Application for Guarantor

Contact Information
Name*

First NameMiddle InitialLast Name
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How long have you lived in your current home state?*
Email Address*
example@example.com
Home Phone Number
Please enter a valid phone number.
Cell Phone Number
Please enter a valid phone number.
Birthdate*

MonthDayYear
Date
Social Security Number*
Are you either a U.S. citizen or U.S. Permanent Resident?*

YesNo
Do you live permanently in the United States?*

YesNo
Please contact the Loan Administrator at 314-442-3755 to further discuss your eligibility to serve as a Guarantor for a loan through St. Louis Jewish Loan Association.
Marital Status*
Marital Status*
Name of Spouse/Domestic partner*
Spouse Cell Phone Number*
Number of children/dependents receiving your support*
Emergency Contact #1 Name*

First NameLast Name
Emergency Contact #1 Email*
example@example.com
Emergency Contact #1 Phone Number*
Please enter a valid phone number.
Emergency Contact #2 Name*

First NameLast Name
Emergency Contact #2 Email*
example@example.com
Emergency Contact #2 Phone Number*
Please enter a valid phone number.
Please upload a copy of your valid driver’s license or State ID*

Cancelof
Please upload a copy of your U.S. Passport or U.S. Permanent Resident card*

Cancelof

Liabilities and Expenses
What are your total monthly household expenses?
Have you ever filed for bankruptcy?*

YesNo
How long ago did you file for bankruptcy?*
Have you filed or contemplated filing bankruptcy or entering some other form of debt consolidation program within the last 2 years?*

YesNo
Explain*
Are there any court judgments against you or your spouse?*

YesNo
Explain*
Are you currently being sued?*

YesNo
Explain*

Consent
I understand that the St. Louis Jewish Loan Association (STLJLA) may ask for additional information in the process of reviewing my application to serve as a Guarantor. I understand that STLJLA will check my credit history via one (or more) credit reporting bureaus. In connection with this application, I hereby certify that all statements are true, correct and complete. STLJLA is authorized to make inquiries and gather information, including credit reporting, that it feels is necessary and reasonable concerning statements made on this application. It is further agreed that STLJLA will be promptly notified by me if there are any material changes to this information. I have read and agree with the Jewish Federation's Privacy Policy.

I understand that as a Guarantor, I am fully and solely responsible for any outstanding balance remaining of this loan, if the Borrower defaults on their repayment of this loan.
Name*

First NameLast Name
Signature*

Clear
Date

MonthDayYear
Date
Should be Empty:

APPLICATION FOR GUARANTOR