175-H N. Daleville Avenue., Post Office Box 550, Daleville, AL  36322-0550

Phone: (334) 598-1563 and 598-3888 Fax: (334) 598-4019
Email: jfi@rapidloans.com; robin@jonesfinance.com; mrj@jonesfinance.com

Hours: 9:00 am - 5:30 pm CST (Open some Saturdays from 10:30 am to 3:00 pm CST)


Caution:  Because of image validation security requirements, you must have a current version of java on your computer to submit the application. Click here to get the latest version.


* = Required Field
APPLICATION FOR SECURED CREDIT (Alabama Area Resident):
How did you find this website?     *
Amount of Loan Requested:         *
Purpose of Loan:     *
Name (Last, First, Middle):   *
Social Security Number:     *
Date of Birth:     *
E-mail Address:     *
Residential Address (RR#, Street, Apt #, / APO or FPO):   *
City:      *     State:      *     Zipcode:      *
Years at Present Address:      *
Do You Rent or Own?:     *
Years at present address:   *
Landlord Name/Mortgage Co. (Verification):   *
Landlord/Mortgage Co. Phone Number:           *
Employer:   *
Employer address (RR#, Street, Apt. #, /APO or FPO):   *
City:      *     State:      *     Zipcode:      *
Personnel office phone number (verify employment):   *
Date of Hire:    (mm-dd-yyyy)
Home Phone Number:   *   Cell Phone Number:   *
Work phone number (Commercial not DSN):   *
Facimile (FAX) Number:   *
Supervisor name:   *
Supervisor phone number (Commercial, No DSN):   *
Name of Spouse:   *
Number of Dependents:   *
Do You Have a Checking Account?:  Yes  No *
Do you have direct deposit?  Yes  No *
List any other name under which you have obtained credit:   *
Has your pay been garnished?  Yes  No *
What is your monthly take home (Net) pay?   *
Other Income Amount / Source: (Alimony, child support, separate maintenance income need not be revealed if you do not wish to have it considered as a basis for replaying this obligation.)   *
List your creditors / monthly payment / amount owed:   *
Have You Filed for Bankruptcy in the last ten years?:  Yes  No *
Bankruptcy Discharge Date (Month/Year):   *

COLLATERAL AND MONTHLY EXPENSES SHEET

In order to process your loan we must have sufficient collateral to cover the loan. If you do not list collateral and provide the necessary information regarding the collateral, we will not be able to process your application.

Our general guidelines for small loans are as follows:

     $100.00 to less than $1,000.00 requires personal property, such as electronic equipment, musical instruments, sports equipment, power tools, lawn power tools, camera equipment.

     $1,000.00 to $3,000.00 requires a vehicle as collateral. You must have a clear title with no liens. The loan value of the vehicle must exceed the amount of the money requested and must be sufficient to cover the amount of the total payments of the loan. Please fax or email a copy of your title with registration when you submit a loan application; fax number 334-598-4019, email jonesfin@graceba.net

We use only property authorized by the Federal Trade Commission Trade Regulation Rule, Title 16, Code of Federal Regulations, Sec 411, 1  Household goods are defined as: Clothing, furniture, appliances, one radio and one television, linens, crockery, kitchenware and personal effects (including wedding rings).  The term does not include, works of art, electronic entertainment equipment (except one television and one radio), antiques and jewelry (except wedding rings).

Item:                  *  Item:        *    Item:      *
Yr. Purchased:   *                        Yr. Purchased:   *                 Yr. Purchased:   *
Serial #:             *  Serial #:  *     Serial #:  *
Model #:           *  Model #:  *   Model #:  *
Value:                * Value:       *   Value:       *
Vechicle Information (Make, Model, Year, VIN# and First Lienholder):  *
FAMILY REFERENCES:
Name:  * Relationship:      *
Phone #:   *     Address:   *
Name:  * Relationship:      *
Phone #:   *     Address:   *
FRIEND REFERENCES:
Name:   *  Relationship:   *
Phone #:   *  Address:   *
Name:   *  Relationship:   *
Phone #:   *  Address:   *
Monthly Expenses:
Rent:          * Phone:     * Car:                 * Childcare:         *
Water:        * Cable:     * Insurances:       * Credit Cards:    *
Electricity:   * Food:      * Child Support:  * DPP/AAFES:   *
List Allotments and Who Payed to: *
Applicant(s) having first read this application, hereby execute(s) same on the application date shown above, certifies that applicant(s) is/are the legal age(s) 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 represent applicant(s) income relied upon as the basis for 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 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.
                              COVERED BORROWER IDENTIFICATION 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, we require you to acknowledge one of the following statements, as applicable: (Warning: It is important to fill out this form accurately. Knowingly making a false statement on a credit application is a crime.)
  Yes  No  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 that does not specify a period of 30 days or fewer.  *
  Yes  No  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 member's 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. *
  Yes  No  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 or such member). *

Don't Forget, you must FAX verification of all sources of income to 334-598-4019 or e-mail it to jfi@rapidloans.com before we can process your application.


          I agree *