New Loan Application

Applicant's Information
Co-Applicant's Information
Loan Information

* All fields below are required.

Applicant

First Name

Last Name

Email Address

Phone

Cell Phone

Date of Birth

Marital Status

Employment Status

Employer name

Position (Job Title)

Time employed (Years)

Monthly Gross Income

Minimum monthly income of $2,500 for application is required, subject to verification.

Address

Apt/Unit Number

Street Number

Street Name

City

Province

Postal Code

How long at address

Residential

Residential Status

Monthly rent / Mortgage payment

Do you have a co-applicant for this application?
No Yes

* All fields below are required.

Co-Applicant

First Name

Last Name

Email Address

Phone

Cell Phone

Date of Birth

Relationship to applicant

Employment Status

Employer name

Position (Job Title)

Time employed (Years)

Monthly Gross Income

Address

Same address as applicant

Apt/Unit Number

Street Number

Street Name

City

Province

Postal Code

I (as co-applicant) give my consent to Prefera Finance Ltd in connection with this application for financing

* All fields below are required.

Loan Request

Reason for loan

Loan amount requested

I give my consent to Prefera Finance Ltd in connection with this application for financing

1-844-734-3577

Thank You

Your request was successfully submitted.