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APPLY FOR CASH

  Are you 18 years of age or older?
Yes No
  Do you make at least $800 per month?
Yes No
  Do you have an active checking account?
Yes No
  You are paid by:
Direct Deposit
Paper Check
  Are you Employed:
 Full Time
Part Time
  Length Employed:
  You are paid:
  Are You Active Military?
Yes No
  You live in: