Small Things Enterprises
Application Form

* By providing your Social Security Number you authorize Small
Things Enterprises to obtain credit reports from credit bureaus to
better inform our ability to approve loans. Applying will not affect
your credit score. We also use your SSN to verify your identity to
prevent fraud. We never share this information with anybody.

Contact Information

Street Address 1

Street Address 2 (If Applicable)
City *
State *

Zip Code *

E-mail Address *

Telephone *

May we text you at this number? *


Yes



No

Information About This Loan

Loan Amount Requested (Maximum $400) *

How will the loan proceeds be used? *

Financial Information

Checking Account Bank *

Checking Account Number
*

Checking Routing Number
*

I do not have
a checking account
Savings Account Provider

Savings Account Balance

I do not have a
savings account
Typical monthly expenses *

Annual salary (or other income) for all adults (over age 18) In
household

Person 1 *

Annual Salary *

Person 2
Annual Salary
Person 3
Annual Salary
Person 4
Annual Salary
Person 5
Annual Salary

Additional Information

What organization (if any) referred you to Small Things
Enterprises for this loan?

If you were not referred by an organization please provide the
name, phone number, and email address of someone in the community
(e.g., non-profit, faith-based organization, employer, landlord)
who can vouch for you.

Name:
Organization:

Phone Number:
Email Address:
Do you have a relationship with any of the following members of
the Small Things Enterprises Board: Michael H. Walker, Renee
Tinsley, or Andrew E. Clark?



Yes

No

If yes, what is the nature of this relationship?

Required Documentation

Driver’s License Or Other Government Issued ID

Please attach a copy of the front and back of your driver’s
license (if you have one) or other government issued ID.
Submitting a picture of your driver’s license or other government
issued ID is sufficient to meet this requirement.

Attach a Document *

Proof Of Residency

PROOF OF RESIDENCY IS ONLY REQUIRED IF YOUR ID DOES NOT INDICATE
OHIO RESIDENCY. Proof of residency must be dated within the past
30 days. Proof of residency has to be an official document (not
handwritten), it must include your full name, it must include your
current address, and there must be a clearly marked date from
within the last 30 days. Some common examples of acceptable proof
of residency documents are: recent utility bill, recent phone
bill, recent pay stub. Submitting a legible picture of your proof
of residency is sufficient to meet this requirement.

Attach a Document

Income Documentation

A paystub or other documentation of income for the past two pay
periods should be submitted for each adult (aged 18 or older)
living in your household with income. Submitting a legible picture
of your paystub or other income documentation is sufficient to
meet this requirement.

Attach a Document *


Previous


Next


Submit