Apply for your Payday Loan in Just Four Minutes. It takes the average person just four minutes to complete our payday loan application. Payday Loan yes is here when you need a loan the most. Cash Advance made easy Payday Loan Yes Our Payday Loan Application Process For Frequently Asked Questions About Payday Loan Yes Contact Payday Loan Yes Fees Apply To Address Any Concerns The Payday Loan Yes Site Map Payday Loan Application Existing Customers Message: Complete the pay day loan application. Get approved in an hour. Photo: Payday Loan Rep Rolling Up Sleeve
Apply for a Payday Loan in Just Four Minutes
Welcome! We only ask the information we need from you on this one page. There are no "hidden" screens or page-after-page of boxes to fill in. It takes the average person just four minutes to complete this application. We will not be able to give you a loan if you are a regular or reserve member of the Army, Navy, Marine Corps, Air Force or Coast Guard, serving on active duty under a call or order that does not specify a period of 30 days or fewer (or a dependent of such member). Warning: It is important to fill out this form accurately. Knowingly making a false statement on a credit application is a crime. Spacer Spacer Spacer Information about this form. Spacer Apply in Four Minutes or Less Spacer Image: Clock Spacer The average time it takes to complete this application is less than 4 minutes when you have the following items ready:
* Your most recent pay stub. * Your most recent bank account statement. * Your personal check.
Spacer Image: Pointing Finger Spacer Tip: When finished typing an answer, use your keyboard's TAB key (instead of your mouse) to move to the next question.
Spacer Image: SSL Security Lock Spacer Your information is secure with us. Learn more. Spacer Spacer Spacer Part 1 Spacer About You Average time to complete this step: About 1 minute. First Name MI Last Name Date of Birth
mm/dd/yy
E-mail Address E-mail Address (Confirm)
Type your E-mail address. Retype your E-mail address.
Street Address
City State Zip
Your Home Phone # Cell Phone # ( ) -
( ) -
Fax # Contact Phone # ( ) -
( ) - Where we can send a you fax, only if needed. Where we can contact you right away if there is an issue processing your application.
Social Security # Social Security # (Confirm) - - Security Lock: Your Information is Secure
- - Security Lock: Your Information is Secure Type your Social Security # Retype your Social Security # Spacer Spacer Spacer Part 2 Spacer About Your Job and References Average time to complete this step: About 1 minute. Company Name Company Phone #
( ) - Name of company where you work. The company's main number.
Your Job Title Date Hired
mm/dd/yy
Your Work Number Ext. Shift Hours ( ) -
Your phone number at your company, including your extension. Ex.: 9 am to 5 pm
Supervisor's Full Name Supervisor's Phone # Ext.
( ) -
Reference 1 Name Reference's Phone # Relation to You
( ) -
Reference 2 Name Reference's Phone # Relation to You
( ) -
Spacer Spacer Spacer Part 3 Spacer About Your Pay Average time to complete this step: About 2 minutes. My main source of income is:
My gross pay (or my benefits) per month is: $
I am paid: on every: on: and my last paydate was: Please check your paystub for this information. 2/2/2009 2/9/2009 2/3/2009 2/10/2009 2/4/2009 2/11/2009 1/29/2009 2/5/2009 1/30/2009 2/6/2009
I am paid . . .
. . . every other week on the same weekday. on: and my last paydate was: Please check your paystub for this information. 2/2/2009 2/9/2009 2/3/2009 2/10/2009 2/4/2009 2/11/2009 1/29/2009 2/5/2009 1/30/2009 2/6/2009
. . . based on the date. First, I am paid on the: Then, I am paid again on the:
. . . on the same weekday but only twice a month. On the:
I am paid . . .
. . . on a specific day. Every:
. . . during a specific week on a specific day. On the
When I am paid, my paycheck is deposited via Direct Deposit into my bank account: Yes No
My bank account is a:
Spacer How to Find Your ABA Routing Number and Bank Account Number
ABA Routing # Bank Account # OCR ABA Number Start Spacer OCR Bank ABA Number End Security Lock: Your Information is Secure
OCR Bank Account Number Start Spacer OCR Bank Account Number End Security Lock: Your Information is Secure Type your ABA Routing # Type your Bank Account #
ABA Routing # (Confirm) Bank Account # (Confirm) OCR ABA Number Start Spacer OCR Bank ABA Number End Security Lock: Your Information is Secure
OCR Bank Account Number Start Spacer OCR Bank Account Number End Security Lock: Your Information is Secure Retype your ABA Routing # Retype your Bank Account #
Bank's Name Spacer Spacer Spacer Finish and submit this . Spacer Finish Please review the Terms of this agreement: Arbitration of All Disputes: You and we agree that any and all claims, disputes or controversies between you and us, any claim by either of us against the other (or the employees, officers, directors, agents, or assigns of the other) and any claim arising from or relating to your application for this loan, regarding this loan or any other loan you previously, now or may later obtain from us, this Note, this agreement to arbitrate all disputes, your agreement not to bring, join or participate in class actions, regarding collection of the loan, alleging fraud or misrepresentation, whether under the common law or pursuant to federal or state statute or regulation, including disputes as to the matters subject to arbitration, or otherwise, shall be resolved by binding individual (and not joint) arbitration by and under the code of Procedure of the National Arbitration Forum ("NAF") in effect at the time the claim is filed. This agreement to arbitrate all disputes shall apply no matter by whom or against whom the claim is filed. Rules and forms of the NAF may be obtained and all claims shall be filed at any NAF office, on the World Wide Web at www.arb-forum.com, by telephone at 800-474-2371, or at "National Arbitration Forum, P.O. Box 50191, Minneapolis, Minnesota 55405." Your arbitration fees may be waived by the NAF in the event you cannot afford to pay them. "The cost of any participatory, documentary or telephone hearing, if one is held at your or our request, will be paid for solely by us as provided in the NAF Rules and, if a participatory hearing is requested, it will take place at a location near your residence." This arbitration agreement is made pursuant to a transaction involving interstate commerce. It shall be governed by the Federal Arbitration Act, 9 U.S.C. Sections 1-16. Judgment upon the award may be entered by any party in any court having jurisdiction. NOTICE: YOU AND WE WOULD HAVE HAD A RIGHT OR OPPORTUNITY TO LITIGATE DISPUTES THROUGH A COURT AND HAVE A JUDGE OR JURY DECIDE THE DISPUTES BUT HAVE AGREED INSTEAD TO RESOLVE DISPUTES THROUGH BINDING ARBITRATION. Agreement Not To Bring, Join Or Participate In Class Actions: To the extent permitted by law, you agree that you will not bring, join or participate in any class action as to any claim, dispute or controversy you may have against us, our employees, officers, directors, and assigns. You agree to the entry of injunctive relief to stop such a lawsuit or to remove you as a participant in the suit. You agree to pay the attorney's fees and court costs we incur in seeking such relief. This agreement does not constitute a waiver of any of your rights and remedies to pursue a claim individually and not as a class action in binding arbitration as provided above. Please click here to print the terms of agreement.
If you agree to the terms, choose "I Agree": I Agree I Do Not Agree
To continue, please click the "Submit My Complete Application" button below.
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Loans are not available to residents of: New York (NY), Georgia (GA), Kansas (KS), Delaware (DE), Colorado (CO), Illinois (IL), Nebraska (NE), West Virginia (WV), Ohio(OH) and Montana (MT).
* We only require that you fax information when we are unable to verify your employment or banking information through our system.
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