Short
Form Application
Many lenders have staff to call on hot leads. This
application will provide basic information for an applicant
that can qualify for a payday loan.
Personal
Information: |
|
First
Name: |
Test |
| Last
Name: |
Name |
| Email: |
email@
domain.com |
| Home
Phone: |
xxx-xxx-xxxx |
| Work
Phone: |
xxx-xxx-xxxx |
| Social
Security Number: |
xxx-xx-xxxx |
Is
your paycheck deposited directly into your bank account
or do you get a paper check? |
Deposited |
Currently
employed (for the past 3 months) and make $1000 per month
or $800 on fixed income. |
True |
Have
an active checking account in goodstanding. |
True |
Citizen
of the USA of at least 18 years of age. |
True |
Would
You like details on other credit offers? |
Yes |
View Other Form Samples Below |
