Hebrew Free Loan Association of Greater Washington

Your Name

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First Name

Last Name

Social Security Number

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Please provide your full SSN

Date of Birth

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(mm/dd/yyyy)

Are you or your spouse Jewish?

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We are sorry, based on your answers, you do not qualify for a loan. Please do not continue this application.

Please visit www.hebrewfreeloandc.org/faq for more information.

Are you a US Citizen or Permanent Resident?

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Do you live in the DC metro area?

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Yes

No

We are sorry, based on your answers, you do not qualify for a loan. Please do not continue this application.

Please visit www.hebrewfreeloandc.org/faq for more information.

Marital Status

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Spouse Name

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First Name

Last Name

Spouse Social Security Number - last 4 digits

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Please provide the last 4 digits of your spouse's SSN

Number of Dependent Children

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Ages of Dependent Children

Education Loan Information

School Program Information

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Tell us about your education program; when does this program start and end?

Loan Amount Requested

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Please note, maximum for students is $15,000.

How did you hear about us?

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Friend/Family

Rabbi or synagogue communication

Facebook

Google/internet search

Partner organization or other non-profit referral

HFL newsletter

Other

Please provide any details on how your heard about us. For example, if you selected Facebook, please tell us what Facebook page or if you selected Rabbi, please tell us what Rabbi.

*

We are gathering this information to best understand where our borrowers are getting their information so we can better market our loans in the future.

Contact Information

Email

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Verify Email

*

Spouse's Email

*

Verify Email

*

Address

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Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

How long have you lived at this address?

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Do you own or rent this property?

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Own

Rent

Other

Cell Phone

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Spouse's Cell Phone

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Work Phone

Home Phone

Assets and Revenue

Occupation

Please include your job information if you are employed while in school (or during the summer).

Employer

Spouse occupation

Spouse Employer

Net Salary per Month (if applicable)

Spouse Salary per Month (if applicable)

Cash in bank

*

Additional Monthly Income

Investment income, pension, etc for both you and your spouse

Pay Stubs/Proof of educatoin

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Please upload documentation showing that you are currently enrolled in school.

Additional Pay Stubs

If you are employed while in school, please include your pay stub.

Net Worth

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Please provide an approximate value of your net worth for your and your spouse (if applicable)

Under $50,000

$50,000-$100,000

$100,000-$250,000

$250,000-$500,000

Liabilities and Expenses

Monthly Mortgage/Rent Expense

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Please provide monthly expenditure. If none, enter $0.

Monthly Car Loans Expense

*

Please provide monthly expenditure. If none, enter $0.

Other monthly debt payments (e.g., credit card, student loans, etc.)

*

Please provide monthly expenditure. If none, enter $0.

Monthly Tuition Expense

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Please provide monthly expenditure. If none, enter $0.

All other monthly expense

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Please provide approximate monthly expenditure for food, medical, car insurance, phone bills, gas and electric, clothing, etc.

Debt: Please list the full amounts of debt owed to others, including mortgage, student loans, credit card, etc.

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Please itemize the items listed above

Are you a current or past Hebrew Free Loan borrower?

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Yes, past

Yes, current

No

Are there any court judgments against you or your spouse?

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Yes

No

Are you currently being sued?

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Yes

No

If yes, please explain...

Guarantor name(s) - 1 for loans of $10k or less, 2 for loans of more than $10k

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Please note: your guarantor cannot be you or your spouse. In addition, if you need multiple guarantors, they cannot be married to one another.

Comments or Questions?

Notice to Borrower

Thank you for your interest in a Loan from Hebrew Free Loan Association of Greater Washington (HFL). Please read the following statement and provide your electronic signature to signify that you agree. Please ask for an explanation if there is anything you don't understand.

I understand that I will need one or two guarantors to co-sign on this loan. They must fit the criteria listed above. If I do not pay back my loan per the terms agreed upon, I understand that my guarantors will be obligated to repay on my behalf.
I understand that a member of the staff or Board of Directors of HFL will reach out to me for an interview and may need additional information.
I understand that I will be responsible to repay this loan as set forth in the Promissory Note. Loan repayments begin the month following the loan signing.
I understand that in the event that I default on the Promissory Note and fail to pay as agreed, The Hebrew Free Loan Association of Greater Washington can use any and all legal collection methods against me including but not limited to bringing a lawsuit against me in order to seek repayment of all monies due and owing, to get a judgment against me for the balance due and owing and engage in any post judgment proceedings to enforce any judgment entered against me, including the garnishment of wager where applicable.
I understand that if a judgment is entered against me that becomes a public record.
I understand that this application is not the contract that makes me liable for the debt.

I have read the Notice to Borrower and understand the responsibilities

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Yes

No

I hereby certify that the information provided is true, correct, and complete.

*

I authorize the Hebrew Free Loan Association of Greater Washington (HFL) to investigate my credit, credential and/or employment history and authorize HFL to make inquiries and gather information that it believes is necessary concerning statements made on this application. I further agree to promptly notify HFL of any material changes in the information in this application.