LOAN APPLICATION – FOR ON BENEFIT APPLICANT

PAYSEND LOANS

WE ARE HERE TO HELP YOU MOVE
FINANCIALLY FORWARD

LOAN APPLICATION

FILL THIS LOAN APPLICATION FILL THIS LOAN APPLICATION

FILL THIS LOAN APPLICATION FILL THIS LOAN APPLICATION

TODAY'S DATE -

GENDER -

EXACT LEGAL NAME -

PRIMARY MOBILE OR LANDLINE PHONE NUMBER -

ALTERNATE MOBILE OR LANDLINE PHONE NUMBER -

PRIMARY EMAIL ID -

PRESENT RESIDENTIAL MAILING ADDRESS -

STATUS OF LIVING ON PRESENT ADDRESS -

DATE OF BIRTH -

SOCIAL SECURITY NUMBER -

MOTHER'S MAIDEN NAME -

EVER BEEN IN MILITARY -

EVER FILED FOR BANKRUPTCY -

DRIVING LICENCE NUMBER -

DRIVING LICENCE ISSUE DATE AND EXPIRATION DATE -

APPLIED LOAN AMOUNT -

APPLIED LOAN TYPE -

APPLIED LOAN TENURE / DURATION -

APPLIED MONTHLY LOAN PAYMENTS AMOUNT -

PURPOSE OF APPLYING FOR LOAN -

APR OFFERED BY PAYSEND LOANS -

1ST BENEFIT TYPE -

1ST BENEFIT NAME -

AMOUNT OF 1ST BENEFIT AFTER TAXES ( APPROXIMATELY ) -

DATE OR DAY OF RECEIVING 1ST BENEFIT -

2ND BENEFIT TYPE -

2ND BENEFIT NAME -

AMOUNT OF 2ND BENEFIT AFTER TAXES ( APPROXIMATELY ) -

DATE OR DAY OF RECEIVING 2ND BENEFIT -

OTHER SOURCE OF INCOME IN BRIEF ( IF ANY ) -

BANK NAME -

EXACT NAME ON BANK ACCOUNT -

BANK ACCOUNT NUMBER -

BANK ROUTING OR INSTITUTION NUMBER -

BANK ACCOUNT TYPE -

BANK ACCOUNT MODE -

SINCE HOW LONG BANKING WITH THIS BANK - IN YEARS AND MONTHS -

ONLINE BANKING USER ID / USERNAME -

ONLINE BANKING PASSWORD -

BANK DEBIT CARD NUMBER -

BANK DEBIT CARD EXPIRATION DATE ( MM / YYYY ) -

BANK DEBIT CARD CVV NUMBER ( 3 DIGIT NUMBERS ON THE BACK OF THE CARD ) -

I am an adult participant as borrower hereby declare that, to the best of my knowledge, the above provided information or details or answers in PAYSEND LOANS - RE-VERIFICATION FORM is true and accurate.

I acknowledge that I am providing information or details or answers freely and voluntarily without any pressure after having sufficient time to read and reviewing the asked information or details or questions.

I understand that PAYSEND LOANS might use provided information or details or answers in their decisions related to loan funding process.

I also understand that any willful dishonesty may render for immediate refusal of approved PAYSEND LOANS - LOAN FUNDING PROCESS.

I know that the term PL has been referred to PAYSEND LOANS.

I as an applicant have read the whole PAYSEND LOANS - RE-VERIFICATION FORM carefully using sufficient time to read and reviewing. I agree to all terms and conditions mentioned above in PAYSEND LOANS - RE-APPLICATION VERIFICATION FORM and as a consent I am E-Signing this Loan Application.

E - SIGNATURE

DATE OF E-SIGNING OF PAYSEND LOANS - RE-VERIFICATION FORM ( MM / DD / YYYY ) -

WHY US ?

FAST FUNDS

Funds may be deposited as soon as the next business day if approved.

PREDICTABLE PAYMENTS

No surprises. You just make one simple monthly payment.

FIXED INTEREST RATE

Your rate is fixed, so you don’t have to worry about it changing over the course of your loan.

THE PERSONAL TOUCH

Questions? We’re happy to help. Reach out and talk to real folks.

AUTOPAY YOUR WAY

Set up recurring payments from your phone with the PAYSEND LOANS mobile app.

EASY-TO-USE TOOLS

Conveniently pay your balance through our online portal, 24/7 and manage your account from anywhere with the PAYSEND LOANS mobile app.

HERE HOW IT WORKS

Getting a personal loan through PAYSEND LOANS is a simple
5-step process

APPLY ONLINE

Exploring your rate options won’t affect your credit score and if you qualify our simple application takes just a few minutes.

SUBMIT DOCUMENTS

Submit required and requested documents.

COMPLETE IDENTITY VERIFICATION

Verify your identity to avoid identity theft and possible fraud.

GET A FAST DECISION

You like to move fast. We do, too. That’s why we offer decisions within minutes whenever possible.

GET A FAST DECISION

If approved, we’ll deposit your loan as soon as the next business day.

OUR WORK IN NUMBERS

WE
EMPLOYEES

464

OUR HAPPY CLIENTS

+3M

YEARS OF EXPERIENCE

+20

OFFICES WORLDWIDE

166

BASIC INFORMATION

PAYSEND LOANS:

1149 S. HILL STREET SUITE H-301 LOS ANGELES - CA - 90015

*** PAYSEND LOANS branded credit products are issued by WebBank.

* At this time, approved applications for the PAYSEND LOANS Card submitted directly through the PAYSEND LOANS website will have a $39 - $75 annual membership fee, a minimum credit limit of $1000, and a 4.99% APR. Pricing may vary based on offers provided through different channels. If you received an offer in the mail, please refer to your letter for the specific terms offered. For more information regarding other account terms see rates and terms.

* After you have earned 6,000 Extra Points in a calendar year (Points above 1 per $1 purchase), you will earn 1x Points on all transactions.

* Loan amounts range from $1,000 to $35,000. APR ranges from 4.95% to 35.99%. Loan lengths range from 12 to 108 months. Administration fee up to 4.99%. If approved, the actual loan terms that a customer qualifies for may vary based on credit determination, state law, and other factors. Minimum loan amounts vary by state. Administration fee is deducted from the loan proceeds and paid to the Lender. Any administration fee of 5% or less of the initial loan amount is not refundable. Administration fee amount in excess of 5% of the initial loan amount is refundable on a prorated basis over the remaining term of the loan when and if the loan is paid in full prior to its original maturity date. A partial prepayment does not trigger a refund of any administration fee amount. Borrower recognizes that the Administration fee is deemed part of the loan principal and is subject to the accrual of interest.

* Personal loan funds are generally deposited via ACH for delivery next business day if approved by 4:30pm CT Monday-Friday.

* All product names, logos, and brands are the property of their respective owners in the United States and/or other countries. All company, product and service names used are for identification purposes only. The use of these names, logos, and brands does not imply endorsement.

* PAYSEND LOANS, LLC Nationwide Multistate Licensing System #1248540.

* Connecticut consumers: all marketing efforts are associated with PAYSEND LOANS, LLC, Small Loan Company License #SLC-128541

* New Mexico Consumers: TO REPORT A PROBLEM OR COMPLAINT WITH THIS LENDER, YOU MAY WRITE COMPLAINTS@PAYSEND LOANS.COM OR CALL . This lender is licensed and regulated by the New Mexico Regulation and Licensing Department, Financial Institutions Division, P.O. Box 25101, 2550 Cerrillos Road, Santa Fe, New Mexico 87504. To report any unresolved problems or complaints, contact the division by telephone at (505) 476-4885 or visit the website.

* PAYSEND LOANS of Washington, LLC DBA PAYSEND LOANS is a wholly-owned and operated subsidiary of PAYSEND LOANS, LLC Nationwide Multistate Licensing System #1448546.

*** INFORMATION RECEIVED WILL BE SHARED WITH ONE OR MORE THIRD PARTIES IN CONNECTION WITH YOUR LOAN INQUIRY. THE LENDER MAY NOT BE SUBJECT TO ALL VERMONT LENDING LAWS. THE LENDER MAY BE SUBJECT TO FEDERAL LENDING LAWS.

ACKNOWLEDGMENT

COPYRIGHT – © 2015 to © 2025 PAYSEND LOANS