Tell us about yourself

What type of loan are you looking for?

Basic Requirements for Approval
1. At least $500 of income every two weeks
2. At least 6 months on your current job
3. Active checking account
4. Legal U.S. Citizenship
5. Must be a Utah resident
*Please do not apply if you do not meet these basic requirements*

How did you hear about us?*

First Name*
Middle Name
Last Name*
Address*
Apt #
City
State*
Zip
Email*
Social Security*
Date of Birth
 
 
Home Phone*
Cell Phone*
Work Phone
Best Time to Call
Drivers License Number
State Issued
Date Expires
 
 
How long have you lived in your home?
How much do you need?
Are you U.S. citizen?
Do you rent or own?
Landlord's Name
Landlord's Phone
Name on Lease/Mortgage
Monthly Lease/Mortgage Payment

Vehicle Information

Vehicle Year
Vehicle Make
Vehicle Model
Mileage
Color
Licence Plate Number
State of Registration

Employment Information

Where do you work?
Your position
Employer's Phone Number
Work address
City
State
Zip
Supervisor
Employed from
 
 
What is your take home amount per paycheck?
How often do you get paid?

What is a confortable payment amount for you to make each payday?
Are you currently disabled or receiving Social Security?
Do you have a second source of income?

Co-Applicant Information

Will there be a co-applicant?

References

Reference Name
Relation to you
Contact Number
Address
City
State
Zip

Reference Name
Relation to you
Contact Number
Address
City
State
Zip

Reference Name
Relation to you
Contact Number
Address
City
State
Zip

Monthly Income and Expenses

Total Net Income:*
Rent/Mortgage:
Auto Payments:
Insurance:
Phone:
Utilities:
Credit Cards:
Food:
Misc/Other:
Total Monthly Expenses:
Disposable Monthly Expenses:
(less expenses)

1. Have you ever filed Bankruptcy?
If Yes, Date Filed:
2. Are you party to any Suit or Legal Action, or are there any unsatisfied judgements against you?
3. Are you a member of the Armed Forces or a dependant of such?
4. Have you applied for any other loans in the last 6 months?
5. Do you have any outstanding payday, signature, or title loans?
If Yes, Who is your loan with?
What is your remaining balance?

Bank Account Information

The bank information is not required at this stage of the loan, but will speed up the process to receiving the money for the loan.
Bank Name
Bank Routing Number
Checking Account Number
How long have you had this account?
Are you paid via Direct Deposit?

Acknowledgment

By signing below, applicant(s) acknowledge by his/her obligation to offer a true representation of the above information, and any misrepresentation will be considered fraudulant in nature. Applicant(s) understandings that should a default in payment occur, friends, relatives, and employers may be contacted.

BY TYPING YOUR NAME IN THE BOXES BELOW, YOU CERTIFY THAT THE INFORMATION ABOVE IS COMPLETELY TRUTHFUL, AND UNDERSTAND THAT LYING TO OBTAIN CREDIT IS A CRIME PUNISHABLE BY LAW. YOU ALSO FULLY AUTHORIZE FAST TRACK LOANS, LLC TO VERIFY THE TRUTHFULNESS OF THE ABOVE INFORMATION BY ANY MEANS NECESSARY INCLUDING FAX OR CALLING ANY PERSON OR FIRM LISTED ABOVE. YOU FULLY RELEASE ALL PARTIES FROM ANY AND ALL DAMAGES THAT MAY RESULT. ANY FALSE STATEMENT MADE BY YOU SHALL BE SUFFICIENT GROUNDS FOR REJECTION OF YOUR APPLICATION. YOU CERTIFY THAT YOU ARE NOT IN OR CONTEMPLATING NOR HAVE SPOKEN WITH ANY ATTORNEY REGARDING PERSONAL BANKRUPTCY, AND THAT YOU DO NOT PLAN TO GO THROUGH OR FILE BANKRUPTCY IN THE NEXT SIX MONTHS. YOU CERTIFY THAT YOU HAVE READ AND UNDERSTOOD THE ABOVE STATEMENTS. YOU ACKNOWLEDGE THAT THIS APPLICATION AND ANY SUPPORTING DOCUMENTS PROVIDED WITH IT ARE PROPERTY OF FAST TRACK LOANS, LLC. YOU ALSO AUTHORIZE FAST TRACK LOANS, LLC TO DO A CREDIT CHECK AT ANY TIME DURING YOUR APPLICATION FOR CREDIT AND UNTIL YOUR LOAN IS PAID IN FULL.
BY TYPING YOUR NAME IN THE BOXES BELOW, YOU CERTIFY THAT THE INFORMATION ABOVE IS COMPLETELY TRUTHFUL, AND UNDERSTAND THAT LYING TO OBTAIN CREDIT IS A CRIME PUNISHABLE BY LAW. YOU ALSO FULLY AUTHORIZE FAST TRACK LOANS, LLC TO VERIFY THE TRUTHFULNESS OF THE ABOVE INFORMATION BY ANY MEANS NECESSARY INCLUDING FAX OR CALLING ANY PERSON OR FIRM LISTED ABOVE. YOU FULLY RELEASE ALL PARTIES FROM ANY AND ALL DAMAGES THAT MAY RESULT. ANY FALSE STATEMENT MADE BY YOU SHALL BE SUFFICIENT GROUNDS FOR REJECTION OF YOUR APPLICATION. YOU CERTIFY THAT YOU ARE NOT IN OR CONTEMPLATING NOR HAVE SPOKEN WITH ANY ATTORNEY REGARDING PERSONAL BANKRUPTCY, AND THAT YOU DO NOT PLAN TO GO THROUGH OR FILE BANKRUPTCY IN THE NEXT SIX MONTHS. YOU CERTIFY THAT YOU HAVE READ AND UNDERSTOOD THE ABOVE STATEMENTS. YOU ACKNOWLEDGE THAT THIS APPLICATION AND ANY SUPPORTING DOCUMENTS PROVIDED WITH IT ARE PROPERTY OF FAST TRACK LOANS, LLC.

Signature of Applicant
Date
Signature of Co-Applicant
Date

© 2017 Fast Track Loan Center, inc. All rights reserved.

Fast Track Title Loans provides car title loans in St. George Utah and adheres to all laws outlined by the Utah Department of Financial Institutions.

Fast Track Loan Center | Signature Loans & Tile Loans in St. George, Utah

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