Start a Personal Loan Application

Loan Information

Amount Requested *

Purchase Type *

Date of Purchase *

Date must be within 60 days. If not yet set, please provide an estimate. Some approvals are only valid for 30 days.

Your Merchant

Applicant

Person receiving the loan MUST be listed as the applicant if 18 years of age or older. A 2nd applicant may be added later in the application.

First Name *

Last Name *

Is this the Person Receiving the Loan? *

Yes No

Is Person receiving the loan under 18 years of age? *
Yes No

Date of Birth *

Social Security Number *

Confirm Social Security Number *

Email *

Confirm Email *

Please enter the applicant's correct personal email address to avoid delays with processing

Cell Phone Number

(

)

Home Phone Number

(

)

At least one contact number required

Home

Address (no P.O. Boxes) *		Apartment #		City *
State *		Zip Code *		Monthly Mortgage or Rent Payment * $

Source of Personal Income

Employment Status * Please check this box if any of your income is non-taxable (e.g. Retirement, Child Support, Alimony) Tax returns required. Total Gross Monthly income should be based off Adjusted Gross Income on returns.		Total GROSS Monthly Income (Before tax) * $ Input the GROSS income you personally receive MONTHLY from your employment. Income may be subject to verification.		Other Personal Verifiable Income (Monthly) $ Income from alimony, child support or separate maintenance payments need not be disclosed if you do not wish to have this income considered as a basis for repaying this obligation.
Total Annual Income $		Please check Total Annual Income is correct

Employer Name *

2nd Applicant

Add a 2nd Applicant? *

If you feel you have non-qualifying credit for this pre-qualification, please add a 2nd Applicant. United Credit may come back with a pre-approval for the 2nd Applicant if the first applicant does not qualify

About the 2nd Applicant

First Name *

Last Name *

Date of Birth *

Social Security Number *

Confirm Social Security Number *

Email *

Confirm Email *

Please enter the 2nd Applicant's correct personal email address to avoid delays

Cell Phone Number

(

)

Home Phone Number

(

)

At least one contact number required

Where the 2nd Applicant Lives

Same address as applicant
Address (no P.O. Boxes) *		City *
State *	Zip Code *	Monthly Mortgage or Rent Payment * $

2nd Applicant Source of Income

Employment Status *

2nd Applicant Employment Details

Employer Name *

What is the Name of the Person Receiving services or product? *

Agreement

By clicking the 'Submit application' button, you are providing written consent under the Fair Credit Reporting Act for United Credit and our lenders and partners with whom you are matched to obtain consumer reporting information from your credit profile or other information from one or more credit bureaus. You understand and agree that you are submitting an application for credit, and are consenting to the use of your consumer report information by United Credit and our lenders and partners to conduct anti-fraud security checks and evaluate your application for credit. You understand that your application may be matched with multiple lenders, each of whom may obtain consumer report information from your credit profile. You also direct United Credit to share your information with other lenders and partners who may use that information to consider whether to offer financing to you.

I have read and accept the Agreement, Privacy Policy, Terms, Additional Disclosures, Electronic Disclosure, Personal Credit Pull Authorization and Disclosures - Lender Partners. *

By clicking the 'Submit application' button, you agree that your electronic signature has the same legal meaning, validity and effect as your handwritten signature.

* Required field. All information is encrypted using SSL/TLS

United Credit Loan Application

Loan Information

Your Merchant

Applicant

Home

Source of Personal Income

2nd Applicant

About the 2nd Applicant

Where the 2nd Applicant Lives

2nd Applicant Source of Income

2nd Applicant Employment Details

Agreement