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LendMan | Loan Application
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2025-03-12T17:42:06+00:00
Loan Application Form
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Personal Information
-
Step
1
of 5
Name
*
First
Middle
Last
Email
*
Email
Confirm Email
Phone
*
Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Next
Loan Amount
How much money do you need?
Preferred Loan Term
1 - 12 Months
1 - 12 Months
12 - 24 Months
24 - 36 Months
More Than 36 Months
What type of loan are you applying for?
*
Personal Loan
Mortgage Loan
Auto Loan
Student Loan
Business Loan
Others
Please select one option that best describes your need.
Purpose of Loan
*
To help us better understand your needs and provide the best options for you, please share a bit more about the purpose of the loan?
Previous
Next
Employment Status
*
Retired
Retired
Employed
Self-Employed
Unemployed
Employer Name
*
Job Title/Position
*
Length of Employment (Years/Months)
*
Total Household Income
*
Gross Monthly/Annual Income
*
Other Sources of Income (if applicable)
Years in Business
*
Gross Monthly/Annual Income
*
Total Household Income
*
Other Sources of Income (if applicable)
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Next
Date of Birth
*
Social Security Number (SSN)
*
Number of Dependents
Status of Current Residential Address
*
Vacant
Vacant
Own
Rent
Home Owner Status
*
Foreclosed
Foreclosed
Mortgage Payment
Mortgage-Free
Mortgage Payment Amount
*
Monthly Rental Amount
*
Years at Current Address
*
Gross Terms Birth
Previous
Next
Proof of Identity
Government-issued ID
*
Driver’s License
State ID
Passport
Identity Card Front
*
Click or drag a file to this area to upload.
Please upload a clear scanned copy of the front of your Identity Card.
Identity Card Back
*
Click or drag a file to this area to upload.
Please upload a clear scanned copy of the back of your Identity Card.
Proof of Residence
Proof of Address
*
Click or drag a file to this area to upload.
Please upload a copy of your most recent Utility bill
Proof of Income
Pimary Proof of Income
*
Recent Pay Stubs
Bank Statements
Self-Employment Income Statement
Bank Statement
*
Click or drag a file to this area to upload.
Please upload a copy of your paystub and/or bank statement
Agreement to Terms & Conditions
*
Agree to our Terms & Conditions
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