Loan Application Form
Data Encryption Enabled - Secured
Loan Amount
*
Loan Purpose
*
How Did You Hear About Us?
*
Flyer
Facebook Ad
Instagram Ad
Google Ad
Craigslist
Road Sign
Dealership/Merchant
Other
Merchant/Dealer
Applicant Name
*
Address
*
Street Address
Unit Number
City
Please Select
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
State
Zip Code
Phone Number
*
Are you Military/Veteran?
Please Select
YES
NO
E-mail
*
Confirmation Email
Date of Birth
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Social Security
*
Confirm SSN
*
Rent/Mortgage
*
Gross Annual Income
*
Credit Score
*
Credit Range
> 720
680 - 720
640 - 679
550 - 639
< 550
Housing Status
*
Current
Rent
Mortgage
Fully Owned
Partially Owned
Other
Employment
*
Employment Status
Employed
Unemployed
Self Employed
Retirement Benefits
Military
Other
Employer Name
*
Time On The Job
*
Copy of ID
Browse Files
Cancel
of
Voided Check
Browse Files
Cancel
of
By checking the box below, I hereby provide consent to CFA and its lending partners and providers to obtain my consumer credit report from credit bureaus as part of this inquiry for credit prequalification. I am also confirming that I have read and agree to the E-Consent Agreement and to the Terms of Use, Privacy Policy, Credit Report Authorization and Telephone & Email Consents.
*
YES
I hereby agree that the information given is true, accurate and complete as of the date of this application submission.
*
YES
Signature
*
Submit
Print Form
Should be Empty: