CFA Loan Application Form

Loan Application Form

Data Encryption Enabled - Secured
Loan Amount *
Loan Purpose *
How Did You Hear About Us? *
Merchant/Dealer
Applicant Name *
Address *

Street Address

Unit Number

City State

Zip Code
Phone Number *
Are you Military/Veteran?
E-mail *

Confirmation Email
Date of Birth *

Month Day Year
Social Security *
Confirm SSN *
Rent/Mortgage *
Gross Annual Income *
Credit Score *
Housing Status *
Employment *
Employer Name *
Time On The Job *
Copy of ID

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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 *

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