Apply for Loans in Canada

Amount Requesting

Minimum $100.00, Maximum $1500

Email Address

This will also be your user name.

First Name

Last Name

Sex

Male Female Other

Birthday

SIN

Your information is kept private.

Mailing Address

City

Postal Code

Home Phone Number

Cell Phone Number

Income Source

Delete This Income Source

You must specify an income source!

Employer Company Name

Employer Phone Number

Your Position

Employed Since

Status

Industry

Net Pay Per Cheque

Pay Period

Last Pay Day

Next Pay Day

Direct Deposit

Net Pay Per Cheque

Is Direct Deposited

Last Pay Day

Next Pay Day

Net Pay Per Cheque

Pay Period

Is Direct Deposited

Description

Last Pay Day

Next Pay Day

Net Pay Per Cheque

Pay Period

Is Direct Deposited

Bank

Transit Number

Account Number

Please wait while we load the bank verification options!

Please select the type of loan you would prefer:

You may qualify for more! Simply check the box below to allow us to pull your Credit Score, and you could be eligible to borrow more money on your first loan. Don't worry, a low credit score does not affect your ability to get a loan. We only use the credit score to see if you qualify for a bigger loan.

The information on this application is true and correct to the best of my knowledge. I authorize Loan Express to obtain my Credit Report from any credit-reporting agency. This information will be used strictly for the purposes of verifying information pursuant to entering into a payday loan agreement. My information will be held in the strictest confidence.

Please select the type of loan you would prefer:

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