Tax Advance Loan Application

To apply for your Tax Advance Loan, fill out form below, check the box to agree to the terms of the application and then click the Submit Application button at the bottom of the form. Required fields are indicated.

NOTE: At least one phone number is required

List all dependents on separate rows. Include Name, Age, Date of Birth, Relationship and Social Security Number for each dependent

Enter a name, city and state, phone number and relationship for up to 4 references. Place each reference on a separate line

By checking the 'I Agree To Terms' box you are confirming that you agree to the terms printed below.

ALBANY FINANCE, LLC, will prepare your Individual Tax Return from the information you have provided. We will not audit or verify the information you furnish to us. You, the Tax Payer, are ultimately responsible for the preparation and filing of your Return.

I, the Taxpayer(s) named above, have provided ALBANY FINANCE, LLC, the tax information. To the best of my knowledge, this information is accurate and true.

I hereby grant ALBANY FINANCE, LLC, as lender the right to verify all information on this credit application, to include obtaining a credit report from an authorized credit reporting agency.