• APPLICATION FOR FUNDING

  • INDIVIDUAL INFORMATION

  • Date of Birth*
     / /
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Date of Issue*
     / /
    2 digit month, 2 digit day, 4 digit year
  • Expiration Date*
     / /
    2 digit month, 2 digit day, 4 digit year
  • Own or Rent?*
  • Previous Address (If you are living at current address less than 2 years)

  • Have you or anyone in you family ever served in the US Military?*
  • EMPLOYMENT INFORMATION

  • Format: (000) 000-0000.
  • Date of Hire*
     / /
    2 digit month, 2 digit day, 4 digit year
  • FINANCIAL INFORMATION

  • LENDER-SPECIFIC QUESTIONS

    Optional - Can Help Expand Funding Opportunities
  • Nearest Relative (Not Living with You)

  • Format: (000) 000-0000.
  • Assets

    Please input your personal asset details if available
  • SERVICE CONTRACT

  • 1. IDENTIFICATION OF PARTIES
    This Consulting Agreement (“Agreement”) is made between MyCashClient, LLC (“Company”), and
    {firstName} {lastName} (“Client”). Collectively referred to as the
    “Parties.”
    2. FUNDING SERVICE TO BE PROVIDED
    Company will assist Client in obtaining loans and/or credit cards (“Funding”) in the name of Client and/or the Client’s business. Client is under
    no obligation to accept any funding offered and may specify preferred or excluded funding types. Funding may include personal loans, business
    loans, credit cards (personal or business), or other credit products. The total requested amount may be distributed across multiple accounts.
    Each lender will conduct its own credit inquiry. Credit may be issued in the business’s name but will require a personal guarantee from Client.
    Client acknowledges full responsibility for the use, misuse, or non-use of any funding obtained through Company’s assistance.
    3. USE OF SERVICE PROVIDERS
    The company may fulfill services through affiliated partners or third-party vendors. Use of such providers does not alter Client’s obligations.
    4. FEES OWED TO COMPANY
    Client agrees to pay Company a fee of {utm_version}% of each Funding product approved and accepted by Client (“Fee”). Fees are only due upon
    acceptance of funding. Company will issue an invoice per funding product; payment is due within 3 days. No fees are due if Client declines the
    funding offered. Client will never owe any fees upfront or for cancellation to company or any affiliate/service provider partnered with
    company.
    5. SERVICE GUARANTEE
    Company’s services are free if no funding is accepted. Client may cancel services at any time in writing. No oral cancellations are valid.
    6. CREDIT IMPACT & FUNDING DISCLOSURE
    Client acknowledges that applying for multiple credit products will result in multiple hard inquiries and will affect their credit score. Client
    understands that funding may consist of personal loans, business loans, and/or credit cards all of which require a personal guarantee. Client
    understands credit use will affect credit standing.
    7. POWER OF ATTORNEY
    Client grants MyCashClient, LLC a limited power of attorney (POA) to complete and submit funding applications on Client’s behalf. This POA is
    strictly limited to activities related to this Agreement and is revocable in writing. All actions taken under this Power of Attorney shall be conducted
    in good faith and in full compliance with applicable state and federal laws, including but not limited to the Electronic Signatures in Global and
    National Commerce (ESIGN) Act and the Truth in Lending Act
    (TILA), as applicable. The POA expires upon termination of this Agreement.
    8. CLIENT RIGHTS & CO-SIGNER USE
    Client has the right to request a list of lenders and may decline submissions to specific parties. If a co-signer is used, they must consent
    separately and in writing. No applications will be submitted using any third party’s information without their explicit authorization. Each client
    and co-signer must execute this agreement personally; no client may sign on behalf of another person or submit applications in another's
    name without full legal authorization. Company is not liable for any submissions initiated by unauthorized third parties.
    9. COOPERATION BY CLIENT
    Client agrees to provide accurate financial information and cooperate with all lender requests. Some applications may require Client to apply
    directly at Company’s direction. These are still subject to the same fee.
    10. NON-CIRCUMVENTION
    Client agrees not to intentionally use information, contacts, or lender access points provided through Company’s services to secure funding
    directly, without compensating Company as agreed herein. This applies solely to funding opportunities where Company provided direct
    application support or lender introduction, and shall remain in effect for 180 days following the termination of this Agreement.
    11. LIMITATIONS OF LIABILITY
    a. Company offers no guarantee of funding amount or approval.
    b. Company has no control over APRs or credit terms.
    c. Client is solely responsible for the use and repayment of obtained credit.
    d. Company disclaims liability for credit decisions, defaults, or misuse of funding.
    e. Company is not responsible for any credit damage resulting from funding processes initiated with Client's consent.
    f. Company will perform all services in accordance with applicable federal, state, and local laws, including but not limited to the FTC Act, FCRA,
    and applicable lending regulations.
    12. REFUND & CANCELLATION POLICY
    Fees are non-refundable once funding is accepted. If Client cancels before accepting funding, no fees are owed.
    13. GOVERNING LAW
    This Agreement is governed by California law and venue lies in Los Angeles County.
    14. ATTORNEY'S FEES
    Prevailing party in any dispute is entitled to recover legal fees and costs.
    15. EFFECTIVE DATE
    This Agreement becomes effective upon Client’s signature.
    16. ACKNOWLEDGEMENT
    Client understands that Company helps identify and submit applications for funding (personal loans, business loans, credit cards, or similar
    products) through third-party lenders. Company is not a lender and does not issue or decide funding. Approved amounts may be spread across
    multiple accounts. All credit is issued at the sole discretion of the lender, who will conduct its own credit inquiries. Credit may be issued under
    the Client’s name, business name, or both—but always requires a personal guarantee from the Client or a principal.
    Client accepts full responsibility for how any funding is used or not used. Client may cancel at any time with writien notice; oral cancellations are
    not valid. No fees are charged unless funding is accepted. There are no upfront, cancellation or automatic charges. If funding is accepted, an
    invoice will be issued, and payment is due as agreed.

  • Date*
     / /
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: