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Loan Application Cash Xpress

Cash Xpress

Want to apply offline? Download our loan application form to get started. Just fill in your details and email it to our team at [email protected].

I hereby apply for a loan of CI $ to be repaid on and certify that all information provided in this loan application is true, complete, and acknowledges that such information will be used by Cash Xpress to determine my credit worthiness. I further expressly agree that any advances to me are made by Cash Xpress in reliance on the information disclosed in this loan application. I consent to Cash Xpress taking such steps as it deems necessary to verify any of the information given.

Loan Calculator

Break-up of Total Payment

Principal loan Amount
$100000

Interest Amount
$27482

$127482
Total Amount Payable
Disclaimer: The aforementioned values, calculations and results are for illustrative and informational purposes only and may vary basis various parameters laid down by Cash Xpress.

Part 1 - Applicant's Details


Part 2 - Co Applicant Details


Part 3 - Employment Details

Or State Self Employeed

Part 4 - Loan Request Details

(Payday or Title)
(Per Pay Period)
(WKLY/2-WKLY/MTHLY/CONTRACT)
(Cash/ Check/ Direct Debt/ Credit Card/ Bank Transfer)
(Date & Month)
(Input Number)

Part 5 - References Contact Information

References #1

References #2

(Name, Phone# & Address)

Part 6 - Applicant Certification Signature & Date

Drag and drop a file here
or browse your computer and select a file to upload.
Recommended file formats: JPEG, JPG, PDF, PNG up to 5 MB
Coloured Copy
Drag and drop a file here
or browse your computer and select a file to upload.
Recommended file formats: JPEG, JPG, PDF, PNG up to 5 MB
(Must be addressed to CashXpress) & 2 most recent pay slips
Drag and drop a file here
or browse your computer and select a file to upload.
Recommended file formats: JPEG, JPG, PDF, PNG up to 5 MB

I) PERSONAL EXPENSES Per Month (CI$)
Mortgage Loan (Cash)
Rental
Telephone (Residence & Mobile)
Electricity / Water / Gas
Cable TV / Internet
Food / Groceries
Eating Out
Clothing
Personal Insurance
Medical
Cigarette / Alcohol
Vehicle Loan
Motor or Road Insurance
Transport (Gas)
Domestic Servant - Levy $
Domestic Servant - Salary $
Allowance for Parents
Entertainment
Hobbies and Sports
Tour and Family Outings
Others Expenses
1.
Sub Total (A)
Note: Please go to the top of the page and enter the II) DEBT / LOAN details.
II) DEBT / LOAN Per Month (CI$)
Credit Cards (total min.payment)
Car Loans (total min.payment)
Others Expenses
1.
Sub Total (B)

III) CHILD(REN) EXPENSES No. of Child(ren) applied for :

Total expenses for all children Per Month (CI$)
Food / Groceries
Clothing / Diaper
Medical
Personal Insurance
School Expenses (Books/Stationery)
Transport
Pocket Money
School Fees
Childcare
Enrichment / Tuition
Entertainment
Hobbies and Sports
Tour and Family Outings
Sub Total (C)
Note: Please go to the top of the page and enter the Debt / Loan Profile details.

Debt / Loan Profile

Credit Card Issuing Bank Total outstanding amount as of today
Others Expenses
1.
Total
Name of Child(ren)
Age
1.

Total Monthly Expenses

Total Expenses for all CI$
Grand Total A
Grand Total B
Grand Total C
Grand Total
Note: This information will be stored locally in your browser. If your browser session ends, your data may be cleared.

ASSETS AND INCOME

No Description of Assets (include assets in foreign country) Amount / Value (CI$)
1
2
Securities
(Ex.: Shares, Bonds)
a.
3 Bank Accounts (PROVEN / RBC / CIBC / CNB)
No Description of Assets (include assets in foreign country) Amount / Value (CI$)
4 Vehicle
5
Other sources of Income
(Ex.: Rental proceeds, interests, commissions, dividends)
a.
TOTAL

DECLARATION

Date :

22-12-2024

Client Number :

-

Loan Number :

-

Receipt Number :

-


Borrower

First Name :

-

Last Name :

-

Physical Address :

-

Physical Address 2 :

-

Mailing Address :

-

Mailing Address 2 :

-

Email :

-

Phone :

-

Lender

102#, 260 Crewe Road, Crighton Building, George Town, Cayman Islands


Borrower Information

Employee Name :

-

Identification Number :

-


Loan Details

Borrow Date :

-

PRP % :

-

Daily Rate :

-

Amount Borrowed :

-

Fees Charged :

-

Total Due :

-

Number of Payment :

-

First Payments due :

-

Last Payments due :

-

Payment Amount :

-

Security Note

-

Replacement Method

By providing the Lender with the following details the Borrower correspondingly authorizes the Lender to effect debit transactions to said account in the amounts and at the periods agreed thereto in this agreement, namely the Payment Amount.

Id Bank Name Acoount Type Account Number Value

Declaration

I, , formally declare and agree to the terms outlined in the application for loan type with Cash Xpress. I understand and acknowledge that by submitting this application declaration agreement, I am indicating my compliance with the stated guidelines, rules, and requirements.

I, , declare that all information in my application is true, accurate, and complete to the best of my knowledge. I understand that any false or misleading information may result in disqualification from the application process.

Furthermore, I am fully committed to adhering to all the policies, procedures, and regulations Cash Xpress sets forth. I acknowledge that I have thoroughly reviewed and understood the terms and conditions in the application and am dedicated to complying with them.

CASH XPRESS TERMS & CONDITIONS

  1. Acceptance of Terms :
    By completing the application, you are agreeing to be bound by these Terms and Conditions and our Privacy Policy.
  2. Access and Use :
    To complete the application, you must be 18 years of age or older. It's your responsibility to ensure that your use of the application complies with all applicable laws and regulations. This includes but is not limited to, respecting intellectual property rights and maintaining privacy standards.
  3. Intellectual Property :
    The application and its original content, features, and functionality are the property of Cash Xpress and are protected by international copyright, trademark, patent, trade secret, and other intellectual property or proprietary rights laws.
  4. Privacy :
    The collection, use, and disclosure of your personal information are governed by our application's Privacy Policy. By using the application, you consent to the terms of the Privacy Policy.
  5. Disclaimer :
    The application is provided "as is" and "as available" without any warranties. We cannot guarantee that the application will be error-free, secure, or uninterrupted.
  6. Limitation of Liability :
    We shall not be liable for any indirect, incidental, special, consequential, or punitive damages or any loss of profits or revenues arising from your use of the application.
  7. Termination :
    We reserve the right to terminate or suspend your access to the application at any time, without notice, for any reason.
  8. Governing Law :
    These Terms and Conditions are governed by and construed in accordance with the laws of the applicable jurisdiction.
  9. Changes to Terms :
    We may revise these Terms and Conditions at any time without notice. By using the application after any such change, you agree to comply with and be bound by the revised Terms and Conditions.

By completing this application, you confirm that you have read, understood, and agree to these Terms and Conditions. This is a binding agreement between you and Cash Xpress, and it's important that you fully understand and accept these terms before using the application.


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