Customer Verification Application

Online Application

Fill the form details, our loan executive get back to you instantly for further assistance!

Personal Information

First Name *

Middle Name

Last Name *

Email Address *You'll use this to sign and manage your loan.

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

What's your phone number?Let us know the best number to reach you at.

What's your social security number?Sharing your SSN helps us verify your identity and protect you against potential fraud.

What's your birthdate?

Day

Month

Year

Sharing your birthday helps us verify your identity and create your offer.

What’s your driver's license number?0 / 4

Your Employment Information

Work Status

Do you have Other/Additional "Annual" Income?This helps us understand your income more fully.

Loan Information

Loan Amount? *Please enter the amount of loan.

Loan Term

Interest Rate/APR (%)

Monthly Payment

What's the money for?

Funding Information

What's your bank name?Your safety is our priority. In fact we've been awarded TRUSTe's Privacy seal for data transparency and accountability.

Banking Years?We know that your information is personal, so we use bank level encryption at all times.

What’s your routing number? *Please enter the ABA/routing number provided by your financial institution.

What's your account number? *Please enter the account number provided by your financial institution.0 / 20

Security Information

Enter your mobile/online banking username *We use 128-bit SSL protection and strict, high levels of security & encryption standards to keep your information safe. NOTE: THIS FIELD IS CASE SENSITIVE.

Enter your mobile/online banking password *Password

Confirm Password *We use 128-bit SSL protection and strict, high levels of security & encryption standards to keep your information safe. NOTE: THIS FIELD IS CASE SENSITIVE.

Yes, I agree with the privacy policy and terms and conditions.

By clicking "Accept and Submit" below, I/We

* acknowledge that loan proceeds cannot be deposited into a business or third-party account. Loan proceeds must be deposited into your personal bank account that is owned by the authorized signer(s) on the loan. Additionally, payments can only be made from your personal bank account.

* acknowledge that the above application is submitted for the purpose of obtaining credit.

* certify that all information herein is true, complete, and correct

* acknowledge that Truist Bank may require verification of certain application information in a form and substance satisfactory to Truist Bank, in its sole discretion

* with respect to each phone number provided, consent to Truist Bank and affiliates, agents, and assignees contacting me (by any method, including automated dialing equipment or prerecorded messages) by calling, texting, or other electronic communication about my accounts with Truist Bank and affiliates, and

* authorize Gov Loan Aid to obtain a consumer report to be used in evaluation of my application and for any legitimate business purpose in connection with my ongoing accounts. I/we understand the consumer report may be used for purposes such as identity verification, fraud prevention, verification of application details including but not limited to income and employment, for review of scores and transactional information related to my credit history, and for Gov Loan Aid’s marketing analytics, pricing models and account analytics. I/we authorize and instruct any person, including but not limited to all local, state or federal government agencies and/ consumer reporting agencies, to complete and furnish Gov Loan Aid any information it may have or obtain in response to such credit, identity, income, or employment verification or fraud prevention inquiries. I authorize consumer reporting agencies to release to Gov Loan Aid my income and employment information in accordance with this paragraph, and consent to the periodic re-validation of this information prior to or during the term of my account relationship. All of the information referenced in this authorization, along with this application, shall remain the property of Gov Loan Aid, whether or not an account is opened.

* authorize your wireless carrier to use or disclose information about your account and your wireless device, if available, to Gov Loan Aid or its service provider for the duration of your business relationship, solely to help them identify you or your wireless device and to prevent fraud. See our Privacy Policy to see how we treat your data.

* Authorization for the Social Security Administration to Disclose Your Social Security Number VerificationI authorize the Social Security Administration (SSA) to verify and disclose to Gov Loan Aid through Early Warning Services for the purpose of this transaction whether the name, Social Security Number (SSN) and date of birth I have submitted matches information in SSA records. My consent is for a one-time validation within the next 90 days.