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

CityState

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

Confirmation Email
Date of Birth*

MonthDayYear
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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