PLEASE READ BEFORE PROCEEDING: By clicking the Submit button I hereby authorize Cash 2 U and its affiliates and/or service providers to use my personal and confidential information in any manner consistent with the Cash 2 U privacy policy which can be viewed by clicking the applicable link at the bottom of this web page. I certify that the information supplied by me is true and correct. I authorize verification of the truthfulness of all information contained herein, including verification of income and banking information. I expressly authorize contact with any person or company identified above to verify any of the above information or to leave a message for me. I also expressly authorize Cash 2 U and/or its service provider to contact me regarding this application. Any false statement made by me shall be sufficient basis for rejection.

I have read and understand the above statements. I acknowledge that this application and any supporting documentation provided with it is the property of Cash 2 U. I represent that I am neither a current nor a former Cash 2 U, National Cash Advance, First American Cash Advance, First American Loans, Check Advance, Purpose Money, Purpose Financial, or Express Check Advance employee. I attest that 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 less. Nor am I an Active Guard and/or Reserve member of the military currently serving on active duty or who has served on active duty within the past 180 days, nor am I a spouse, child, or other dependent person who derives more than one-half of my monetary support from a member of the military who is on active duty or has been on active duty within the past 180 days.

I certify that I am at least 18 years of age; or I am a resident of Alabama or Nebraska and I am at least 19 years of age; or I am a married resident of Alabama and I am at least 18 years of age.

I authorize Cash 2 U to perform credit checks, searches and/or analysis of data in certain state-required databases, as well as other commercially available and/or proprietary databases, in order to identify consumers who have a record of transactions with certain lending institutions to verify truthfulness or accuracy of my information, and/or to determine whether or not I qualify for an advance. 
You warrant that all of the information you have provided to us in this form is true, correct and complete.