JIFL Loan Application (Jewish Fertility Foundation Referrals)

JEWISH INTEREST FREE LOAN OF COLORADO APPLICATION FOR JEWISH FERTILITY FOUNDATION REFERRALS
Option 1: up to $5,000 for fertility, payable in 12-36 months

Option 2: up to $5,000 for fertility, plus, up to $8,000 for credit card debt, payable in 12-36 months

TOTAL CANNOT EXCEED $13,000
General Information
Name/s*

First NameLast Name
Name/s

First NameLast Name
Amount Applied for*
Full Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How long have you been at this address?*
How long have you been a resident of Colorado?*
Are you a United States citizen?*

YesNo
Financial Information

Please complete budget as thoroughly as possible. Do not leave out any income or expense. INCOME IS NET MONTHLY AND EXPENSES ARE MONTHLY.

Household Monthly Financial Information

	Amount	Source
Monthly NET Income
Bonuses / Overtime
Commissions
Dividends
Interest
Rental Income
Other
Other
Total:

Monthly Expenses

	Amount	Details / Explanation
Mortgage or Rent
HOA Dues
Utilties
Food Expense
Taxes
Car Payment
Car Insurance
Gas Expense
Home/Rental Insurance
Health Insurance
Loan Payment
Cable Expense
Cell Phone Expense
Entertainment
Clothing Expense
Prescriptions
Credit Card Payment 1
Credit Card Payment 2
Credit Card Payment 3
Credit Card Payment 4
Other expenses (or additional credit cards)
Other expenses (or additional credit cards)
Total:

Credit Cards

	Name	Total owed
Credit Card 1
Credit Card 2
Credit Card 3
Credit Card 4
Total:

Checking Account Balance & Bank Name*
Savings Account Balance & Bank Name*
Do you have any outstanding judgement or liens against you?*

YesNo
If yes, how much and to whom?
Have you ever had property foreclosed on?*

YesNo
Are you a party to a lawsuit?*

YesNo
Are you a co-signer on any other loans?*

YesNo
Have you declared bankruptcy or anticipate doing so?*

YesNo
References

MUST PROVIDE TWO (NO FAMILY MEMBERS)
Reference 1 Name*

First NameLast Name
Reference 1 Email*
example@example.com
Reference 1 Phone Number*
Please enter a valid phone number.
Reference 1 Occupation and Relationship*
Reference 2 Name*

First NameLast Name
Reference 2 Email*
example@example.com
Reference 2 Phone Number*
Please enter a valid phone number.
Reference 2 Occupation and Relationship*
Co-Signer

A co-signer is required for your loan. They must meet the following criteria: a) Are not current JIFLCO borrowers b) Are not currently guaranteeing existing JIFLC loans c) May need to provide a financial statement or credit report.
Co-Signer Name*

First NameLast Name
Co-Signer Email*
example@example.com
Co-Signer Phone Number*
Please enter a valid phone number.
Co-Signer Occupation and Relationship*
Is there anything else you would like us to know?
JEWISH INTEREST FREE LOAN OF COLORADO (“JIFLC”) reserves the right to contact the applicant’s references, credit bureau, guarantors, and creditors to confirm the correctness of the information provided herein. All of the above statements are made for the sole purpose of obtaining a loan from JIFLC. I also understand that I am responsible for the total amount of the loan principal outstanding.

All statements contained in this application are true and complete and were made for the purpose of obtaining such loan and any attempt on my/our part to mislead JIFLC by giving false information with this application will result in such application being canceled. I understand if the loan is made and false information for the loan comes to light, the loan will immediately become due and payable. Furthermore, this application includes the express representation that I am not being sued, that no judgement is outstanding against me, and I am not indebted to any lender other than those listed above.

Name (signature) and Date
Signature*

Clear
Should be Empty:

JEWISH INTEREST FREE LOAN OF COLORADO APPLICATION FOR JEWISH FERTILITY FOUNDATION REFERRALS

General Information

Financial Information

References

Co-Signer