1 Contact Info 2 Loan and Applicant Information 3 Applicant Employment Information 4 Housing and Co-Applicant Information 5 Privacy Policy How can we contact you? Let's start with a little information about you. First Name * Required Middle Name Required Last Name * Required Email Address * Required Confirm Email Address * Required Address Line 1 * Required Address Line 2 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 Date of Birth *Invalid Date Social Security Number *Required Loan and Applicant Information Please answer all the questions. Loan Amount Requested * Required $ Purpose of Loan * Required Description of Collateral Offered * Required Applicant's Primary Phone Number * Required Applicant's Mailing Address (if different than address supplied earlier) Required Applicant Employment Information Please answer all the questions. Name and Address of Current Employer * Required Phone Number of Current Employer * Required Years Employed with Current Employer * Required Current Position or Title * Required Gross Monthly Income * Required $ Name and Address of Previous Employer Required Phone Number of Previous Employer Required Employed From Required Employed To Required Position or Title with Previous Employer Required Description of any Other Income Required Monthly Amount of Other Income Required $ Housing and Co-Applicant Information Please answer all the questions. Do you Own or Rent your Current Residence? * Required Select Own Rent Not Applicable When did you move into your Current Residence? * Required What is your Monthly House Payment or Rent? * Required $ Will you have a Co-Applicant on this loan? * Required Select Yes No (If Yes) Name of Co-Applicant Required (If Yes) Email of Co-Applicant Required (If Yes) Co-Applicant Date of Birth Required (if Yes) Co-Applicant Social Security Number Required Privacy Policy Please read and accept the privacy policy to continue. Accept Privacy Policy You're done! Thank you for completing your application! You can now begin signing your closing documents. Thank you for completing your application!Your financial institution is reviewing your application and will contact you for the next steps.You can now safely close your browser window or tab. Thank you for your submission! Your financial institution will contact you for the next steps.You can now safely close your browser window or tab. © Copyright 2024 Epic River Financial, Inc. All rights reserved. Version 23.4.3.17