Get Started Step1Which state do you live in?Select stateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingNextStep2Tell us a little about yourselfBy checking this box,I certify that I am at least 18 years of age, agree to the Terms & Conditions and Privacy Policy and that I may be contacted by FinanceWell partners in regards to my submission.BackNextStep3How much do you want to borrow?Loan Amount Request$What will your loan be used for?Debt/Payment consolidationPay off high interest credit cardsHome improvement and furnishingEngagement and wedding costsVacationMedical expensesSmall businessEducation and jobAuto loan or auto down paymentDaily living expensesEmergency expensesOtherBackNextStep4Are you active military or a dependent of active military?No, I am not active militaryYes, I am active military or a dependent of active militaryBackNextThank you for filling the form!Step5What is your main source of income?Select OneEmployment - Full or Part TimeEmployment - Self-EmployedBenefits - Social SecurityBenefits - DisabilityBenefits - VeteransBenefits - RetirementBenefits - Public AssistanceBenefits - UnemploymentWhat is your total MONTHLY income?You may include all sources of income$.00Enter only whole numbers. e.g. 1250BackNextStep6How are you paid?Direct DepositPaper CheckDo you have a checking account?Yes, I have a checking accountNo, I do not have a checking accountBackNextStep7How is your credit?- Select One -Excellent (740+)Good (680-740)Fair (620-680)Poor (Under 620)BackNextStep8Where do you live?Street AddressCityState- State -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingSelect Your Residence Type:RentOwnBackNextStep9When are you planning to take this step?Right NowWithin Next 60 DaysWithin Next Six MonthsWithin the Next YearMore Than a Year from NowNo Firm Plans - Just ResearchingBackNextStep10What additional services would you like to discuss? (select all that apply)Home Buying Credit CardsRetirement Banking/CD Rates Investing Insurance Home Equity Personal Loans Financial Planning Student LoansReal EstateTaxesOthersNone of the aboveBackNext