Green Leaf Loan Group : Online Payday Loan Application Form

Please complete entire 1 page only application
All fields are required.

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Personal Information - Please tell us about yourself

First Name

Last Name

SSN

Date of Birth

Loan Amount You're Requesting *

* To be processed for an Installment Loan or Line of Credit Loan you must request a loan amount greater then $1500.

Home Phone

Cell Phone

Best Time To Call

Address

City

State

Zip Code

Rent or Own

Monthly Payment (rent or mortgage)

Length At Address

Drivers License / ID Number

State Which Issued The License / ID

Banking Information - Where Should the Lender Deposit Your Money?

Bank Name

Account Type

Routing Number
(on lower left of check)

Account Number
(on bottom of check)

Bank Phone

Length At Bank

Employment Information - Please tell us about your job

Primary Income Source

Employer Name

Work Phone

Work Department / Title

Length With Employer

How Do You Get Paid

How Often Do You Get Paid

How Much Do You Get Paid (Monthly)

Next Pay Date

1st

Pay Date After Next

2nd

If you currently have any outstanding Short-Term Loans, we recommend that you evaluate your ability to repay the loan before obtaining additional credit and explore various loan alternatives before inquiring about a loan. For more information, visit OLA Consumer Tips.

If you are currently an active military member, their spouse or dependent then check this box.

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Be patient as your application is processed through up to 20 direct lenders who are
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This process takes 90 seconds or less.

Greenleafloans.com wants to help improve your loan approval chances.

Please Take Care When Entering Your Information

These are the 5 most common errors that cause an application to be rejected:

1. Unacceptable Monthly Income. Income lower then $1,000 per month.

2. Incorrect or Invalid Bank Routing or Account Numbers. Be sure to entering bank account information accurately. Routing numbers are always 9 digits.

3. Invalid Driver's License. Symbols are not accepted. Only numbers and letters.

4. Incorrect Pay Date. Pay Date's cannot fall on a weekend or holiday and must be valid.

5. Incomplete or inaccurate information. Submit complete and accurate information only.

* For Installment Loan or Line of Credit Loan applicants, you must apply for a loan amount that's greater then $1500, otherwise the type of loan you qualify for may not be an installment loan or line of credit loan.

For tax refund loan applicants, Greenleafloans.com nor any of its lenders receive your tax refund directly nor are copies of your tax returns ever requested.

To further assist you and due to the potential of the IRS either keeping or delaying your tax refund the repayment date of the loan will be set on one of your pay dates.

We hope you understand that since we do not file your taxes and cannot know for certain the amount you will be refunded from the IRS, we must base your Refund Anticipation Loan amount on your current income and cap the maximum loan amount at $5000. Be aware that loans of $1500 or less are more easily approved as funding is limited.