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15 Day Extension - For customers with an outstanding Payday Advance

For customers with an outstanding account only. If you would like to apply for an account, click here.

  • Extension must be submitted 3 days before due date.
  • If you submit a request any later than 3 days prior to your due date, then we cannot guarantee that your request will be processed on time.
  • Extension fees cannot be rolled over.
  • Extension fee is due on original "cash check date."
    $45.00 for $300 advance
    $37.50 for $250 advance
    $30.00 for $200 advance
    $22.50 for $150 advance
    $15.00 for $100 advance

You must have the fee amount available in your account on the original date that your check was going to be cashed, before you request an extension.

Account Information:

First Name / MI / Last Name:

  

Email:

Confirm Your Email:

Home Phone:

Social Security Number:

Previous Tracking Number:

Please fill out the check below. When we receive it, we will process your cash advance.

Bank Name: 

Check Number: 

Pay to the Order Of: Access EZ Cash, Inc.

Amount $ 

Next Payday:     


(Type entire line of digits on bottom of your check in the box above.)


(Type your signature in the box above.)

Access EZ Cash, Inc. is authorized to withdraw the amount selected on the check from my checking account on the DATE indicated above. I understand and agree to pay $15 if the check is returned for ANY reason. Furthermore, I authorize Access EZ Cash, Inc. to initiate either the whole amount or portions of the amount until fully paid. These partial payments may be originated at any time after the original due date. This activity shall remain in full force and effect until my financial institution and Access EZ Cash, Inc. have received, in writing, a notice of its termination of at least 30-days prior to the date of termination. If I wish to pay this item before the due date, I acknowledge that such payments must be made at least two (2) days before the due date, not counting weekends or bank holidays. I also authorize Access EZ Cash, Inc. to run a credit report through TeleTrack to approve my account.

IF YOU HAVE OUTSTANDING PAYDAY LOANS ELSEWHERE, WE WILL NOT PROCESS YOUR LOAN.

By typing your name in the following box, you acknowledge that you have read the Truth in Lending Agreement.

 

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© 2004-2008 Access EZ Cash, Inc. All rights reserved.
05-14-2008