Applicant Information:

First Name
Middle Intial
Last Name
Home Address
City
State
Zip
Social Security #
Birthdate - ex. 04/18/1980
RadDatePicker
RadDatePicker
Open the calendar popup.

 
Phone #
Cell Phone #
Email Address
Drivers License #
License Issue State
Occupation
Employer's Name
Employer's Phone #
Employer's Address
Employer's City
State
Zip
There is no charge to apply. A $200.00 loan processing fee will be included if the loan is finalized.
I verify that all information is correct and give permission for Wood-Mizer to do a credit check and process this application.*



AUTHORIZATIONS: I understand this is an application for business credit. By submitting this electronic Application and checking the Acceptance box below, I hereby authorize, represent, warrant and agree as follows: (a) LendEdge, LLC and their affiliates, employees, assigns, agents, vendor partners, funding referral sources and designees may obtain commercial and consumer credit reports on me, investigate references and make other credit inquiries about me, and anyone so contacted may release information; (b) if I have filed this application in the name of a corporation, limited liability company, partnership or other form of business organization or on behalf of any other owner or guarantor included in this Application, I repeat the authorizations contained in these Application Terms with respect to me individually and warrant that any such other owner or guarantor also agrees to the authorizations contained in these Application Terms; (c) this Application is submitted for financing solely for business or commercial use and not for personal, family or household purposes; (d) I am a citizen or lawful permanent resident of the United States; (g) this Application will apply to any future request for additional financing and renewals, and all notices, disclosures, authorizations, representations, warranties and agreements shall be deemed repeated for each future request, unless I submit a new written application; IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT: To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver’s license or other identifying documents.