I, blanks* request an advance payment of $blank* of my wages/salary payable on my next payroll. I understand that I am eligible for no more than one emergency payroll advance per pay period and that amount not to exceed my earnings with fees. All advances are paid back in full in one check. There will be flat fee of $35.00 for loans under $100.00 during business hours and after business hours includes days closed, it be 15%. Anything over $100.00 will be 25% during business hours and 30% after business hours includes days closed. If this request is approved, I would like to receive this advance by cash app, apple pay or paypal (only these) (type place/ name in of where to send the field an tag name, example: cash app/$gentlehands) (type where to send here) *(type tag name here) Type a label.* Please ensure the cash app, apple pay and paypal name correct. If you enter it in wrong, Gentle Hands home Care LLC is not responsible for the funds being deposited in the wrong account. The loan will still be taken out of the next payroll check. We copy and paste the name to insure its correct. If you fill out a loan form, more than once due to error, you will pay a $10.00 fee.