Pre-qualification Questionnaire
Loan Specialist Name (optional)
First Name
Last Name
Loan Specialist Email (optional)
example@example.com
Personal Information
Name
*
First Name
Last Name
Address
*
Address
City
City/Town
County
Postcode
Phone
*
Are you a U.S citizen?
*
Yes
No
Email
*
Financial Information
Purpose of the loan?
*
What will you be using the loan for?
What amount are you requesting?
*
When do you need the money?
*
What is your current credit score with all three credit bureaus?
*
Must be 650+ on all three credit bureaus. Check your true credit score. Credit Karma is generally incorrect.
Do you have new credit lines open within the last 6 months?
*
Yes
No
Do you have any late payments reporting within the last 2 years?
*
Yes
No
Do you make at least $27,000 a year on W-2 income?
*
Yes
No
Do you currently have any fraud alerts on your credit report?
*
Yes
No
Do you have direct deposit for your payroll checks into your bank?
*
Yes
No
Do you have less than 6 inquiries in the last 6 months?
*
Yes
No
Do you have at three open tradelines?
Yes
No
Have you ever filed bankruptcy?
*
Yes
No
Do you have recent collection accounts in the last 12 months?
*
Yes
No
Do you have at least 50% left on your current credit card balances?
*
Yes
No
What is your annual income?
*
What is your household monthly income?
*
I confirm that the information provided in this form is a true and accurate record and correct as of date of submission.
*
First Name
Last Name
Submit
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