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Loan Applicant Requirements Must be at least 19 ears of age or older Valid Drivers License or sate issued I.D. Employed at least 60 days Proof of income Must be a resident of Alabama Monthly income is welcome, No Checking our savings account is required. All loans are subject to our liberal credit limits and company lending policies. Applications received from the web site usually have a 24-hour approval time.  Before starting the online loan application, please click here to read our loan policies provided below. Simply complete our online application and submit it, we will review your application and a Simple Loans representative will contact you within one business day. This page is protected by a GeoTrust Premium certificate with 256-bit SSL encryption to meet your privacy needs (the lock at the bottom of your browser indicates a secure page)   ** Indicates a Required Field (cannot leave that box empty)   Full Name ** Spouse  (only if filing jointly) Address ** City, State, Zip ** Home Phone ** Mobile/Cell Phone Years at Residence Previous Address ** City, State, Zip ** Years at Residence Social Security # ** Employer ** Job Title How Long Have you worked there? Supervisor's Name ** Phone Number ** Net Pay Is that Weekly, Every 2 weeks, or Monthly? Loan Amount Desired Purpose of Loan How Did You Hear About Simple Loans?   Please provide us with five references.   First Reference:   Full Name Address City & State Phone #   Second Reference:   Full Name Address City & State Phone #   Third Reference:   Full Name Address City & State Phone #   Fourth Reference:   Full Name Address City & State Phone #   Fifth Reference:   Full Name Address City & State Phone #   In the area below, please add any additional questions or comments A representative will contact you as soon as possible You will be redirected to a verification page after submittal Applicant(s) having first read this application, hereby executes same on the application date shown above, certifies that applicant(s) is the legal age to contract and that all of the above statements are true and complete and are made for the purpose of obtaining the credit applied for, warrants that the above statements fully represents applicant(s) income relied upon as the basis of repayment of the credit and total indebtedness, authorizes lender to communicate with applicant(s) or any person or corporation or governmental agency in connection with and during the pendency of this application or of any credit granted, for the purposes of investigation of the references or statements listed above or other data obtained from applicant or for purposes of extension or review or collection of said credit granted and any further credit extension or solicitation, UNDERSTANDS THAT THE PURCHASE OF CREDIT LIFE AND/OR CREDIT DISABILITY INSURANCE is not required by Lender to obtain loan, understands that Lender must notify an applicant within 30 days as to approval or rejection of the application and can request Lender's reasons for the action taken.   I acknowledge that this Application and any supporting documentation provided with it are Simple Loans’ property.I represent and warrant that I am not currently a debtor in any bankruptcy proceeding and that I do not intend to file a bankruptcy petition under any chapter of the U.S. Bankruptcy Code during the term of the loan for which I am applying or within a 90 day period following the repayment of such loan. I authorize Simple Loans or its contractors and affiliates to request and receive credit reports from time to time pertaining to me from any Consumer Credit Reporting Agency, check my credit and employment history, and answer questions about their credit transactions or experiences with me. Reduction in principal is based on credit approval and applicants ability to pay. AS REQUIRED BY LAW, I AM HEREBY NOTIFIED THAT A NEGATIVE CREDIT REPORT MAY BE SUBMITTED TO A CREDIT REPORTING AGENCY WITHOUT FURTHER AUTHORIZATION IF I FAIL TO FULFILL THE TERMS OF MY CREDIT OBLIGATIONS. NOTICE REGARDING EQUAL CREDIT OPPORTUNITY ACT: The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided that the applicant has the capability to enter into a binding contract); because all or part of the applicant's income derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with this law concerning this creditor is the Federal Trade Commission, 633 Indiana Ave., N.W., Washington, D.C. 20580