Estimation Form

Personal Information
What Type of Loan Are You Applying For    
Will you be applying for this loan with a co-applicant? YesNo
*First Name Initial *Last Name
*Home Address 1
Home Address 2
This is my mailing address
*At this address since (mm/yyyy)
*Do you rent or own? *Monthly Rent/Mortgage Amount $.00
*Email Address (
Yes, please keep me informed via email of new features, services or special offers from OneMain Financial and its affiliates
*Home Phone (xxx-xxx-xxxx) Other Phone (xxx-xxx-xxxx)
*Date of Birth (mm/dd/yyyy) *SSN (xxx-xx-xxxx)
Loan Information may offer commercial loans for amounts ranging from $10,000 to $9,999,999. If you are interested in borrowing more than $999,999,999, please ask about additional options when speaking with our loan specialist.

*Desired Loan Amount $.00 *What will the loan be used for?
Employment & Financial Information
*Job Position or Title *Employer Name
*Job Start Date
*Work Phone
*Gross Annual Income $.00
I have a checking accountI have a savings account
Co-Applicant Information
First Name Initial Last Name
Co-Applicant resides at the same address as myself
Home Address 1
Home Address 2
Date of Birth
Job Position or Title Employer Name
Job Start Date
Work Phone
Gross Annual Income $.00
How did you hear about us?
I have read and agree to the Terms and Conditions