How much do you need?

Hi there! I’m Sarah, I’m here to help you find a loan.

$100 - $500

$500 - $1000

$1000 - $2500

$2500 - $5000

$5000 and over

How long do you need to pay it back?

Alrighty, let’s get started! Choose the time needed to repay your loan.

1 - 3 Months

3 - 6 Months

6 - 12 Months

1 - 2 Years

Home Address

What is your current residential address?

Zip/Postal code

Street Address

Home City

Home State Select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Your Name

Enter your full legal name for the person the loan will be given to.

First Name

Last Name

Email Address

Provide the email address where you would like to receive your loan request confirmation.

Email Address

By clicking "Continue", you agree to our Terms & Conditions and Privacy Policy and to receive important notices and other communications electronically.

Phone Number

Your loan request may need final confirmation by phone before funding.

Contact Number

By providing your number and clicking “Continue”, you consent to receive calls, texts and pre-recorded messages from Fast5kLoans, its Lending Partners and/or Network Partners.**

Contact time

If we need to contact you, what is the best time?

Morning

Noon

Night

What's your Birthdate?

Your date of birth is needed to verify your identity.

Month Choose January February March April May June July August September October November December

Day Choose 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Year Year 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924

Do you have $10,000 or more in credit card debt?

Give us an estimate, this will not affect your loan request.

Yes

No

Do you have $10,000 or more in unsecured debt?

Unsecured debt are loans that are not backed by collateral or property, like your house or car.

Yes

No

Can you afford an aggregated monthly payment of $250?

Would you be able to make payments of at least $250 a month?

Yes

No

Are you an active-duty military member?

Only click yes if you are an active-duty service member.

Yes

No

Do you rent or own your current residence?

Do you currently rent or own your home?

Own

Rent

Do you have a car registered in your name?

EXPAND your request to INCLUDE auto title loan options that may have better rates or terms.

Yes

No

Is the car paid off?

Yes

No

How long have you lived at your residence?

Tell us how long you have lived at your current residence.

1 Year or less

2 Years

3 Years

4 Years

5 Years or more

Income Source

Are you currently employed or receiving benefits?

Employment

Benefits

Time Employed

How long have you been with your current company?

1 Year or less

2 Years

3 Years

4 Years

5 Years or more

Pay Frequency

How often do you receive a paycheck?

Weekly

Bi-Weekly

Monthly

Semi-Monthly

Monthly Gross Income

Approximately how much do you make each month before taxes?

$5000 or more

$4000 - $5000

$3500 - $4000

$3000 - $3500

$2500 - $3000

$2000 - $2500

$1500 - $2000

Below $1500

Next Pay Date

Tell us when you will be getting paid next.

Choose your next payday

Employer Name

This information is used to verify your employment to ensure you can repay your loan.

Employer Name

Employers Phone Number

This phone number is simply used to confirm your employment.

Employers Phone Number

What Is Your Driver’s License/State ID Number?

Your driver's license number is used to verify your identity and prevent fraud.

Drivers license or State ID

License State Select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Social Security Number

Your SSN is used to verify the individual that the loan will be given out to.

Social Security Number

Providing your SSN will NOT affect your credit

Credit Score

Please estimate your credit score below.

Great 700 +

Good 600 - 700

Fair 500 - 600

Poor < 500

not sure

Loan Reason

To point you in the right direction, tell us the reason for your loan.

Credit Card Debt Relief

Student Loan Relief

Debt Consolidation

Other

Bank Account Type

Banks are significantly more likely to fund checking accounts than savings accounts.

Checking

Savings

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No Bank Account?

Length of Bank Account

How long have you had this bank account opened for?

One Year or less

2 Years

3 Years

4 Years

5 Years

Do You Have Direct Deposit?

Banks are significantly more likely to fund accounts with direct deposit.

Yes

No

Banking Information
ABA Routing Number

Where would you like the funds to be deposited? The ABA number is a 9-digit code that identifies your bank.
No Bank Account? Click Here

ABA Routing Number

Banking Information
Bank Account Number

FINAL STEP - Your bank account number will ensure your loan ends up in the right place!

Bank Name

Bank Account Number

Submit Loan Request

By clicking “Finish Form” I affirm by electronic signature that (1) I have read, understand, and agree to the Privacy Policy, Terms and Conditions, E-consent and Credit Authorization, and (2) I give my express authorization to share my information with Fast5kLoans, lenders, and other marketing partners to contact me at the information provided above via phone call, SMS/text message and/or email.