Quick Loan Application

Apply for a loan from LoanPointUSA. In the event that we are not the best option for your requests, LoanPointUSA offers a Loan Matching Service in which we can match you with a lender that best fits your needs in seconds.

Returning Customer?

Want a new loan? You may qualify for our Preferred Customer Program. Benefits include easy process, no reapplication, faster response, and higher limit on your next loan. Learn More…

Personal Information

First Name:

Last Name:

Address:

City:

State:

ZIP Code:

Home Phone:

U.S. citizen?:

Birthday:

(MM/DD/YYYY)

SSN (no dashes or spaces):

Drivers License or ID #:

Drivers License State:

Requested Loan Amount

Email:

Confirm Email:

Employment Information

Employer:

Work Phone:

Paycheck Amount:

Pay Frequency:

Direct Deposit:

Employment Length:

Years Months

Current Payday:

(MM/DD/YYYY)

Next Payday:

(MM/DD/YYYY)

Income Source:

Banking Information

Bank Name:

Account Type:

Routing Number (ABA):

Account Number:

Personal References

Reference 1

Reference 2

First Name:

Last Name:

Phone #:

Relationship:

Military Personnel, Spouses, and Dependents

COVERED BORROWER IDENTIFICATION STATEMENT

Effective October 1, 2007, Federal law provides important protections to active duty members of the Armed Forces and their dependents. (See section 32 CFR Part 232 – Limitations on Terms of Consumer Credit Extended to Service Members and Dependents). To ensure that these protections are provided to eligible applicants, we require you to acknowledge that you do not fall into either of the two categories below:

YOU ARE NOT a regular or reserve member of the Army, Navy, Marine Corps, Air Force, or Coast Guard, serving on active duty under a call or order that does not specify a period of 30 days or fewer.

– OR –

YOU ARE NOT a dependent of a member of the Armed Forces on active duty as described above, including the member's spouse, the member's child under the age of eighteen years old, or an individual for whom the member provided more than one-half of your financial support for 108 days immediately preceding today's date.

WARNING: IT IS IMPORTANT TO FILL OUT THIS FORM ACCURATELY. KNOWINGLY MAKING A FALSE STATEMENT ON A CREDIT APPLICATION IS A CRIME.

ARE YOU a regular or reserve member of the Army, Navy, Marine Corps, Air Force,
or Coast Guard, serving on active duty under a call or order that does not specify
a period of 30 days or fewer (or a dependent of such member).

Notices and Disclosures

NOTICE: We adhere to the Patriot Act and we are required by law to adopt procedures to request and retain in our records information necessary to verify your identity. 
                    
NOTICE: A short term loan provides the cash needed to meet an immediate short-term cash flow problem. It is not a solution for longer term financial problems for which longer term financing may be more appropriate. You may want to discuss your financial situation with a nonprofit financial counseling service in your community. You will be charged additional fees if you renew the loan.

ARBITRATION OF ALL DISPUTES: You and we agree that any and all claims, disputes or controversies between you and us, any claim by either of us against the other (or the employees, officers, directors, agents, servicers or assigns of the other) and any claim arising from or relating to your application for this loan, regarding this loan or any other loan you previously or may later obtain from us, this Note, this agreement to arbitrate all disputes, your agreement not to bring, join or participate in class actions, regarding collection of the loan, alleging fraud or misrepresentation, whether under common law or pursuant to federal, state or local statute, regulation or ordinance, including disputes regarding the matters subject to arbitration, or otherwise, shall be resolved by binding individual (and not joint) arbitration by and under the Code of Procedure of the National Arbitration Forum ("NAF") in effect at the time the claim is filed. This agreement to arbitrate all disputes shall apply no matter by whom or against whom the claim is filed. Rules and forms of the NAF may be obtained and all claims shall be filed at any NAF office, on the World Wide Web at www.arb-forum.com, by telephone at 800-474-2371, or at

National Arbitration Forum
P.O. Box 0191
Minneapolis, Minnesota 55405.

Your arbitration fees will be waived by the NAF in the event you cannot afford to pay them. The cost of a participatory hearing, if one is held at your or our request, will be paid for solely by us and will take place at a location near your residence. This arbitration agreement is made pursuant to a transaction involving interstate commerce. It shall be governed by the Federal Arbitration Act, 9 U.S.C. Sections 1-16. Judgment upon the award may be entered by any party in any court having jurisdiction.

NOTICE: YOU AND WE WOULD HAVE HAD A RIGHT OR OPPORTUNITY TO LITIGATE DISPUTES THROUGH A COURT AND HAVE A JUDGE OR JURY DECIDE THE DISPUTES BUT HAVE AGREED INSTEAD TO RESOLVE DISPUTES THROUGH BINDING ARBITRATION.

AGREEMENT NOT TO BRING, JOIN OR PARTICIPATE IN CLASS ACTIONS: To the extent permitted by law, you agree that you will not bring, join or participate in any class action as to any claim, dispute or controversy you may have against us, our employees, officers,directors, servicers and assigns. You agree to the entry of injunctive relief to stop such a lawsuit or to remove you as a participant in the suit. You agree to pay the attorney's fees and court costs we incur in seeking such relief. This agreement does not constitute a waiver of any of your rights and remedies to pursue a claim individually and not as a class action in binding arbitration as provided above. This agreement not to bring, join, or participate in class actions is an independent agreement and shall survive the closing and repayment of the loan for which you are applying. By submitting this Application you certify that all of the information provided above is true, complete and correct and provided to us for the purpose of inducing us to make the loan for which you are applying. You also agree to the Agreement to Arbitrate All Disputes and the Agreement Not To Bring, Join Or Participate in Class Actions. You authorize us to verify all information that you have provided and acknowledge that this information may be used to verify certain past and/or current credit or payment history information from third party source(s). We may utilize Check Loan Verification or other similar consumer-reporting agency for these purposes. We may disclose all or some of the nonpublic personal information about you that we collect to financial service providers that perform services on our behalf, such as the servicer of your short term loan, and to financial institutions with which we have joint marketing arrangements. Such disclosures are made as necessary to effect, administer and enforce the loan you request or authorize and any loan you may request or authorize with other financial institutions with regard to the processing, funding, servicing, repayment and collection of your loan.

I have read and agree to all the notices and disclosures above