Secure Loan Application
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You must be a member of the U.S. Armed Forces with at least 18 months active duty remaining to qualify for a loan.
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After you submit this application, you must send your most current leave-and-earnings
statement (LES) to us by:
If you are calling from outside the U.S. and need assistance reaching our toll-free number, please
click here.
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We cannot process your application without your LES and email address. If you do not have an email address,
click here for a free account.
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You must have
Javascript enabled
to use this secure form.
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Loans are not available to residents of the States of California, Florida, Georgia, Montana, Nevada or West Virginia, or individuals
stationed in States that consider members of the military stationed in those states to be residents of the
state in which they are stationed. Any offer of a loan is void where prohibited by law.
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LOAN INFORMATION
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Amount Requested: |
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Term of Loan: |
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APPLICANT PERSONAL INFORMATION
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First Name: |
Example: 'John' |
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Middle Initial: |
Example: 'T' |
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Last Name: |
Example: 'Smith' |
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Social Security No: |
Example: '123-45-6789' |
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Social Security Confirm: |
Example: '123-45-6789' |
Date of Birth:
(mm-dd-yyyy) |
Example: '03-31-1983' |
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Email Address: |
Example: 'johntsmith@yahoo.com' |
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Email Confirm: |
Example: 'johntsmith@yahoo.com' |
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Home Address: |
Example: '123 Main Street, Apt. 2C' |
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City: |
Example: 'Mobile' |
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State: |
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Zip Code: |
Example: '33139-0139' |
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Country: |
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Home Telephone: |
Example: '702-555-1212' |
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Country Code: |
For Overseas Applicants |
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No. of Dependents: |
Example: '2' |
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Rent or Own: |
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Mortgage/Rent/BAH
Amount ($): |
Example: '350' |
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Marital Status: |
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SPOUSE INFORMATION
(if married)
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Spouse Name: |
Example: 'Kelly J. Smith' |
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Social Security No: |
Example: '123-45-6789' |
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Social Security Confirm: |
Example: '123-45-6789' |
HOME OF RECORD
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Home of Record: |
Example: '456 Avenue K' |
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City: |
Example: 'Montgomery' |
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State: |
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Zip Code: |
Example: '33139-0139' |
MILITARY SERVICE INFORMATION
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Branch: |
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Base: |
Example: 'Camp Lejeune' |
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Command/Unit: |
Example: 'USS Cowpens' |
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Rank: |
Example: 'Private First Class' |
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Base Address: |
Example: '123 Air Force Drive' |
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City: |
Example: 'Mobile' |
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State: |
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Zip Code: |
Example: '33139-0139' |
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Country: |
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Duty Telephone: |
Example: '702-555-1212' |
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Country Code: |
For Overseas Applicants |
ADDITIONAL INFORMATION
How did you learn about our loan program?
I give World Wide Military Funding, Inc., the right to obtain and keep a confidential copy of
my credit report and any other information deemed necessary
(choose YES or NO):
YES
NO
I have a bank account where I am able to receive a wire transfer if approved
(choose YES or NO):
YES
NO
I have read the PRIVACY POLICY page of this website and fully understand the World Wide Military Funding, Inc.
privacy policies (choose YES or NO):
YES
NO
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