Payday Loan
 We provide payday loans and paycheck advances for people who need quick cash
Payday loans


SSN:  - -
First Name:   Initial:  Last Name: 
Address:     Suite/Apt: 
City:    State:   ZIP: 
Home Phone:  - - Daytime #:  - - Type: 
Email Address: 

The following information can be found on the original loan document that you received.
If you don't have your loan document available, or if you don't know this information,
please call Customer Service @ 800.723.3050 during normal business hours.

Loan Number :  
Account Number :  
Amount Financed :  
Due Date :  
Finance Charge :  
(amount your account will be debited now)

Length of time you wish to refinance for :





Refinancing your loan means that you want to pay off an existing loan with the
proceeds from a new loan. One benefit of refinancing your loan is that you only
pay the finance charge due on the original loan and do not have to pay the entire
payoff amount. Another benefit is that you may wish to refinance your loan
for a longer or shorter period of time.

That's why we have flexible refinancing options that allow you to continue to
enjoy your cash and just pay the finance charge on your existing loan.



EXAMPLE: If the current loan you want to refinance was a $100 loan for 14-days,
and you would like to refinance that loan for an additional 1-month,
then your account will be debited the original finance charge of only $17.50 now.
Then, the loan amount + the finance charge = $135.00, would be due in one month.

Please complete the following REFINANCE APPLICATION REQUEST
for each loan that you want to refinance.
IF YOU HAVE MULTIPLE LOANS THAT YOU WISH TO REFINANCE,
PLEASE COMPLETE A SEPARATE REFINANCE APPLICATION REQUEST FOR EACH ONE.
THESE REQUESTS MUST BE RECEIVED ON OR BEFORE THE DUE DATE
(as shown on your loan agreement) OF EACH LOAN.
LOANS CAN ONLY BE REFINANCED IF YOU ARE IN GOOD STANDING WITH OUR COMPANY.

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