Freedom Lift Funding Inquiry Form

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Phone Number* This field is required.

Please enter a valid phone number.

4

Are you a U.S. citizen?* This field is required.

YESNO

5

Home Address* This field is required.

Street Address

Street Address Line 2

City

State

Zip Code

Country

6

Please Select Your Credit Score* This field is required.

Bad Credit (300 - 579)

Poor Credit (580 - 619)

Fair Credit (620 - 679)

Good Credit (680 - 719)

Excellent Credit (720 - 850)

7

Income DocumentationIf you have a 680 credit score or above ,we can expedite the underwriting process, please upload your income documentation (2 most recent paycheck stubs, first page of most recent years tax return, 1099's if applicable, disability letter if applicable, 3 months business bank statements if applying with a business, etc.) Please try to combine as many as you can into a PDF that's not larger than 9MB.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

8

Business Name

11

Please verify that you are human* This field is required.