Payday Loans Online With No Faxing Required At Paycheck Today Advance

1. Please tell us about yourself

Loan Amount*

First Name*

Last Name*

Your Social Security #*

- - (ex. xxx-xx-xxxx)

Verify Social Security #*

- -

Sex*

Male Female

License/State ID #*

License/ID State*

Date of Birth*

Home Address*

City*

State*

Zip Code*

Moved In*

Home Phone #*

Cell Phone #

References*

Name	Phone #	Relationship

Your Email*

(ex. yourname@host.com)

Verify Your Email*

*This must be your primary email address. This is where we will send you updates about your accout.

Additional Offers*

Yes No (Send me additional offers)

2. Please tell us about your employment

Source of Income*

Job Income Benefits Income Self Employed

Monthly Net Income*

(ex. 1000) The amount AFTER TAXES.

Employer Name*

Military ETS

Military only (ex. mm/dd/yyyy)

Employer Address*

Employer City*

State*

Zip Code*

Supervisor's Name*

Supervisor's Phone #*

(ex. 555-555-5555)

Occupation*

On Job For*

Work Hours

(ex. 09-05)

Work Phone #*

(ex. 555-555-5555) CANNOT be cell phone number.

Work Ext.

(ex. 1234)

Fax Phone #

(ex. 555-555-5555)

3. Please tell us about your financial information

Direct Deposit*

Select 'YES' if paycheck is electronically deposited into account

Pay Cycle*

How often are you paid?

(paydates cannot be on weekends. If your next pay date falls on a holiday debits won't post until following business day)

Account Type*

Opened Account*

This WILL BE VERIFIED with your bank.

Bank Name*

Bank Routing #*

View the sample check above for routing number.

Bank Account #*

Verify Bank Account #*

Deposit Amount*

(ex. 1500) AMOUNT deposited in the last 30 days.

NSFs*

Select the number of NSFs on your last bank statement.

4. Please sign your application and click the 'next' button

Signature*

Type your first and last name: eg. John Smith

I hereby give permission for Paydaycash to verify the above information for a credit decision based on the verified information. Please see our Privacy Policy and Frequently Asked Questions. In accordance with the, "Electronic Signatures in Global and National Commerce Act", by typing my name in the signature box above I understand it is as legally valid and binding as a written signature. I also certify that the above information is true to the best of my knowledge.

CONSENT FOR ELECTRONIC RECORDS.

Please read this information carefully and print a copy and/or retain this information electronically for future reference.

																					  INTRODUCTION
You are submitting a request for a loan ("Application") from Paydaycash Today ("Us"). We can only give you the benefits of our on-line service if you consent to the use or acceptance of electronic signatures and to the use or acceptance of electronic records or disclosures in this loan transaction ("Your Consent"). By completing and submitting the Application on-line, you acknowledge receipt of this document and consent to use electronic signatures and to conduct this transaction by use of electronic disclosures and contract documents ("Records").
 
ELECTRONIC COMMUNICATIONS
You may request a paper copy from Us of any of the Records by writing to Us with the details of your request at: admin@paydaycash.com. Your request for paper copies may be made after Your Consent and after any withdrawal of Your Consent. We will provide the paper copies to you at no charge. We shall retain the Records as required by law.
 
CONSENTING TO DO BUSINESS ELECTRONICALLY
Before giving Your Consent, you should consider whether you have the required hardware and software capabilities described below.
 
SCOPE OF CONSENT
Your Consent and our agreement to conduct this transaction electronically only apply to this transaction. By exercising Your Consent, We will conduct this transaction with you electronically.
 
HARDWARE AND SOFTWARE REQUIREMENTS
To access and retain the Records electronically, you will need to use the following computer software and hardware: An IBM or MAC compatible computer with Internet access  and an Internet Browser that meets the following minimum requirements. Netscape Navigator 8 or later versions or Microsoft Internet Explorer 6.0 or later versions and (Safari 1.1 for Mac users). Also, the specific Internet Broswer must support at least 128-bit encryption. To read some documents, you will need a PDF file reader like Adobe Acrobat Reader.  If at any time during this transaction these requirements change in a way that creates a material risk that you may not be able to receive Records electronically, We will notify you of these changes.
 
WITHDRAWING CONSENT
You are free to withdraw Your Consent at any time and at no charge to you. If you do withdraw Your Consent prior to receiving the loan, this will prevent you from obtaining a loan with Us over the Internet. If at any time you wish to withdraw Your Consent, you can send us your request by email to: admin@paydaycash.com. If you decide to withdraw Your Consent, the legal effectiveness, validity and/or enforceability of prior electronic Records will not be affected.
 
CHANGE TO YOUR CONTACT INFORMATION
You should keep us informed of any change in your electronic address or mailing address. You may contact Us by e-mail at admin@paydaycash.com regarding any such changes.
 
YOUR ABILITY TO ACCESS RECORDS
By typing in your name above, you acknowledge that you can access the records in the designated formats described above.
 
CONSENT
You acknowledge that you have read the information about electronic signatures and doing business electronically in this consent for electronic records. you consent to using electronic signatures, having all records provided or made available to you in electronic form and to doing business with us electronically. you acknowledge that you may request a paper copy of the records, which we will provide to you at no charge. you have agreed to receive the loan proceeds electronically and to repay the loan electronically.

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