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DISCLOSURE



CASH 4 CHECKS
CONSUMER DISCLOSURE FOR DEFERRED DEPOSIT AGREEMENT

No. ________________                                                                                                        Transaction Date ________________

Creditor:                                                                        Customer:

                      CASH 4 CHECKS, Inc. and

Xxxxxxxx  Xxxxxxxxxxxxx

                      Affiliates

Any Street

                      c/o FEI

Any Town

                      P.O. Box606

                      Yorba Linda, CA92885-0606

Ph: (XXX) XXX-XXXX

Social Security Number: XXX-XX=XXXX

            In this CHECK CASHING DEFFERED DEPOSIT AGREEMENT (the “Agreement”). The words “you”, “your”, “I”, and “my” mean each customer identified.  The words “we”, “us”, “our”, and “company” mean CASH 4 CHECKS, INC., FAAS ENTERPRISES, INC. (d.b.a. CHECK CASHING CENTER) which any one or more is the creditor in this transaction.

AGREEMENT 

            Simultaneous with the execution of this Agreement, (a) you have delivered to us at our address set forth below your check(s) numbered __________ in the aggregate amount of $___________ (the “check(s)”), (b) we have cashed the check(s) and given you cash proceeds in the amount of $_______, and (c) we have agreed to hold the Check(s) until the Payment Due Date set forth below before depositing the Check(s).  In consideration for our cashing the Check(s), you agree to pay us a fee of $________  at the same time that this Agreement is executed.  You agree that the account on which the Check(s) is/are drawn will have sufficient funds on the Payment Due Date to pay the Check(s).  You further agree not to stop payment on the Check(s) or to take any action that will result in the failure of your financial institution to pay the Check(s) on the Payment Due Date.

DISCLOSURE

Annual Percentage

Finance Fee

Amount

Total Check(s)

Rate

Charged

Financed

Amount

The cost of your credit

The dollar amount the

The amount of credit

The amount you have paid

at a yearly rate.

credit will cost you.

provided to you or on

at the completion of this

Your behalf.

Agreement

XXXXXX%

$XXXXX

$XXXXX

$XXXXXX

PAYMENT SCHEDULE

Number of Payments

Amount of Payments

Payment Due Date

1

$XXXXX

XX / XX / XXXX

Prepayment:  If you pay off early, there will be no return of any portion of the finance fee charged!

This is a fee based advance.

            I authorize CASH 4 CHECKS, INC., FAAS ENTERPRISES, INC. (d.b.a. CHECK CASHING CENTER) to cash my check(s) and defer the deposit of the check(s) until the date stated above (not to exceed 16 days).  I acknowledge and represent that I have no outstanding payroll advance or deferred deposit check(s) with any location of CASH 4 CHECKS or its affiliates.

            I hereby authorize this transaction to be electronically submitted to my bank and acknowledge my check(s) will not be returned to me.  I hereby further authorize you to initiate debits/credit entries to my account for all payments due under this Agreement, including unpaid return items from my financial institution, unpaid returned items fees, and any fees, costs, or expenses, and collections permissible by California law, including a $15.00 returned check or electronic debit fee.  This authorization shall remain in full force and effect until my financial institution and the Company have received, in writing, by certified mail, a notice of termination at least 30 days prior to the date of termination.

            A fee not to exceed $15.00 my be charged for each and every returned check or item.

            Itemization of Amount Financed:   The Amount Financed of $_________ will all be given to you directly.  Prepaid Finance Charge:   $__________.

            You have read, understood and agreed to the above and to the “Additional Terms of Agreement” on the reverse side of this page.  You acknowledge receipt of the proceeds of the cashed Check(s) in the amount identified above.

CUSTOMER(s)                                                                                              CASH 4 CHECKS. INC.

                                                                                                                        Location: __________

Signature: __________________________                                  

           

Signature: __________________________                                                           By: _______________________

                                                                                                                                       Agent Representative


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