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Emergency Loan Inquiry Form

Thank you for your interest in applying for an Ascend Emergency Loan. This inquiry form is the first step and is not a full loan application. Please do not submit Social Security numbers, bank account information, or sensitive documents through this form. After we review your inquiry, we will contact you with next steps.

Address
Are you a US Citizen?
Please list the amount you seek to borrower ($500-$1,000)
Please enter a number from 500 to 1000.
Briefly describe the emergency or essential expense that will be covered with this loan. If you wish to consolidate an existing payday loan, please explicitly state that as your purpose.
How Soon is Assistance Needed?(Required)
Have You Previously Received a Loan from Ascend?(Required)
Have You Filed Bankruptcy in the Last Two Years?(Required)
Are There Any Active Judgements Against You?(Required)
Acknowledgement(Required)
I understand this inquiry form is not a loan application or loan approval. I understand that Ascend Financial may contact me to request additional information and may provide a separate loan application if I appear eligible. I agree not to submit sensitive personal information, Social Security numbers, bank account information, or documents through this inquiry form.