SynergyOne Loan Application Form

You are encouraged to fill out this application. Supporting documents may be requested.
SynergyOne Loan Application Form
Applicant Personal Details
Name

First NameLast Name
Email
example@example.com
Phone Number
Format: (000) 000-0000.
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Type of ID

Other
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employment Status
Are you employed or do you own a business?
Place of Work
Job Title
Work Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Name (If you own a business. Enter Nil if employed)
Business Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Monthly Net Income
in CAD
Banking Details
Bank Name
Transit Number
Account Number
Account Type

Other
Loan Details
Purpose of Personal Loan

Other
Requested Personal Loan Amount
in USD
Terms in (Months)
Guarantor
Name

First NameLast Name
Relationship with Applicant
Place of Work
Work Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number (Guarantor)
Format: (000) 000-0000.
Type of ID (Guarantor)

Other
Upload Official Photo ID

Cancelof
Take a photo of your official govt ID
Signatures
Everything that I have stated in this application is correct to the best of my knowledge. I understand that you will retain this application whether or not the loan is approved. You are authorized to check my credit and employment history and to answer questions about your credit experience with me.
Applicant's Signature
Loan Terms and Conditions
An interest of 5% to be paid and collected on a monthly basis for the first 6 months. The initial interest amount will be removed from the amount. Full loan amount to be repaid after the first 6 months of the term.

You are eligible to repay the full loan amount at any time during the duration of the loan without penealties. If you wish to extend the loan amount, the extension interest will become 10% from months 7-12. All loans must be repaid in full by the 12th month.

If approved, your guarantor will also be required to sign the final agreement.
Do you agree to all loan terms outlined above?
Take a photo of your official govt ID
Upload Official Photo ID

Cancelof
Banking Details
Should be Empty:

SynergyOne Loan Application Form

Applicant Personal Details

Employment Status

Banking Details

Loan Details

Guarantor

Signatures

Loan Terms and Conditions

Banking Details