Universal Finance Online Loan Application

*All loan requests are subject to our policies and loan investigation process.*

*Universal Finance, Inc. can only offer loans to North Carolina Residents at this time.*

I. Basic Information

Which Location are you applying for a loan from? *

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Date of Birth * +

Social Security Number *

Marital Status *

How did you hear about Universal Finance? *

II. Personal Information

Type of Residence *

Monthly Rent or Mortgage Amount *

How long have you lived at the address listed above? *

Number of Dependents *

III. Employment Information

Self Employed? *

Yes

No

Name of Employer *

Employer Phone Number *

Employer Address *

Employer Address 2

Employer City *

Employer State *

Employer ZIP *

Position/Title

Gross Monthly Income (Dollars) *

Years at this Job *

Are you a member of the US Armed Forces? *

Yes

No

If yes, please list Branch and Rank

IV. Loan Information

Collateral Available (Such as TV's, Computers, Cars, etc) *

Purpose of Loan *

Desired Loan Amount (Dollars) *

V. Personal References

Personal Reference #1 (Not Living At the Same Address)

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Personal Reference #2 (Not Living At the Same Address)

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Personal Reference #3 (Not Living At the Same Address)

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

VI. Vehicle Information

Make

Model

Year

Mileage

Is this vehicle currently financed?

Yes

No

If financed, with what company is the financing?

VII. Sign and Date

*

clear

* +