HEBREW FREE LOAN ASSOCIATION OF MIAMI
Guarantor Application
Borrower's Name
*
First Name
Last Name
Guarantor's Eligibility
Relationship to Applicant
*
Legal Status
*
US Citizen
Permanent Resident
I have resided in the State of Florida for at least six-months prior to the application date.
Yes
No
Florida Resident Since
Have you ever received a loan from HFLA?
*
Yes
No
Have you ever guaranteed (co-signed) a loan from HFLA?
*
Yes
No
Are you currently in active military service?
*
Yes
No
Guarantor's Information
Guarantor's Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you rent or own your place of residence?
*
Own
Rent
Monthly Amount for Mortgage or Rent
*
Residing at Address Since
*
Cell Phone
*
Email
*
Social Security Number (SSN)
*
No dashes please
Date of Birth
*
-
Month
-
Day
Year
Date
Please upload a copy or image of your Driver's License
*
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Guarantor's Employment Information
Occupation
*
Type of Business
*
Employer
*
Employed Since
*
-
Month
-
Day
Year
MM/DD/YYYY
Employer Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Employer Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Upload your most recent W-2
*
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Upload your most recent IRS 1040
*
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Upload your most recent Utility Bill
*
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To Join Federation's mailing list and receive information on additional programs and services that may be available to assist you,
*
Yes
No
Signature
**By checking and signing below, I: 1. Certify that the information on this application is true and complete. 2. Authorize HFLA of Miami to verify the accuracy and completeness of all information above from any source HFLA of Miami chooses. 3. understand that in the event of a default, the guarantor (co-signer) is liable for the full amount of the loan, “jointly and severally”, and, as such, would be called upon to repay the total balance due in full in the event a default occurs.
*
Yes
Signature
*
Date
*
-
Month
-
Day
Year
Date
Microbilt Credit Report Authorization
**By checking and signing below, I hereby consent and authorize the Hebrew Free Loan Association of Miami to contact Microbilt Corporation for a current credit report and to update this report as deemed necessary.**
*
Yes
Signature
*
Date
*
-
Month
-
Day
Year
Date
HFLA understands that all information it requests or receives is strictly confidential.
Submit
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