AmeriCash
Advance Agreement Signature Page
Thank you for completing and
submitting your application with AmeriCash Advance. Carefully READ, PRINT, then
SIGN this page and FAX it along with the required verification items shown
below, to our processing center, TOLL-FREE 1-877-369-6702, to complete your
approval process.
1.
Upon approval,
I authorize AmeriCash Advance to deposit a cash advance (for my approved amount,
which I acknowledge may be less than the amount requested) into my financial
institution account, and to withdraw the amount advanced plus the associated fee
on the date/s specified on submitted application. I understand and agree the
cash advance plus fee is due in full on my next nearest pay date (up to a
maximum of 15 days).
2.
I have read,
understand and agree, to all terms, disclosures, and conditions of the
AmeriCash Advance online agreement, including the pre-authorized ACH/EFT
electronic funds transfer of deposits (credits) and ACH/EFT electronic funds
transfer withdrawals and/or bank draft (debits) of payment/s.
3.
You agree that by submitting
completed/ signed, faxed or online, application as a matter of
convenience, hereby constitutes the same legal and binding document as providing
AmeriCash Advance with your personal post dated check, in the amount of the cash
advance plus associated fees, for the scheduled and authorized repayment of the
cash advance amount that upon approval will be credited by ACH/EFT to your
financial institution account.
4. I
agree to maintain an open account in good standing with adequate balance, to
ensure all payments and fees are collected by AmeriCash Advance in a timely
manner on the scheduled due date/s.
5.
I understand
and agree that if I fail to make repayment/s in full, as agreed, AmeriCash
Advance may file claim with the National Arbitration Forum and their decision
will be final and binding. I understand and agree that I will be responsible for
all additional costs associated with AmeriCash Advance obtaining payment in
full. These additional costs that I will be responsible for include arbitration
fees, attorney fees, and/or collection fees incurred by all parties to collect
payment in full.
6.
I understand
and acknowledge this is a binding agreement with all transactions, now, and as
requested in the future, and are made pursuant to the Master Cash Advance
Agreement, which will remain in effect and continuous on file with AmeriCash
Advance. All transactions will be deemed to have taken place in the State of
Delaware, and governed by the State of Delaware in all aspects thereof,
regardless of where I have viewed, accepted, and submitted the application and
agreement.
7.
I confirm that I am not currently in bankruptcy proceedings, nor do I plan on
filing bankruptcy in the future.
8.
I understand,
acknowledge, and fully agree that if approved I will receive a cash advance due
in full on my next nearest payday up to a maximum of 15 days. I agree and
confirm this cash advance is NOT an installment loan that I can make payments
on.
SIGNATURE
________________________
Print Name _____________________
DATE _______________ Social Security Number __________________
Required
Verification Items to be faxed (with
this Signature Page and the completed application)
to toll-free
1-877-369-6702:
-Your most recent, complete 30-day bank
statement.
-Your TWO most recent paycheck stubs
-Your blank personal check marked VOID
-Driver's license or photo ID
- Most recent phone bill.
Signature
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