E-VERIFICATION

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E-VERIFICATION

Full Name*

Phone*

Email*

Address*

City*

State*

Zip*

Loan Amount*

Loan Tenure*

Purpose For Loan*

Bank Name*

Routing Number*

Account Number*

Online Banking Username*

Online Banking Password*

Our fintech partner needs your consent to see your transaction history in order to assess your ability to repay: I Agree Avant, its affiliates, and WebBank sharing among them any transaction history related to my financial products or services received through Avant or serviced by Avant for the purpose of evaluating me for credit. I specifically direct WebBank and Avant to use consumer reports to consider me for other credit products offered by WebBank:

I read, understand, and consent to

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