Zen Payments — Application Form

Your Information

First Name

Last Name

Social Security Number

Date of BirthMust be at least 18 years old

Phone NumberMust be North American phone number

Address

Country

Zip Code

Street Address

Apt, Suite, etc. (optional)

City

State

Identification

I have a valid US Driver's License

License Number

Expiration Date

Issuing State

Front of Driver's License

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Drop your file here, or Click to Browse

JPG, PNG, HEIC, HEIF or PDF · Max 18MB

Supporting Documents

Please upload the following documents to complete your application.

3 Most Recent Months of Personal Bank Statements

🏦

Drop your files here, or Click to Browse

PDF, JPG or PNG · Multiple files allowed

Utility Bill For The Address On File — Dated Last 30 Days

📄

Drop your file here, or Click to Browse

PDF, JPG or PNG · Max 18MB

Tax Returns From 3 Most Recent Years

📋

Drop your files here, or Click to Browse

PDF, JPG or PNG · Multiple files allowed

Photo of SSN Card

🪪

Drop your file here, or Click to Browse

JPG, PNG, HEIC, HEIF or PDF · Max 18MB

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Application Submitted!

Thank you. Your information has been received. Our team will review your application and reach out shortly — same-day approvals are available.