Loan applicant(s) agrees and acknowledges that in the event any item issued by him/her is not honored by
applicant's bank for any reason including non-sufficient funds, closed account, stop payment, etc., there will be
an automatic additional Return Item Fee of $25.00 charged and due.
In the event customer fails to honor loan agreement regardless of Security obtained by Lender, the account
may be turned over for collection, repossession, and/or legal action may be initiated to recover the amount due
as detailed in the Loan Agreement.
I/We agree CQC, Inc. and/or their representative may contact any person listed on this Installment Loan
Application form or any other persons having dealings with me in order to obtain information and/or discuss
any debts which I owe CQC, Inc. to the extent not prohibited by law. I/We understand that CQC, Inc. may rely on
other credit reporting agencies, including but not limited to Teletrack Inc® and/or Veritec Services® to approve
a Loan. I/We waive any and all invasion of privacy claims against CQC, Inc.
| CQC, Inc. dba Carbondale Quick Cash 820 E. Walnut St. Carbondale, IL 62901 Ph 618-351-6565 CONSUMER INSTALLMENT LOAN APPLICATION (205 ILCS 670/1 et seq) |
