Loan Application

Great news! You're just a few steps away from getting the loan you need!

To start, simply fill out our easy-to-use form to see if you qualify. Once you're approved, you'll have access to our network of trusted contractors. Already have a quote? Great, make sure you select your contractor from the drop-down list.

Let's get started!

Basic Information

What home improvement do you want to finance?

Do you have homeowner's insurance?

How much do you pay annually for homeowner's insurance?

Is your A/C unit broken?

What is the age of your A/C unit?

What is the SEER of your A/C unit?

What is your main reason for investing in this project?

What are the two main outcomes you expect from this investment?

Will this loan help you:

How many people live in the household?

Including yourself.

# of household members under 18

# of household members over 62

Household Expenses

Monthly Household Expenses (average month)

Example: Groceries, Medical, Child Expenses, Tuition, Membership, etc...

Monthly Electricity Expenses (average month)

Income

Primary Income Source

Who is your current Primary Employer?

Years working at current job?

What is your primary job title?

Full-Time Monthly Income Amount

Part-Time Monthly Income Amount

Self-Employed Monthly Income Amount

Fixed Monthly Income Amount

Other Monthly Income Amount

Describe your primary activity? (Retail, Realtor, Insurance Agent, etc...)

Explain any other Monthly income sources

Contact Information

Partner

LeadID

First Name

Last Name

Middle Initial

Home Phone

Mobile Phone

Birthdate

Mailing Street

Mailing City

Mailing State

Mailing County

NV Mailing County

TX Mailing County

NC Mailing County

TN Mailing County

AZ Mailing County

VA, MD, DC Mailing County

Mailing Zip

Is the home being upgraded a Mobile Home?

The address for the property that I'd like to improve is different than my mailing address

Property Address

Property Street	Property City
Property State	Property County
TX Property County NV Property County TN Property County AZ Property County VA, MD, DC Property County NC Property County Property Zip

Referral Source

Do you have a contractor?

Who is your contractor?

Please select from the list

Who is your contractor(LEDC)?

Please select from the list

Who is your contractor(GROUNDSWELL)?

Please select from the list

Who is your contractor(NCCEF)?

Please select from the list

Who is your contractor(NCEF)?

Please select from the list

Who is your contractor(SHILA)?

Please select from the list

Who is your contractor(TEXAS)?

Please select from the list

Who is your contractor(SEEED)?

Please select from the list

Referring Contractor Name

Do you need assistance finding a contractor?

Credit Check

SELF collects social security numbers solely to obtain the applicant’s credit report to evaluate their financial standing and eligibility for a SELF loan. Therefore, requesting social security numbers for this purpose is permitted as provided in Section 119.071(5)a 2.a and 6.b, Florida Statutes.

Soft Credit

I understand and agree that I am providing instructions to SELF under the Fair Credit Reporting Act ("FCRA") to access information from my personal credit profile or other information from one or more consumer reporting agencies such as Equifax, Experian, or TransUnion. I hereby authorize SELF and/or affiliates to obtain such credit information solely to conduct a soft credit pull for pre-approval for credit.

Consent 2

I understand and agree that I am providing instructions to SELF under the Fair Credit Reporting Act ("FCRA") to access information from my personal credit profile or other information from one or more consumer reporting agencies such as Equifax, Experian, or TransUnion. I authorize SELF and/or affiliates to obtain such credit information to conduct a final review for financing home improvements by conducting a hard credit inquiry.

Social Security Number

Contact Information