ww Green Leaf Loan Group : Online Payday Loan Application Form

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Please complete entire 1 page only application
All fields are required.


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Personal Information - Please tell us about yourself
First Name
Last Name
Email
SSN
Date of Birth
Loan Amount You're Requesting
$
Home Phone
Cell Phone
Best Time To Call
Address
City
State
Zip Code
Rent or Own
Monthly Payment (rent or mortgage)
$
Length At Address
Drivers License / ID Number
State Which Issued The License / ID
Banking Information - Where Should the Lender Deposit Your Money?
Bank Name
Account Type
Routing Number
(on lower left of check)
Account Number
(on bottom of check)
Bank Phone
Length At Bank

Cash Advances
Employment Information - Please tell us about your job
Primary Income Source
Employer Name
Work Phone
Work Department / Title
Length With Employer
How Do You Get Paid
How Often Do You Get Paid
How Much Do You Get Paid (Monthly)
$
Next Pay Date
1st
Pay Date After Next
2nd




If you currently have any outstanding Short-Term Loans, we recommend that you evaluate your ability to repay the loan before obtaining additional credit and explore various loan alternatives before inquiring about a loan. For more information, visit OLA Consumer Tips.

If you are currently an active military member, their spouse or dependent then check this box.

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GreenLeafLoanGroup.com wants to help improve your loan approval chances.

Please Take Care When Entering Your Information

These are the 5 most common errors that cause an application to be rejected:

1. Unacceptable Monthly Income. Income lower then $1,000 per month.

2. Incorrect or Invalid Bank Routing or Account Numbers. Be sure to entering bank account information accurately. Routing numbers are always 9 digits.

3. Invalid Driver's License. Symbols are not accepted. Only numbers and letters.

4. Incorrect Pay Date. Pay Date's cannot fall on a weekend or holiday and must be valid.

5. Incomplete or inaccurate information. Submit complete and accurate information only.

For tax refund loan applicants, GreenLeafLoanGroup.com nor any of its lenders receive your tax refund directly nor are copies of your tax returns ever requested.

To further assist you and due to the potential of the IRS either keeping or delaying your tax refund the repayment date of the loan will be set on one of your pay dates.

We hope you understand that since we do not file your taxes and cannot know for certain the amount you will be refunded from the IRS, we must base your Refund Anticipation Loan amount on your current income and cap the maximum loan amount at $1500.