Loan Application

Note: UPI Loan proceeds are directly paid to the Lender or Lien Holder that the Applicant owes. NO cash or cheques are payable to the Applicant.

*Amount Requested

Referral Agency

*Loan Purpose

Personal Details

*First Name

Middle Name

*Last Name

*Your Email

*Primary Phone Number

Alt. Phone Number

*May we send you text messages?

Yes

*Date of Birth

*Social Security Number

*Marital Status

*Current AddressPhysical Address (No PO Boxes)

Address (2)

*US State

*Zip Code

Employment

Employer 1

*Name of Employer(e.g. Registered business name)

*Employer's Phone Number

*Employer's Email

*Your Title/Position

Your Supervisor's Name(If any)

*Commencement Date(When did you start work with this employer?)

*Hours employed weekly

*Employment AddressPhysical location (No PO Boxes)

Address (2)

*State

*Zip Code

Employer 2

Name of Employer(e.g. Registered business name)

Employer's Phone Number

Employer's Email

Your Title/Position

Your Supervisor's Name(If any)

Commencement Date(When did you start work with this employer?)

Hours employed weekly

Employment AddressPhysical location (No PO Boxes)

Address (2)

State

Zip Code

Income

Notice: Alimony, child support, or separate maintenance income do not need to be disclosed on this application UNLESS you choose to have it considered as income.

*Income Employer 1

Income Employer 2

Additional Income 1

Additional Income 2

*Pay period

Pay period

Add. Income 1 Source

Add. Income 2 Source

Guarantor or Reference

Guarantor (1)

Guarantor's Full Name

Guarantor's Phone Number

Relationship to you

Guarantor's Address

Address (2)

State

Zip Code

Guarantor (2)

Guarantor's Full Name

Guarantor's Phone Number

Relationship to you

Guarantor's Address

Address (2)

State

Zip Code

Finalize

Disclaimer

If there are any important changes, you will notify us in writing immediately. You also agree to notify us of a change in your name, address or employment within two weeks of the change. You also promise that everything you have stated in this application is correct and true to the best of your knowledge and that the information is a complete listing of all your debts and obligations. You authorize UPI Loan Fund, MariSol Federal Credit Union to obtain credit report(s) and share your personal information between them in connection with this application for credit and for any update, retrieval or extension of the credit received. If you request, we will tell you the name and address of any credit bureau from which we received a credit report on you. You understand that it is a federal crime to willfully and deliberately provide incomplete information.

Requested Documents

Submit the application to UPI Loan Fund for credit check/processing.

Copies of two (2) most recent Paystubs.

Explanation for any poor credit history.

Applicable fees may apply.

Upload your documentsPlease upload your paystubs and explanation (if applicable). To upload multiple documents, click inside the box below, select ALL documents in your computer's file manager window that you will upload (hold down Cmd or Ctrl key to select multiple documents). Press Enter to add all documents to this section at one time.

*Did you upload documents?Select one option. If you did not upload your documents, please email them to apply@upiloanfund.us

I require more time and will email my documents within 7-days of submitting this application.

I have uploaded my documents with this application.

*Terms

I have read and understood the terms and conditions.

The information I have provided is valid, true, and correct.

*SignaturePlease sign in the space below

Loan Application

Personal Details

Employment

Employer 1

Employer 2

Income

Expenses

Guarantor or Reference

Guarantor (1)

Guarantor (2)

Finalize

Disclaimer

Requested Documents