Apply online for a loan

Loan applicant(s) agrees and acknowledges that in the event any item issued by him/her is not honored by
applicant's bank for any reason including non-sufficient funds, closed account, stop payment, etc., there will be
an automatic additional Return Item Fee of $25.00 charged and due.

In the event customer fails to honor loan agreement regardless of Security obtained by Lender, the account
may be turned over for collection, repossession, and/or legal action may be initiated to recover the amount due
as detailed in the Loan Agreement.

I agree Quick Cash of Illinois, Inc. and/or their representative may contact any person listed on this Installment
Loan Application form or any other persons having dealings with me in order to obtain information and/or
discuss any debts which I owe Quick Cash of Illinois, Inc. to the extent not prohibited by law.  I understand that
Quick Cash of Illinois, Inc. may rely on other credit reporting agencies, including but not limited to Teletrack
Inc® and/or Veritec Services® to approve a Loan.  I waive any and all invasion of privacy claims against Quick
Cash of Illinois, Inc.
I Agree
I Agree
I Do Not Agree
I Do Not Agree
Quick Cash of Illinois, Inc. 632 N. Market St. Waterloo, IL 62298 Ph 618-939-9797

CONSUMER INSTALLMENT LOAN APPLICATION (205 ILCS 670/1 et seq)
Waterloo Quick Cash logo