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Customer Name *

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PHONE NUMBER *

EMAIL *

DOB ex. (11/30/1980) *

LAST 4 (SOCIAL SECURITY) *

OCCUPATION *

ANNUAL INCOME *

CITIZENSHIP STATUS *

EMPLOYMENT STATUS *

HOME OWNERSHIP *

HOME OCCUPANCY *

CUSTOMER ID *

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INTEREST RATE *

LOAN AMOUNT *

COSIGNER (IF APPLICABLE)

COSIGNER NAME (IF APPLICABLE) *

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RESIDENCY *

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ADDRESS (IF APPLICABLE) *

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COSIGNER EMAIL *

COSIGNER PHONE NUMBER *

DOB ex. (11/30/1980) *

LAST 4 (SOCIAL SECURITY) *

COSIGNER ANNUAL INCOME *

CITIZENSHIP STATUS *

HOME OCCUPANCY *

EMPLOYMENT STATUS *

HOME OWNERSHIP *

COSIGNER ID *

Max file size: 20MB

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I/we verify that the subject property where the project is being installed is not a mobile home, commercial property, or multi-family dwelling with more than 4 units. I/we have read, understand, and consent to GoodLeap's: - Consent to Conduct Business Electronically - Express Written Consent to Receive Calls and SMS Messages - Privacy Policy Notice - Terms of Use - State Specific Disclosure I/we authorize GoodLeap to obtain a Soft Credit Report and other information to authenticate my/our information and identity. This Soft Credit check will not affect my/our credit score until I/we accept the loan offer and GoodLeap funds the loan I/we accept the loan offer and GoodLeap funds the loan. I/we understand that GoodLeap will obtain a full credit report when the loan is funded. GoodLeap may cancel an accepted loan offer any time prior to funding even if the loan agreement has been signed. I/we also authorize GoodLeap to share with the contractor/installer the underwriting needs and results, and the decisions I/we make and have read and understand your Privacy Policy.

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