One moment please...
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First Name
Last Name
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Please provide your full SSN
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(mm/dd/yyyy)
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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.

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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.

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First Name
Last Name
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Please provide the last 4 digits of your spouse's SSN
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Loan Information
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Please explain why you need a loan and how these funds will be utilized.
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Please note, full time student can borrow a maximum of $5,000. All other loan maximum is $15,000.
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Contact Information
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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Assets and Revenue
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Investment income, pension, etc for both you and your spouse
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Please upload your two most recent pay stubs. If you are self employed and do not have a pay stub, please provide Schedule C of your most recently filed tax return or another proof of income. For students: please upload documentation showing that you are currently enrolled in school.

If your pay stubs are in two separate files, please upload the second one here. If you want to include additional documents, please email them to shuli@hebrewfreeloandc.org.
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Please provide an approximate value of your net worth for your and your spouse (if applicable)
Liabilities and Expenses
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Please provide monthly expenditure. If none, enter $0.
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Please provide monthly expenditure. If none, enter $0.
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Please provide monthly expenditure. If none, enter $0.
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Please provide monthly expenditure. If none, enter $0.
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Please provide approximate monthly expenditure for food, medical, car insurance, phone bills, gas and electric, clothing, etc.
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Please itemize the items listed above
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This question will not impact your loan approval, it is for reporting purposes.
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Notice to Borrower

Thank you for your interest in a Loan from Hebrew Free Loan Association of Greater Washington (HFLAGW). 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 HFLAGW 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 Promissor Note. Loan repayments begin the month following the loan signing.
  • I undetand 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 judgement against me for the balance due and owing and engage in any post judgement proceedings to enforce any judgement entered against me, including the garnishment of wager where applicable. 
  • I understand that if a judgement 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.
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I authorize the Hebrew Free Loan Association of Greater Washington (HFLAGW) to investigate my credit, credential and/or employment history and authorize HFLAGW to make inquiries and gather information that it believes is necessary concerning statements made on this application. I further agree to promptly notify HFLAGW of any material changes in the information in this application.