Form

JEWISH FREE LOAN — 3443 N. Central Ave., Suite 707, Phoenix, AZ 85012-2208
Thank you for your interest in Jewish Free Loan. JFL’s interest-free loan program is available to residents of Arizona. You must be at least 18-years-of-age and a member of the Jewish community to apply. Depending on the size and purpose of your loan request, you may be required to provide 1-3 guarantors for your loan. Guarantors must also be over 18, a resident of Arizona and a member of the Jewish community. We understand that there are situations when identifying guarantors that meet the aforementioned requirements may be difficult. Please do not let the guarantor requirement keep you from submitting your application.

Please complete the secure application form below and a member of the JFL staff will be in touch as soon as possible regarding your application, guarantor(s) and next steps.
Are you Jewish? *

Yes No
Have you or your spouse ever applied for a loan from JFL? *

Yes No
If yes, when?
Date
Have you or your spouse ever received a loan from JFL? *

Yes No
If yes, when?
Date
Have you or your spouse ever co-signed for a loan from JFL? *

Yes No
If yes, for whom?
Name
How did you hear about the Jewish Free Loan?
Applicant Information
Amount Requested *
Purpose of Loan *
Reason for loan request (brief description) *
Name *

First Name Last Name
Maiden name or AKA
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Home Telephone *

Area Code Phone Number
Cell phone

Area Code Phone Number
Email *
example@example.com
Social Security Number *
Arizona Driver's License Number *
Date of Birth *

Month Day Year
U.S. Citizen *

Yes No
If foreign born, emigrated from:
Country
In U.S. since:
Year
City and State of Birth *
City, State
In Arizona since: *
Year
Marital Status: *

Single Married Divorced Separated Widower Domestic Partner
Do you rent or own your place of residence? *

Rent Own
Monthly Rent/Mortgage *
How long have you lived at this address? *
Name of nearest close relative or friend *

First Name Last Name
Relationship *
Relative's Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Relative's Phone Number *

Area Code Phone Number
Employment Information
Applicant's Occupation *
Name of Employer *
Yearly Gross Salary *
Employed since: *
Business Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Business Phone Number

Area Code Phone Number
Spouse and Dependent Information
Spouse's Name

First Name Last Name
Spouse's Maiden Name
Spouse's Social Security Number
Spouse's Arizona Driver's License Number
Spouse's Date of Birth

Month Day Year
Date
Spouse's Occupation
Spouse's Yearly Gross Salary
Name of Spouse's Employer
Spouse employed since:
Spouse's Work Phone

Area Code Phone Number
Spouse's Cell Phone

Area Code Phone Number
Spouse's Email
example@example.com
Number of Dependents

Bank Information

Please complete information for your bank(s). *

Name of Bank

State

Type of Account

Income and Expenses — Summary

Please summarize your income and expenses. *

Sources of Monthly Income

Amount

Monthly Expenses — Subtotals

Amount

Current Assets and Liabilities

Please list your assets and liabilities. *

Assets (savings, securities, car, property equity, etc)

Amount

Liabilities (mortgages, loans, credit cards, etc)

Amount

Monthly Payment

Have you applied for a loan at a bank? *

Yes No
If yes, which bank(s)?
Certification of Completeness and Accuracy, and Approval to Obtain Additional Information
- I authorize the Jewish Free Loan to investigate my credit and personal history.
- I authorize agencies and persons contacted by the Jewish Free Loan in connection with this application (including credit reporting agencies, banks, and social service organizations) to provide information about my credit and personal history to Jewish Free Loan.
- I certify that the information contained in this loan application is complete and accurate.
Applicant's Signature *

Clear
Date *

Month Day Year
Date
Spouse's Signature

Clear
Date

Month Day Year
Date
Borrower's Acknowledgement of Terms and Conditions

I understand and agree that the following terms and conditions will apply to my loan:
- There will be no interest charged.
- The cost of obtaining a credit report will be deducted from the proceeds of the loan.
- I will repay my loan according to the amounts and schedule stated in the promissory note that I sign.
- If I fail to make payments as agreed, the Jewish Free Loan will start collection proceedings against me and my guarantors (each of whom is individually responsible for the full amount of the outstanding balance).
- I will immediately notify the Jewish Free Loan about any changes in my address or in my ability to make my payments as agreed.
Applicant's Signature *

Clear
Date *

Month Day Year
Date
Please upload an image of your Photo ID *

Browse Files

Cancel of
Spouse's Signature

Clear
Date

Month Day Year
Date
Please upload an image of your Photo ID

Browse Files

Cancel of
Should be Empty:

General Loan Application Form

Applicant Information

Employment Information

Spouse and Dependent Information

Bank Information

Income and Expenses — Summary

Current Assets and Liabilities

Certification of Completeness and Accuracy, and Approval to Obtain Additional Information

Borrower's Acknowledgement of Terms and Conditions