1 Contact Info 2 Additional Questions 3 Additional Questions 4 Additional Questions 5 Additional Questions 6 Privacy Policy How can we contact you? Let's start with a little information about you. First Name * Required Last Name * Required Email Address * Required Confirm Email Address * Required Address Line 1 * Required Address Line 2 Required City * Required State * Required Please select a state Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Northern Mariana Islands Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington U.S. Virgin Islands West Virginia Wisconsin Wyoming Zip * Required Application Questions Please answer all the questions. Name of the business (if applicable): * Required Business Tax ID Number (if applicable): * Required Co-borrower name(s) (if applicable): * Required Co-borrower SSN (if applicable): * Required Primary phone number: * Required Co-signers' name(s) (if applicable): * Required Co-signers' address (if applicable): * Required Application Questions Please answer all the questions. Amount of money requested: * Required Describe the purpose of the loan: * Required Desired monthly payment: * Required Desired loan term (in months): * Required Application Questions Please answer all the questions. What are your places of employment/sources of income? * Required What is your total take-home pay? * Required What are your total monthly expenses? * Required Describe the primary collateral to secure this loan: * Required Estimate the value of the primary collateral: * Required Describe any additional collateral to secure this loan: * Required Estimate the value of the additional collateral: * Required Application Questions Please answer all the questions. Estimate the value of cash on hand & in bank accounts: * Required Estimate the value of retirement accounts: * Required Estimate the value of real estate holdings: * Required Estimate the value of investment accounts: * Required Estimate the value of automobiles & personal property: * Required Estimate the value of any additional assets: * Required Estimate the amount of loans payable outstanding: * Required Estimate the total amount of credit card debt outstanding: * Required Estimate the principal mortgage balance outstanding: * Required Estimate the total amount of any other debts outstanding: * Required Privacy Policy Please read and accept the privacy policy to continue. Accept Privacy Policy © Copyright 2022 Epic River All rights reserved. Version 22.4.1.4