SplashCash

Desired Loan Amount

$

USD

First Name

Last Name

Email

Create Password

Confirm Password

Birthdate

Social Security Number

Identification Number

Identification State

Street Address

City

State

Postal Code

Mobile Phone

🇺🇸 +1

Home Phone

🇺🇸 +1

Monthly Income

$

USD

Employer

Next Pay Date

Payment Frequency

Title

Employer Phone

🇺🇸 +1

Paycheck Type

Routing Number

Account Number

Checking Account Age In Months

Can Be Contacted Via Phone

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Department of Defense Identification of Covered Borrower Statement

Federal law provides important protections to active duty members of the Armed Forces and their dependents. To ensure that these protections are provided to eligible applicants you are required to choose one of the following:

I AM NOT 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 a member).

I AM 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 t hat does not specify a period of 30 days or fewer.

I AM a dependent of a member of the Armed Forces on active duty as described above, because I am the member’s spouse, the members child under the age of eighteen years old, or I am an individual for whom the member provided more than one-half of my financial support for 180 days immediately preceding today’s date.