410-843-7536 hfla@hebrewfreeloan.org
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Hebrew Free Loan Association of Baltimore
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Loan Application

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Eligibility (Select all that apply)*

Applicant Information

Name*
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Are Your Married?*
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Spouse's Name
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Has your address changed in the last 2 years?*
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Your Current Address
Prior Address (within the last 2 years)
Dependents living in your household (Check all that apply):*

Employment Information

Office Address
Spouse's Office Address

Loan Information

Assets and Income

Do you own a home?*
Do you own or lease a car(s)*

Applicant has stated they do not own or lease a car

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Monthly Income

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Bank Accounts and Other Assets

Monthly Debits

Do you have any credit cards*

Applicant has stated they do not have any credit cards

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Other Expenses (NOT included on credit card(s))

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Total Cash Flow

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All Income
All Expenses
All Income minus All expenses

I understand that by submitting this application I authorize the Hebrew Free Loan Association of Baltimore (HFLA) to consult with the Jewish Community Services (JCS), CHANA or other affiliated or collaborating agencies with The Associated, or the like, if deemed necessary in order to gather information that it believes is necessary concerning statements made on this application.

Please click on the 'Submit' button only once.
There may be up to a 6 second delay after clicking on the button.

Hebrew Free Loan Association of Baltimore is a 501(c)(3) organization and donations are fully tax deductible. Our Tax ID number is 52-0633396.  We are a constituent agency of The Associated.

5750 Park Heights Avenue  |  Baltimore, MD 21215

410-843-7536  |  hfla@hebrewfreeloan.org

  • Home
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  • About
    • About HFLA
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    • News
  • Donate
  • Donate
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