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LOAN EXTENSION REQUEST
(CURRENT CUSTOMERS)

To see our policy on Extension Requests click here.

NOTICE: All extension requests must be submitted online and be received by 11 am EST the business day prior to your scheduled full repayment due date in order to be processed.

To request a loan extension to your next pay date, click on the amount of your current advance.
Pin Number:
Social Security Number:
Mother’s Maiden Name:
Email Address:
Home Phone (xxx-xxx-xxxx)
Work Phone (xxx-xxx-xxxx)
First Name:
Middle Name:
Last Name:
Select your next Pay Date (mm/dd/yyyy):	Select

To receive an extension of payment for the original cash advance plus fee, submit this form for the extension fee only to be debited on the original due date.

Enter ANY Information Changes and/or comments in the box below (changes in employment, address, phone number, bank info, etc.

I authorize and request Payday Advances to debit the (extension fee) by ACH/EFT and/or bank draft from my account on the original scheduled repayment date for my current and existing cash advance. I agree that if I have not requested an additional amount to be applied to the current balance on this form, I confirm and authorize that I still owe the original advance amount plus fee, to be debited in full from my account on the extended date shown above. *I agree that if this is 5th or more loan extension request of my original advance, Payday Advances is authorized by me to automatically debit an additional amount equal to the extension fee to be applied towards my balance with each extension of payment request, until the balance is paid in full. I agree to maintain an adequate balance and keep my account(s) open to allow all ACH/EFT and/or bank drafts to Payday Advances to occur in a timely manner for the scheduled due date. I further agree and confirm that by submitting completed/signed internet request forms as a matter of convenience, hereby constitutes the same legal and binding document as providing Payday Advances with my personal post dated check, in the amount of the cash advance plus associated fees. If the payment is returned for ANY reason, I agree that I will also pay a $25.00 return fee. I agree that upon submission of my electronic signature, I am not presently involved in, nor contemplating bankruptcy proceedings now or in the future. I understand, acknowledge, and fully agree this transaction is made pursuant to my current outstanding promissory note/loan document and is NOT an installment loan that I can make payments on, but is due in full on the extended due date above. Furthermore, it is pursuant to the Master Cash Advance Agreement, which has been previously executed and is on file with Payday Advances. YES NO I have read, understand, and agree to the Loan Extension Policy. I understand and agree. Please type your signature If you do not receive an email of confirmation that your extension request was received and processed, this will mean it was not received by us and your account is still scheduled to debit for the full balance due.