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)


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RENEWAL APPLICATION
* = Required Field
We appreciate your return business.  To renew your loan and accurately service your account we need to verify and ask for additional information.  Please complete the below listed form (do not leave any blocks blank).  Then FAX a copy of your End of Month LES/Pay Statement to (334) 598-4019 or e-mail it to jfi@rapidloans.com.
Name:   *
Loan account number: *
E-mail address:   *
Current home address:   *
Current home phone number:   *
Current employer:   *
Current employer address:   *
Current employer telephone number:   *
Are there any changes in your income? (List any new incomes or income previously listed but no longer being received.)   *
REFERENCES:
Name: *  Relationship:   *
Street, city, state and zipcode:   *
Phone number:   *
Name:   *  Relationship:   *
Street, city, state and zipcode:   *
Phone number:   *
Name:   *  Relationship:   *
Street, city, state and zipcode:   *
Phone number:   *
New and old accounts opened or closed in the last 30 days:
New account(s):
(List Name, Number & Date Opened)
   *
Old account(s) closed in last 30 days:
(List Name and date closed)
                  *
                              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). *