Albany Finance : Your One-Stop Money Store

Filing Status

Email

Delivery Method

How Did You Hear

Applicant Name

Social Security Number (9 DIGITS)

Repeat Social Security Number

Date Of Birth

Spouse Name

Spouse Social Security Number (9 DIGITS ONLY)

Repeat Spouse Social Security Number

Spouse Date Of Birth (FORMAT: 01/01/2000)

Current Address

Apartment Number

City

State

Zip

Home Phone

NOTE: At least one phone number is required

Mobile Phone

Work Phone

Work Phone Extension

Name Of Employer

Employer Address

Employer Phone

Position

How Long Employed

Pay Dates

Dependents

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

Personal References

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

Monroe Office

West Monroe Office

Bastrop Office

Mobile Only

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.

I Agree To Terms

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.

About Us

Monroe

West Monroe

Bastrop