| Loan applicant agrees and acknowledges that in the event any check and/or ACH 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 Swansea Quick Cash, Inc. (Lender). Swansea Quick Cash, Inc. may exercise its option to accelerate upon any default by Borrower regardless of prior forbearance. In the event customer fails to honor loan agreement regardless of Security obtained by Lender, the account may be turned over for collection, and/or legal civil action may be initiated to recover the amount due as detailed in the Loan Agreement. I agree Swansea Quick Cash, Inc. and/or their representative may contact any person listed on this Installment Payday Loan Application form or any other persons having dealings with me in order to obtain information and/or discuss any debts which I owe Swansea Quick Cash, Inc. to the extent not prohibited by law. I understand that Swansea Quick Cash, 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 Swansea Quick Cash, Inc. |
| Swansea Quick Cash, Inc. 2704 N. Illinois St., Suite 102, Swansea, IL 62226 Ph 618-235-3636 INSTALLMENT PAYDAY LOAN APPLICATION |
