Loan Test Page - Cliff's Check Cashing

Product you are applying for:

Installment Loan $100-$1800Payday Loan $100-$2500Title Loan $1000-$25000

Amount you are applying for:*

We may share, sell, or otherwise transfer your information to carefully selected third-party lenders, lead providers, or financial service companies who may be able to assist you with your request. These third-party providers operate independently of Cliff's Finance and are solely responsible for their own communications, privacy practices, and compliance with applicable laws. We encourage you to review their privacy policies and terms of service before engaging with them. By continuing with your applicaton, you consent to the collection, use, and sharing of your information as described above. If you do not agree with these terms, please do not submit an application.

Vehicle Make

Vehicle Model

Vehicle Series

Vehicle Year

Vehicle Mileage

License Plate Number

Color

Registration State

Estimated Vehicle Value

Type a question

Are you the sole owner of the vehicle?

YesNo

Is the vehicle paid for?

YesNo

Do you have clear title to the vehicle?

YesNo

Social Security Number

Name*

First NameMiddle NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Years at present address

Phone Number

Please enter a valid phone number.

Residence

RentOwnLive with parentsOther

Email

example@example.com

Date of Birth*

Date

Type of ID

ID Number

Employer/source of income

Title/position

Phone Number

Please enter a valid phone number.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Hire Date

Date

Rate per hour

Net Pay/Take Home

$

Date Last Paid

Next Pay Date

Employment Type

Full timePart time

Pay Frequency

Alimony, child support or separate maintenance need not be revealed if you do not wish to have it considered as a basis for repaying this obligation

Additional Income Weekly Monthly Annually

Marital Status

SingleMarriedDivorcedWidowed

Number of children

Primary bank/financial institution name

Account holder name

Primary Account

Primary Account Routing

Current Balance

Year opened

Overdraft Protection

YesNo

Type of Account

CheckingSavings

Is your payroll direct deposited to this account?

YesNo

How Many days before payday do you get paid?

1 day2 daysOn payday

Earned Wage Access

YesNo

Are you currently in active bankruptcy?

YesNo

Do you have an OPEN short term loans?

Installment loansPayday loansTitle loansOther

Combined balance of all Open loans?

First Name   Last Name   Email   Area Code   Phone Number

Relationship

First Name   Last Name   Email   Area Code   Phone Number

Relationship

Description Name of Brand

Description Name of Brand

How Did You Hear About Us?

I authorize verification of all information on this appication for the purpose of obtaining this cash advance and all renewals or extensions thereof. Everything that I have stated in this application is correct to the best of my knowledge. Cliff's Finance Company, Inc. is authorized to check my credit and employment history and provide credit refences to any company I authorize.

Signature*

Date

Driver license/ID, 2 paychecks stubs, 1 utility bill, 1 bank statement

972-466-2332

More Savings,
Less Hassle

972-466-2332

More Savings,
Less Hassle

972-466-2332

More Savings,
Less Hassle

972-466-2332

More Savings,
Less Hassle

Cliff's Finance Loan Application

For Title Loans Only

Tell us about yourself

Tell us about your income

Please provide banking information

Personal References

Collateral/Security (2 items) All loans will be secured

Release of Information

972-466-2332

More Savings,Less Hassle

972-466-2332

More Savings,Less Hassle

Cliff's Finance Loan Application

For Title Loans Only

Tell us about yourself

Tell us about your income

Please provide banking information

Personal References

Collateral/Security (2 items) All loans will be secured

Release of Information

More Savings,
Less Hassle

More Savings,
Less Hassle