New Advance Use this form to Apply for a New Advance. -Customers who have not had a loan with us in the last 90 days may be asked to complete a new application.   *First Name:   *Last Name: *SSN# *Email:   *Enter Amount Requested $1000.00 max *Next Pay Date *Check Number: *Please remember to fax your most recent bank statement showing at least 30 days of activity. Your application cannot be processed without this information.