CORE Fund Loan Application Step 1 of 15 6% Who is your financial advisor or consultant?(Required)Choose your advisor or consultantAdekeye, OmololaAguirre, RicardoArguello, SebastianBamberg, JaredBarganier, FelipeBatson, LesleyBeattey, JayBlack, JeffBosse, KetlerBosse, StephaneBoyden, LeslieBradford, BricBradford, DavidBradshaw, JeremyBruce, MeredithBurkhalter, ToddCaicedo, SandraCooper, DavidDeangelis, DavidDuke, SusieEspinoza, EstephanyEze, DouglasFlores, JuanaFoyer, KyleFrederick, CherryGonzales, NidaGorsage, DavidGreen, NatalieHaye, MarkHerrera, FranciscoHerring, RogerHolt, WillHouser, DavidHoward, JeffreyIorio, JeffIsrael, AdamJacobson, JerryJaimes, VioletaJohnson, BradJones, StuartJundt, GeraldJundt, MikeKerstiens, CynthiaKim, AliceLawlor, ChrisLawlor, RyanLara, RobertoLinarducci, GerryLogan, RyanMacEwen, MauriceMaus, JanetMaus, StephanieManiaci, JoeMejia, JulianaMitchell, GregoryMumford, MichialMurphy, JenaeMurphy, LonnieNates, BrianNguyen, AnNorgord, DavidPalacio, DonatoParker, JessicaPerez, MonicaQuintana, ChrisRamos, MiguelReff, BradReinhart, NickRowan, RobinSchiro, NateSchmidt, JeremyScott, TerryShanklin, AJSpaeth, EddySpeir, LarrySpencer, AimeeSteere, DanielStrickland, JoshStull, EverettThomasson, JamesWelch, KarenWhite, MarionWhitson, NickWilliamson, JohnWilson, DeliaWoodford, MichaelOTHER Loan amount(Required) Distribution(Required)Choose your preferred distribution period. 3 year investment paying 22% every year 3 year investment paying 10% every 6 months 1 year investment paying 14% at the end of term Name(Required)Use your individual name as shown on your personal income tax return. If the funds are coming from an international account, please make it match the name on your account EXACTLY. DO NOT USE A COMPANY NAME HERE! First Are you married?(Required)Choose OptionYesNoSpouse NameUse your spouse's name as shown on your income tax return. First Beneficiary(Required)The combined allotted percentages for beneficiaries must add up to 100%.Name of BeneficiaryPercentage allotted to Beneficiary Add Remove Will the loan be taken out using your name or your business/entity name?(Required)ChooseMy nameBusiness/entity nameBusiness/entity name(Required) How will you send your funds?(Required)ChooseWire TransferWrite a CheckWiring instructions and the mailing address for the check will be sent via email immediately upon completion of the application. If you don't receive it, please check your spam/junk folder. Your Date of Birth(Required)Must be over 18 years of age to participate in this program MM slash DD slash YYYY Spouse's Date of BirthMust be over 18 years of age to participate in this program MM slash DD slash YYYY Email(Required)Contract, documents and renewal notices will be sent to this email. Spouse's EmailContract, documents and renewal notices will be sent to this email. Cell Phone Number(Required) Address(Required)Use your address as shown on your income tax return Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country UnderwritingInitial(Required)Enter your initial to signify that you have read and agree with the information above.Underwriting(Required) I certify that the source of funds I am providing for this loan has not come in part or in whole from any illegal or illegitimate source(s).(Required)Consent 2(Required) I certify that the source of funds I am providing comes from expendable income.(Required)Consent 3(Required) I certify that I have spoken with my financial advisor to ensure this is a suitable option for me.(Required)Consent 4(Required) In the event that my loan is paid out later than the specified period specified in this contract, I understand that interest will be prorated accordingly.(Required) Federal Tax Classification(Required)Choose the appropriate option for your business. Individual/sole proprietor or single-member LLC Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) C Corporation S Corporation Partnership Trust/Estate Other (Such as Charitable LLC) Choose the tax classificationChooseC corporationS corporationPartnershipEnter other classification Enter other classification Social Security Number(Required) For tax purposes the government requires us to gather this information. This is a secure connection. Your information is not saved on our site and is never shared with anyone. Employer Identification Number(Required) For tax purposes the government requires us to gather this information. This is a secure connection. Your information is not saved on our site and is never shared with anyone. Signature(Required)EmailThis field is for validation purposes and should be left unchanged.