EmpirePaydayAdvances.com


	Pre Qualification Form
	Directions: Simply fill our our Pre Qualification form and continue to Step 2. Qualifying is fast and easy, and will take approximately 90 seconds
	*Requested Amount
	*Monthly Income	*Do you have a Bank Account?


	*First Name	*Last Name


	*Street Address	Apartment # / Street Address 2


	*City	*State


	*ZIP:	*Home Phone:
	*Email Address:

	ARE YOU 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 fewer (or a dependent of such member). More Information

	No Yes

	Please keep me informed with other FREE financial offers brought to you by Credit & Debt Solutions, Inc.

	No Yes

*EMPIREPAYDAYADVANCES.COM (aka: CREDIT & DEBT SOLUTIONS, INC.) IS NOT A FINANCIAL INSTITUTION OR A LENDER and does not make cash advances or credit decisions. EmpirePaydayAdvances.com is the connection between people seeking payday loans and payday advance lenders. Completion of this form in no way guarantees or warrants that you will be approved for any cash advance loan. We will direct you to one of our participating service providers who will provide you with an application for a short term loan. Not all lenders can provide up to $1500 Loan and Cash transfer time may vary between lenders. EmpirePaydayAdvances.com is not an agent or representative of any service provider and does not endorse any service or product. For more information on the use of this web site, see our Privacy.

**Typically lenders will not perform credit checks with the three credit reporting bureaus: Experian, Equifax, or Trans Union. However, credit checks or consumer reports through alternative providers such as DataX, Teletrack or DP Bureau, which typically will not affect your credit score, may be obtained by some lenders.

*This site will match you with the best cash advance lender based on your application. Not all lenders can provide the maximum loan amount. By clicking on the "Submit" button, you certify that you are at least 18 years old and agree to the Privacy Policy.