Payday Loans - Online Loan Application
A Payday Loan is a quick and confidential instant loan
“Quick and Easy -Great Low Rates”
Unexpected Bills · Emergencies · Short Term Cash
$5.00 OFF
1st Loan
New Customers Only
Payday Loan Application
Please print application and fax or e-mail it to us.
Fax:
920-465-8853 East
920-965-0591 WestE-mail: checks2cash@new.rr.com
Primary Credit Information
Last Name: ____________________________________________________
First: _________________________________________________________
MI: ____________
SSN: ___________________________________
Primary Phone: _____________________________
Cell Phone: ______________________________
Address:
______________________________________________________________
______________________________________________________________
______________________________________________________________
How did you hear about us? _______________________________________
ID Type: (Circle One)
DL ID ALIEN OTHER
ID Number: ____________________________________________________
Employer: _____________________________________________________
Position: ______________________________________________________
Work Phone: __________________________________________________
Time on Job: ___________________________________________________
Day of the week you are paid: _______________________
Do you have Direct Deposit? Y N
Paid: Weekly Bi-weekly Monthly
Ever used a Payday Loans before? Y N
Currently have loans out? Y N
Have you ever or are you in the process of filing bankruptcy? Y N
Time at Residence: _______________________________________
Rent / Own: ________________________________
Take Home Pay: $ _________________________
Bank Name: __________________________________________________
Check #: _____________________________________________________
Desired Loan Amount: __________________________________________
First time loan maximum $200.00
* Based on income*
LOAN APPLICATIONS MUST BE PRESENTED DURING EMPLOYER AND BANKING HOURS FOR VERIFICATION PURPOSES
Terms & Conditions Apply
MINIMUM INTEREST CHARGE:
There is a minimum charge of $5.00 on all transactions $75.00 or less. The minimum charge is $7.50 on all transactions greater than $75.00
Signature: ____________________________________________________
Date: _____________________________________
Joint Credit Information
ID Type: (Circle One)
DL ID ALIEN OTHER
ID Number: ___________________________________________________
First Name: __________________________________________________
MI: ____________
Last Name: __________________________________________________
SSN: ___________________________________
Cell/Alternate phone number: _____________________________________
Employer: ___________________________________________________
Phone: ______________________________________________________
Alternate home address: (if applicable)
______________________________________________________________
Signature: ____________________________________________________
(If present)
* State law requires we have spouse information on file. Spouses must be notified of transactions.
|
Renewal and Transfer License Plates & Title | |
|
West
920-965-0591 1130 South Military Avenue Fax: 920-965-0591 |
East 1697 Main Street Fax: 920-465-8853 |
E-mail: checks2cash@new.rr.com
Products/Services | Check Cashing | Payday Loans | Money Order | Phone Service/Cards
lnk