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Please re-confirm your banking information

Routing Number:011000206

Bank Name: Bank Of America

Account Number:123456789

This information is important for the successful and timely funding of your loan. If this information is not correct, funding of your loan will be delayed.

Apply for your loan

About You Your Finances Disclosure Statement

Apply Step 1

Let's start by getting to know you

Tell us a little bit more about yourself

Are you serving on active military, national guard, or reserve duty as a member of the armed forces, or are you a spouse, child or dependent of such a member?*

Please select an option. Unfortunately, we do not have products to offer active military or dependent applicants.

Find your Mail Offer Promo Code in your Mail Offer Letter. No Mail Offer Promo Code, no problem! Leave the field blank and continue to apply.

Please shorten this text to 20 characters or less.
Required. Letters of the alphabet, spaces, and hyphens only.
Required. Letters of the alphabet and at most one hyphen only. Spaces are not allowed.

Date of Birth*

Required.
Please enter a valid month.
Required.
Please enter a valid day.
Required.
Please enter a valid year.
You must be 18 years or older to receive a loan. Please select a date after 1-1-1900
Required. Please enter a valid ssn number.
Required. Please enter a valid ssn number.
Social Security Numbers must match
Required. Please select an option.
Required. Please enter a valid ID number.

How can we reach you?

Required. Please enter a valid email address.
Required. Please enter a valid email address that matches.
Email addresses must match
Required. Please enter a valid phone number as (xxx) xxx-xxxx. It should not begin with 0 or 1.
Please enter a valid phone number as (xxx) xxx-xxxx. It should not begin with 0 or 1.

Where are you located?

Required. Please enter a valid street address.
Required. Please enter a valid city.
Required. Please select an option.
Required.
Please enter a valid zip code.
Zip code must match the state entered.
Required. Please select an option.
Required. Please select an option.

NOTICE TO WISCONSIN MARRIED APPLICANTS: No provision of a marital property agreement, a unilateral statement under s. 766.59 or a court order decree under s. 766.70 adversely affects the interest of the creditor unless the creditor, prior to the time the credit is granted, is furnished a copy of the agreement, statement or decree or has actual knowledge of the adverse provision when the obligation to the creditor is incurred.

Required. Please select an option.

Do you and your Spouse reside in the same address?*

Required. Please select an option.
Required. Must be between 2 and 32 valid characters.
Required. Must be between 2 and 32 valid characters.
Required. Please enter a valid street address.
Required. Please enter a valid city.
Required. Please select an option.
Required. Please enter a valid zip code.
Apply Step 2

Tell us a little bit about your work

What do you do for a living?

Required. Please select an option. Alimony, Child Support or separate maintenance income need not be disclosed if you do not wish to have it considered as a basis for repaying this obligation.
Required. Please select an option.
Required.
Required. Please enter a valid job title.
Required. Please select an option.
Required. Please enter a valid phone number as (xxx) xxx-xxxx. It should not begin with 0 or 1.

How do you get paid?

Required. Please select an option.
Required. Please select an option.

Required. Please enter a valid gross pay amount.

Required. Please select a valid next pay date.

Do you have a secondary form of income?*

Required. Please select an option.
Required. Please select an option. Alimony, Child Support or separate maintenance income need not be disclosed if you do not wish to have it considered as a basis for repaying this obligation.

Required. Please enter a valid gross pay amount.

Required. Please select an option.

Tell us about your expenses

Required. Please enter a valid amount.

Required. Please enter a valid amount.

Required. Please enter a valid amount.

How would you like to be paid?

We use SHA 256 encryption and perform continuous monitoring of our systems to keep your information secure.
Required. Please enter a valid routing number.
The Bank Routing Number provided does not support funding loans via ACH.
Please provide your Bank Routing Number that supports ACH funds transfers.
Required. Please enter a valid account number.
Required. Please enter a valid account number.
Account Numbers must match
Required. Please select an option.
Voided Check
Apply Step 3

Finally, here's your disclosure statement

Federal E-Sign Act Disclosure and Consent and Consent to Auto-dialed Marketing Calls and Text Messages:

By checking the "I AGREE" box, you affirmatively consent to the electronic delivery of documents, notices or disclosures related to the information you are submitting to Simple Fast Loans. Those documents, notices, and disclosures may include, but are not limited to, documents or notices associated with any loan obtained by you based on information you provide to this website, and the disclosures you may access by clicking on the tabs on this website.

Please click on the HTML links to review the disclosures prior to continuing with your submission. In order to retain these disclosures, you may print the documents by selecting Print, select your printer, and click on OK to print to your printer where the document can be printed on your own paper, or select Save or Save As to save and retain a copy on your computer.

You understand that you need a computer with Internet access and a compatible browser to receive, view, print or save the documents, notices, or disclosures. Specifically, you must have the following equipment and software:

  • A personal computer or other device which is capable of accessing the Internet.
  • An Internet web browser which is capable of supporting 128-bit SSL encrypted communications, such as Microsoft® Internet Explorer, Chrome®, Safari®, and Firefox®.
  • Software which permits you to receive and access Portable Document Format or "PDF" files, such as Adobe Acrobat Reader® version 8.0 and higher.
  • A valid e-mail address on file with us, and e-mail software capable of interfacing with standard e-mail protocols.
  • Access to a printer with the ability to download information in order to keep copies of any documents for your records.

By affirmatively consenting, you confirm that you have access to the necessary hardware and software. If you do not agree to receive these documents, notices and disclosures electronically, please do not place a checkmark in the "I AGREE" box and discontinue providing your information to us. You may withdraw your consent by unchecking the "I AGREE" button before continuing but understand that doing so means that we will not be able to contact you as described below. If after consenting, you wish to withdraw your consent at a later time, you can do so by contacting us at 866-521-1445, or email us at customerservice@simplefastloans.com.

To update your contact information or obtain a copy of any document, notice or disclosure, you may contact us at the number, email address or mailing address set forth above.

BY CHECKING THE "I AGREE" BOX, (1) YOU CONSENT TO RECEIVE IN AN ELECTRONIC FORMAT ANY DOCUMENTS, NOTICES, OR DISCLOSURES RELATED TO THE INFORMATION SUBMITTED TO US, AND (2) YOU ACKNOWLEDGE THAT YOU PRINTED OR SAVED A COPY OF THIS CONSENT.

Print Disclosure - Save Disclosure

Required

I have read, understand, and agree to the terms of the Federal E-sign Act Disclosure and Consent, and thereby agree to receive all disclosures and notices in electronic form. I further certify that the information I have provided above is accurate and true and that I have read and understand the terms and conditions.

Required

I acknowledge that I have received, read, and understand the Delaware Itemization of Charges (Click below to learn more) at the time of applying for this loan.

Required

I have been provided with a copy of the Bi-weekly Installment Loan Consumer Pamphlet (click below to learn more) and Monthly Installment Loan Consumer Pamphlet (click below to learn more).

Required

I have read, understand, and agree to the Privacy Policy. (Learn more)

Required

I have read, understand, and agree to the Privacy Policy. (Learn more)

Required

I have read, understand, and agree to the Privacy Policy. (Learn more)

Required

I have read, understand, and agree to the Privacy Policy. (Learn more)

Required

I have read, understand, and agree to the Acknowledgement of Right to Transfer Data in the Data Collection Agreement. (Learn more)

I have read, understand, and agree to the Agreement to Allow Sale of Data in the Data Collection Agreement. (Learn more)

SMS Communications - please send me account-related messages to the cell phone number provided (note: opting-in for account-related messages is not a requirement to receive the services you are requesting from simple fast loans). Message and data rates may apply. Message frequency varies by account. To opt-out at any time, reply STOP to any message we send. Mobile Policy and Privacy Policy

I voluntarily agree to make Automatic Payments for faster loan approval and funding. I will be presented with an Authorization Form to authorize automatic debit entries in the amount of the scheduled loan payments.

I have read, understand, and agree to automatic payments for faster loan approval and funding. This also makes you eligible for our good customer loyalty programs. We will automatically debit your loan installments on their due dates. Note that you can also administer your automatic payments using My Account. This is optional.

Required

I agree to the terms and conditions outlined in the Fair Credit Reporting Act Notification, and Authorization and Consent to Review Customer Credit Report. (Learn more)