California Cash Advance by GoFastCash

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Payday Advance Online

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Please fill it out completely to help us process your Go Fast Cash loan.

Employer Name

Employer Address

Employer City

Employer State

Employer Zip

Employer Phone

Ext.

How Long Employed?

Years Months

Gross Monthly Income

How Often You Get Paid

Any garnishments being deducted from your payroll check currently? If yes, how much per check?

Yes No

Bank Name

Bank Routing Number

[ ? ]

Bank Account Number

Bank Account Type

Checking Savings

Opened How Long?

Years Months

Direct Deposit?

Yes No

Current Account Balance

Approximate number of monthly transactions including checks written, deposits and withdrawals.

Number of items returned for non sufficient funds

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