Guarantor Application There is never an application fee and your information is 100% secure and private. GUARANTORFirst, Last Name and Suffix* DOB* SSN* Phone* Email* Home Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How you would rate your credit* Excellent Good Fair Below Average Don't Know Credit Score* EMPLOYMENTEmployer* Position/Title/Type of Business* Years of Employment* Business Phone* CURRENT PERSONAL CASH RESERVES Checking* Savings* Other Liquid Assets* DECLARATIONSMarital Status*MarriedUnmarriedSpouse Full Name Are you a U.S. citizen* Have you ever been involved in any fraud?* Have you ever filed bankruptcy* Have you ever had a foreclosure* Are you delinquent on any Federal, State, or Real Estate taxes* Years of experience in Real Estate investing* Number of rehab projects completed in the last 24 months* Number of Investment properties you currently own* Comments or additional informationHow did you hear about us?ReferralMailerRadioGoogleFacebookInstagramTwitterOtherACKNOWLEDGEMENT AND AGREEMENTI hereby certify that I am a Member or Shareholder of the above said business and authorize CDW Enterprises Inc. d/b/a ePrivate Lending Corporation, its servicers, successors and assigns to verify or re-verify any information in this application. I also hereby expressly consent and authorize CDW Enterprises Inc. d/b/a ePrivate Lending Corporation, its servicers, successors and assigns to collect and share information, including credit reports and other information found in this application. My intent is to apply for business purpose credit and agree such credit will not be used for personal, family or household purposes. I certify and acknowledge that all information provided in this application and any attachment and supporting documentation is true, correct, complete and accurately represents the financial condition on the date given below.I Acknowledge and Accept the Terms and Conditions*YesRead and Accept The Terms and ConditionsName of person filling out application* Date* MM slash DD slash YYYY
