WHCA Resolution – Financial Assistance Application
Financial Assistance ApplicationIMPORTANT NOTICEPlease complete this application to request financial assistance through WHCA Resolution.All applications are reviewed manually. Submission of this application does not guaranteeapproval. Applicants will be contacted by email once the review process is complete.
Desired Loan Amount $
Annual Income $
Loan will be used for
Business Launching
House Buying
Home Improvement
Investment
Education
Other
Contact Information
Name
Title
First Name
Last Name
Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
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Day
Please select a year
2026
2025
2024
2023
2022
2021
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2019
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1920
Year
Marital Status:
Single
Married
Other
E-mail
example@example.com
Phone
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How long have you lived in your given address?
0-1 Year
1-2 Years
3-4 Years
5+ Years
Employment Information
Present Employer
First Name
Last Name
Occupation
Years of experience
0-1 Year
1-2 Years
3-4 Years
5+ Years
Gross monthly income
Monthly rent/mortgage
Down Payment Amount
Comments
Bank References
Please List Here
Consent
I authorize prospective Credit Grantors/Lending/Leasing Companies to obtain personal and credit information about me from my employer and credit bureau, or credit reporting agency, any person who has or may have any financial dealing with me, or from any references I have provided. This information, as well as that provided by me in the application, will be referred to in connection with this lease and any other relationships we may establish from time to time. Any personal and credit information obtained may be disclosed from time to time to other lenders, credit bureaus or other credit reporting agencies.
YES
I hereby agree that the information given is true, accurate and complete as of the date of this application submission.
YES
Send Application Now
Should be Empty: