1
Basic Info
Tell us about yourself
2
Address
Where do you live?
3
Contact + ID
How to contact you?
4
Employment
Where do you work?
5
Income + Bank
Tell us about your income
6
References
Who are your references?
7
Loan Contract
Terms and Conditions
Step 1: Basic Info
This loan application will NOT affect your FICO® credit score.
Store Location
Evolution Lending Santa Barbara
Evolution Lending Santa Maria
Loan Amount
100
200
300
400
500
First Name
Middle Name
Last Name
Date of birth (mm/dd/yyyy)
Email Address
Confirm Email Address
Social Security Number/TIN (XXX-XX-XXXX)
Confirm Social Security Number - SSN/TIN (XXX-XX-XXXX)
Step 2: Address
Street
Apt/Suite #
City
State
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Zip Code (XXXXX-XXXX)
Date of initial move in (mm/yyyy)
Do you rent or own your residence?
Rent
Own
Landlord Name
Landlord Phone Number (XXX) XXX-XXXX
Step 3: Contact + ID
Mobile Phone (XXX) XXX-XXXX
Home Phone (optional) (XXX) XXX-XXXX
Fax Number (optional) (XXX) XXX-XXXX
ID Type
Drivers License
State/Province ID
Passport
Military ID
Other
State of ID
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
ID Number
Expiration Date of ID
Step 4: Employment
Employer Name
Employer Address
Employer City
Employer State
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Zip Code (XXXXX-XXXX)
Employer Phone (XXX) XXX-XXXX
Extension
Hire Date (mm/yyyy)
Step 5: Income + Bank Info
Bank Name
Account Holder(s)
Routing # (XXXXXXXXX)
Account # (XXX-XXXXXX)
Gross Monthly Income
Do You Receive Your Income Via Direct Deposit?
No
Yes
Main Source of Income
Employed
Pension
Retirement Income
Social Security
Disability
How Often Do You Receive Your Paycheck?
Weekly - Payed the same day every week
Monthly - Payed the same day every month
Bi-Weekly - Payed the same day every other week
Twice Monthly - Payed the same two days every month
Date of Next Paycheck
Date of Second Next Paycheck
Step 6: References
Reference 1
First Name
Last Name
Phone (XXX) XXX-XXXX
Relation
Friend
Mother
Father
Brother
Sister
Son
Daughter
Grandfather
Grandmother
Aunt
Uncle
Nephew
Niece
Cousin
Colleague
In-law
Spouse
Reference 2
First Name
Last Name
Phone (XXX) XXX-XXXX
Relation
Friend
Mother
Father
Brother
Sister
Son
Daughter
Grandfather
Grandmother
Aunt
Uncle
Nephew
Niece
Cousin
Colleague
In-law
Spouse
Step 7: Loan Agreement
I certify that the information supplied by me is true and correct. I authorize verification of the truthfulness of all information contained herein, including verification of income and banking information. I expressly authorize contact with any person or company identified above to verify any of the above information or to leave a message for me. Any false statements made by me shall be sufficient basis for rejection. The Federal Equal Opportunity Act requires that all creditors make credit equally available to all credit worthy customers without regard to race, sex or marital status. I acknowledge that this application and any supporting documentation provided with it is the property of Evolution Lending Santa Barbara.
I agree to the terms and conditions above.
Federal law provides important protections to active duty members of the Armed Forces and their dependents. To ensure that these protections are provided to eligible applicants, we require you to answer the following questions as applicable:
Are you a regular or reserve member of the Army, Navy, Marine Corps, Air Force, or Coast Guard, serving on active duty under a call or order that does not specify a period of 30 days or fewer (or a dependent of such member).
No
Yes
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