Apply for a Payday Loan

Personal Info

Full Name*

First Name MI Last Name

Social Security Number*

Alternate ID Type/Number

Driver's License Number*

Personal Identification Verification*

Drop files here or

Please upload a picture or digital copy of your driver's license or other ID. You can scan or take clear photo of your ID, and upload it in JPG, PNG or PDF format.

Date Of Birth*

Marital Status*

Number of children supported?*

Your Address*

Street Address Address Line 2 City State ZIP Code

Number of other people living with you at this address?*

How long have you lived at this address? (years and months)*

Landlord's name and phone number*

Your home phone number

Name phone number is listed under?

First Last

Your cell phone number*

Your Email Address*

Financial Info

Type of bank account*

Checking
Savings

Bank Name*

ABA/Routing Number*

Account Number*

Bank Phone Number*

Year account opened*

Direct Deposit?*

Please note that our online payday loans require your bank account to be capable of direct deposit.

Have you ever filed for bankruptcy?*

If yes, when?

Types of Income*

Employment (W-2)
Self Employed (1099)
Fixed income (disability, social security, etc.)
Other (please specify in documentation)

Please select all that apply.

Employment Info

Employer Name*

Employer Address*

Street Address Address Line 2 City State ZIP Code

Employer Phone Number*

Hire Date (month and year)*

Supervisor's Name*

First Last

Supervisor's Phone Number*

Income and Expenses

Income Per Month (Gross)*

Income Per Month (Take Home)*

Frequency of payments/month*

Date(s) of monthly pay:*

Recent Pay Stubs*

Drop files here or

Please scan or take clear photos of your two (2) most recent pay stubs and upload them here. You can upload them in JPG, PNG or PDF format.

Debt Info

Number of Payday Loans Outstanding with other Companies*

Amount $

Have you ever not repaid any payday loan(s)?*

If yes, how many?

Other Debts - Amount Owed:

Automobile Debt*

Home/Mortgage Debt*

Credit Card Debt*

Collections

Other

Loan Info

Use of this loan:*

Plan for repayment of this Loan:*

Please complete your Personal Budget

Total income	Total Expenses	Income Minus Expenses
			Edit Delete
There are no Budgets.

Maximum number of budgets reached.

Click "Add Budget" to fill out a basic budget form.

Note: if this option doesn't work for you, you can download this Excel worksheet, and upload it in the "other documentation" section above.

Federal law provides important protections to active duty members of the Armed Forces and their dependents. To ensure that these protections are provided to eligible applicants, we require you to select one of the following statements as applicable:

Select one:

I AM a regular or reserve members of the Army, Navy, Marine Corps, Air Force or Coast Guard serving on active duty under a call or order that does not specify 30 days or fewer.
I AM a dependent (spouse, child under the age of 18 or an individual for whom the member provided more than one-half the financial support for 180 days immediately preceding the date of the application) of a member of the Armed Forces on active duty as described above.
I AM NOT a regular or reserve members of the Army, Navy, Marine Corps, Air Force or Coast Guard serving on active duty under a call or order that does not specify 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.

If I am approved for a loan from Community Development Finance (CDF), I understand that I have the choice of methods of repayment. I select the following method:

Choose Repayment Method*

With this choice, my loan payment will be withdrawn from my account electronically by ACH and deposited in CDF’s bank account on the night of the due date of the loan.
With this choice, I will pay the loan off in full in cash within 24 hours of the due date of the loan. If CDF does not receive payment in person, CDF will withdraw my loan repayment electronically by ACH that night after the close of business.

Contact Persons*

Name	Phone Number	Relationship

Click or tap the plus (+) icon to the right to add additional Contact. 2 contacts are required for Payday loans.

I acknowledge that I have received, read and fully understand the Loan Program Description material provided by CDF.

By signing this application form, I understand that, if I am approved to receive a loan and then elect to borrow the loan, I am entering into a promise to repay the loan under the terms and conditions contained in this Application and that I agree to a binding promise to repay such loan.

By signing below and submitting the attached Application for a consumer loan, I am verifying that all information contained in the Application is accurate. I acknowledge that I have read the Authorization to Check Your Credit Report Disclosures and that I have received a description of my rights under the Privacy Policies of Community Development Finance. I agree to the arbitration provision below.

Loan Amount*

Fees paid (at a rate of $7.50 per $100 borrowed)*

Payday Loan Due Date*

This field is not available on the borrower application.

If Borrower has insufficient funds in the account when CDF submits the check for payment, CDF will re-deposit the check up to 2 more times without the Borrower’s further consent. By signing this document, you are giving CDF permission to re-submit the check 3 days after the loan is due for the first re-submission and 7 days after the loan is due for the second re-submission. CDF may charge a maximum of $15 for a returned check fee and the Borrower cannot be prosecuted in a criminal trial. CDF may choose to collect a delinquent payment through ACH and Borrower agrees to allow CDF to use this method.

As required by law, you are hereby notified that a negative credit report reflecting on your credit record may be submitted to a credit reporting agency if you fail to fulfill the terms of your credit obligations or if you successfully repay the loan on time.

Borrower Signature*

Date of Application*

Arbitration: Arbitration is a means for legal matters between parties to be resolved by a neutral arbitrator rather than a Court. Community Development Finance (CDF) has a policy of arbitrating all claims, demands and disputes which cannot be resolved in a small claims tribunal, including the scope and validity of this arbitration provision and any right you may have to participate in an alleged class action (dispute(s)). All loan agreements contain another arbitration provision that supersedes this arbitration provision and governs the resolution of disputes. However, if you do not enter into an agreement with CDF, then this arbitration provision governs the resolution of disputes. You agree that YOU ARE WAIVING YOUR RIGHT TO HAVE A TRIAL BY JURY to resolve disputes against Community Development Finance. The Federal Arbitration Act governs this arbitration provision. If any party has a dispute, it must notify the others in writing of the dispute. You have the right to select either of the following arbitration organizations, which will govern the arbitration under its consumer rules: American Arbitration Association (1-800-778-7879) or National Arbitration Forum (1-800-474-2371), and Community Development Finance will advance all of the expenses associated with the arbitration, including the filing, administrative, hearing and arbitrator’s fees. You will be responsible for your attorney’s fees, if any. Any appeal of a judgment from a small claims tribunal shall be resolved by binding arbitration. The arbitrator shall not conduct class arbitration. The arbitration hearing will be conducted in the county in which the Application was signed.

Authorization to check your credit report. You authorize us to check your credit report before entering into any transaction with us and to further check your credit report for any legitimate business need in connection with a transaction between you and us.

If you apply for further credit, this application shall have the same force and effect as if delivered as an original application at the time you request such further credit. Lender is authorized to contact credit reporting agencies and other sources for the purpose of verifying any information stated herein or at any time furnished by you. You authorize CDF to utilize and retain any information about you in our records previously provided by you to CDF. You understand that this application and any other information furnished to CDF will be CDF’s property. Lender is authorized to answer any questions about its experience with you.

Release of Information. You authorize complete verification of all information that you have provided and acknowledge that this information may be used to verify certain past and/or current credit or payment history information from third party source(s). CDF may contact any person or company listed above. Your application may be rejected if any information provided by you is found to be false.

Notice of your Financial Privacy Rights. (This policy is effective as of May 1, 2009.)
This disclosure provides detail about our privacy policy. We do not sell customer information to third parties. This privacy policy is intended to describe the following for you:

The information that we collect about you;
How we use the information that we collect:
With whom we may share your information;
How you can access your information;
Your choices about such uses and disclosure of the information.

We encourage you to read this Privacy Policy carefully before using our services or transacting business with us.

INFORMATION WE COLLECT ABOUT YOU
We collect nonpublic personal information about you from the following sources:

Information we receive from you on applications and other forms: and
Information about your transactions with us; and
Information we receive from credit reporting agencies.

The information that we collect includes identifying information (such as your name, home or mailing address, e-mail address and telephone number), your financial information (such as your bank, checking account number, income, assets, or debts), your Social Security number and personal information (such as gender and age).

INFORMATION WE DISCLOSE ABOUT YOU
We may disclose nonpublic personal information about you, including identifying information (such as your name, home or mailing address, e-mail address and telephone number), your financial information (such as your bank, checking account number, income, assets, or debts), your Social Security number and personal information (such as gender and age), to our service providers (such as mailing servicers, attorneys, banks and auditors).

We may also disclose nonpublic personal information about you to nonaffiliated third parties as permitted by law.

HOW WE PROTECT YOUR PERSONAL INFORMATION.
We restrict access to nonpublic personal information about you to those employees who need to know that information to provide products or services to you. We maintain physical, electronic, and procedural safeguards to protect your information.

CHANGES TO OUR PRIVACY POLICY
If we materially change our Privacy Policy, we will notify you.

HOW TO CONTACT US
If you have any questions regarding this policy, please feel free to call (510) 479-1037.

Notice: The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant’s income derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with this law concerning this creditor is the FDIC Consumer Response Center, 2345 Grand Boulevard, Suite 100, Kansas City, Missouri 64108.

Notice of Furnishing Negative Information. WE MAY REPORT INFORMATION ABOUT YOUR ACCOUNT TO CREDIT BUREAUS. LATE PAYMENTS, MISSED PAYMENTS, OR OTHER DEFAULTS ON YOUR ACCOUNT MAY BE REFLECTED IN YOUR CREDIT REPORT.

For CDF Use Only

Underwriter note: Indicate Approval at the top right-hand portion of the page.

Loan ID (application)

Underwriting Info

Drop files here or

CDF Staff: Use this area to upload credit report and/or any other underwriting-related files that should be associated with this application.

Underwriter Signature

Date of Decision

Phone

This field is for validation purposes and should be left unchanged.

Personal Info

Financial Info

Please note that our online payday loans require your bank account to be capable of direct deposit.

Employment Info

Income and Expenses

Debt Info

Loan Info

Warning: It is important to fill out this form accurately. Knowingly making a false statement on a credit application is a crime.

For CDF Use Only

How do loans work at Community Check Cashing?

We Are Proudly Non-Profit!

Community Check Cashing is a program of Community Development Finance, 501c3, a tax-exempt non-profit organization.

Legal Notice

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Your Income

Your Expenses

Apply for a Payday Loan

Personal Info

Financial Info

Please note that our online payday loans require your bank account to be capable of direct deposit.

Employment Info

Income and Expenses

Debt Info

Loan Info

Warning: It is important to fill out this form accurately. Knowingly making a false statement on a credit application is a crime.

For CDF Use Only

How do loans work at Community Check Cashing?

We Are Proudly Non-Profit!

Community Check Cashing is a program of Community Development Finance, 501c3, a tax-exempt non-profit organization.

Legal Notice

Translate:

Send us a quick email!

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Your Income

Your Expenses