FastFundiLoans

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Birthdate

Social Security Number

Identification Number

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Street Address

City

State

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Mobile Phone

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Home Phone

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Monthly Income

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Employer

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Can Be Contacted Via Phone

Can Be Marketed To Via Email

SMS Communications - please send me account-related messages to the mobile number provided.

SMS Communications - please send me promotional messages to the mobile number provided.

Please OPT-IN to emails and SMS communications by toggling the switches above to blue so that we can deliver important information from the state as well as updates concerning your loan application. YOUR LOAN WILL NOT BE APPROVED IF WE CANNOT COMMUNICATE WITH YOU EFFECTIVELY.

Department of Defense Identification of Covered Borrower Statement

Federal law provides important protections to active duty members of the Armed Forces and their dependents. To ensure that these protections are provided to eligible applicants you are required to choose one of the following:

I AM 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 a dependent of such a member).

I AM 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 t hat does not specify a period of 30 days or fewer.

I AM a dependent of a member of the Armed Forces on active duty as described above, because I am the member’s spouse, the members child under the age of eighteen years old, or I am an individual for whom the member provided more than one-half of my financial support for 180 days immediately preceding today’s date.