A1A FastCash Printable Agreement

A1A FastCash Agreement

The agreement below must be signed and returned to us as part of your application. Please print out and sign the agreement below and fax to us at 1 (866) 434-FAST (3278). You can also scan and email your documents to us at [email protected] if you prefer.

Please include the following:

- Most Recent Bank Statement
- Most Recent Pay Stub
- Copy of Your Driver's License
- Copy of a Voided Personal Check
- Printed Copy of this Agreement Signed and Dated

(* Please use photo-quality mode, if your fax offers this option*)

The purpose of this Agreement is to insure that you are informed of all the terms, conditions and policies of A1A FastCash. This should remove all “The Fine Print” and hopefully make you, our valued customers, more comfortable in all your dealings with A1A FastCash.

Please visit http://www.a1afastcash.com/eng/app/agreement.php for the complete agreement and definitions.

AGREEMENT AND AUTHORIZATION FORM

1.) I acknowledge that I have read, understand, and agree to all the conditions, terms, and disclosures of the A1A Fast Cash agreement.

2.) I acknowledge that I have provided my accurate banking information, including routing and account number for A1A Fast Cash to use for debit/credit transactions. If I am using AccelaCa$h, I have provided my personal debit card information, including account number and expiration date, to use for credit transactions.

3.) Once approved, I give A1A Fast Cash authorization to deposit a cash advance into my account. This amount will be my "Amount Financed". ACH transactions will appear in my account the next business day if authorized by my bank. AccelaCa$h transactions will appear in my account within a few hours time if authorized by my bank.

4.) I understand that the "Amount Financed" may be less than the amount I requested.

5.) I authorize and approve A1A Fast Cash to withdraw the "Amount Financed" plus the "Finance Charge" on my "Payment Date" as determined by the application and that that date should be my next payday. If I have opted for AccelaCa$h same day funding, I authorize and approve A1A Fast Cash to withdraw $9.99 in addition to the "Amount Financed" plus the "Finance Charge" on my first payday following the loan.

6.) I may request not to pay the "Amount Financed" my payday, only to pay the "Finance Charge" plus any outstanding fees, and therefore to extend the loan up to four times. After the fourth rollover, I understand that according to Delaware state law, I must pay at least 10% of the "Amount Financed" along with the "Finance Charge" or "Extension Fee". That 10% decreases my "Payoff Balance". I understand that if I choose to pay for an extension on my loan that paying the "Finance Charge" or "Extension Fee" in no way decreases my "Payoff Balance", and that if I wish to decrease my "Payoff Balance" I must pay an additional amount above and beyond my "Finance Charge" or "Extension Fee".

7.) I confirm and promise that I am not currently in bankruptcy proceedings nor am I planning on filing bankruptcy in the future.

8.) Borrower agrees to allow a search of the Teletrack database for the provided name, social security number, and banking and loan information. The Teletrack database is a national database of consumers and contains information about transactions with lending institutions.

9.) I understand and agree that this agreement and authorization are binding and valid for now and as requested in the future and will remain in effect.

10.) I understand that Federal law provides important protections to active duty members of the Armed Forces and their dependents. I am not an active or retired member of the Armed Forces nor a dependent of an active or retired member of the Armed Forces.

11.) I understand that if my payment of "Finance Charge" and/or "Amount Financed" on my due date is rejected by my bank for any reason, I will be assessed a $30 fee each time it occurs. I understand that if I fail to make arrangements to resubmit payment, my account may be reported unpaid to Corelogic Teletrack, a database used by lenders to determine whether or not to make loans to consumers in the future, and may be sent to a collections agency where additional fees of up to 30% of the "Payoff Balance" may be added to your total balance due and they may submit negative information to the three credit bureaus.

12.) I understand that all transactions will be deemed to have taken place in the State of Delaware regardless of where I viewed, submitted or accepted this application and agreement. A1A FastCash is a Delaware based Licensed Lender. If you apply, we will receive and process your application here, the same as if you submitted it to us in person at our office. We only make loans in Delaware. If we approve your application, the funds will be deposited from our account here in Delaware. Our loans are governed by Delaware State law. We are not licensed, registered, or authorized to do business in any other state. Delaware law governing consumer loan agreements may be different from the laws of the state where you reside. If you do not want to enter into a loan agreement subject to Delaware law, you should apply for this loan at a lender located in the state where you live.

13.) I acknowledge receipt and understanding of all terms, conditions, disclosures, and agreements on the A1AFastCash.com website including the arbitration agreement.

SIGNATURE ________________________________

PRINT NAME ________________________________

Best Contact Number ___________________

Email Address ________________________________

SS# _______________________________ DATE _______________