Loan Application

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Please be sure to have the following information handy to complete the application*:

  1. Social Security Number (SSN) or Individual Taxpayer Identification Number (ITIN)
  2. Government Issued ID
  3. Employer contact information
  4. Monthly salary (gross and net)
  5. Current assets and liabilities (if you have credit card debt, we will need the balance due, actual monthly payment amounts and interest rates for each card)
We welcome interfaith families. Only one spouse / domestic partner must be Jewish to qualify for a loan.

Note that you are able to save the application and return to complete it at a later time. 


If you have difficulty answering a specific question, feel free to explain your concern in one of the comment boxes throughout the application. 


You may also phone us at (415) 546-9902 x110 if you need clarification.

 

After clicking “submit,” you will receive an email confirming the receipt of your application.

*Student, Business, Adoption and Homebuyer loans may require additional information.

Loan Qualification
Please use the drop-down menu to confirm that you are a resident of Northern California and fit into one of the categories listed. If not, we will not be able to consider you for a loan.





Loan Type and Amount
If you're unsure, select the loan type that seems like the best fit. A loan officer will work with you to figure out what type of loan will be most helpful.

Is your need for a loan due in part to the Covid-19 pandemic?

Do you need a loan to help family and friends who are in Ukraine or fleeing to safety?

$
Enter digits only

Please give us a brief overview of why you need the loan, including any relevant details.

Contact and Personal Information



yours or your mother's last name before marriage




MM/DD/YYYY

Do you self identify as Jewish


XXX-XX-XXXX If you do not have a SSN or ITIN, enter all zeros.











Permanent Address





If student, indicate whether you rent or own the place you live during school. Check "Rent" if you live in a dorm.







You don't have to be a U.S. citizen in order to qualify for a loan.

Employer/Occupation Information
If student, write "student"

If student, list school name as employer






$

$
Your total monthly pay (before taxes and other deductions)

$
Your take home pay (after taxes and other deductions)




Spouse and Dependent Information

Spouse / Domestic Partner Information



MM/DD/YYYY

XXX-XX-XXXX If your partner does not have a SSN or ITIN, enter all zeros.

We welcome interfaith families. Only one spouse needs to be Jewish to qualify for a loan.







$

$
Partner's total monthly pay (before taxes and other deductions)

$
Partner's take home pay (after taxes and other deductions)


Dependent 1


MM/DD/YYYY


Dependent 2


MM/DD/YYYY


Dependent 3


MM/DD/YYYY


Dependent 4


MM/DD/YYYY


Dependent 5


MM/DD/YYYY


Dependent 6


MM/DD/YYYY


Emergency Contact Information









Current Assets. Please be as specific as possible. Assets include checking, savings, vehicle(s), retirement, securities, home value, etc. 
Asset 1

$

Asset 2

$

Asset 3

$

Asset 4

$

Current Liabilities. Please be as specific as possible. Liabilities include mortgages, loans, credit card debt, vehicle(s) loan/lease, other debt, etc. No need to list credit cards if you pay your bill in full each month. 
Liability 1

$

$

%

Liability 2

$

$

%

Liability 3

$

$

%

Liability 4

$

$

%

Additional Assets and Liabilities


Adoption Loan Details
















$

$


Business Loan Details
Enter "TBD" if business is not yet named













First Time Homebuyer Loan Details
Address of home/property being purchased




$

$



Bank Loan 1

$


Bank Loan 2

$


Student Loan Details








$


Enter n/a if unknown




Student Loan 1

$


Student Loan 2

$


Student Loan 3

$


Student Loan 4

$






Parent / Legal Guardian 1









Parent / Legal Guardian 2









$

$





Additional Information


$


$

Select all that apply