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DEFERRED DEPOSIT SERVICE AGREEMENT & DISCLOSURE STATEMENT
CREDITOR: Access EZ Cash, Inc.
CUSTOMER: _________________________
CHECK NO: _________________________
DEFERRED DEPOSIT DATE: ____________
PAYROLL ADVANCE SERVICE FEE:* $10.00 US
DISCLOSURE NO: ____________________
*Disclosure Under Ca. Civil Code Section 1789.35
DISCLOSURES UNDER FEDERAL RESERVE REGULATION Z
Agreement
Pursuant to this Agreement, you authorize Access EZ Cash, Inc. to defer deposit of the personal check identified above by Check Number until the Deferred Deposit Date set forth above. The fee for the deferred deposit is set forth above expressed both in U.S. currency and as an annual percentage rate. You acknowledge receipt of the Amount Given To You Directly shown above and represent that you have not entered into an earlier deferred deposit agreement with Access EZ Cash, Inc. that is still in effect. You agree not to close the account that the check, draft, or electronic debit is drawn, or take any other action to forestall the payment of the check, draft, or electronic debit. If, after deposit, the check is returned to us unpaid for any reason: (1) you agree to pay Access EZ Cash, Inc. a returned check fee of $15.00; and (2) you authorize Access EZ Cash, Inc. to initiate electronic or paper debits to the checking/savings account at the institution on which the check, which is the subject of the Agreement, is drawn. This authorization remains in full force and in effect until Access EZ Cash, Inc. has received written notice, by certified mail of its termination, until Access EZ Cash, Inc. has had a reasonable opportunity to act on the authorization. (3) Access EZ Cash, Inc. will also notify Tele-Track of the returned item, which may prevent you from obtaining any other payday advances elsewhere. Access EZ Cash, Inc. is not permitted to accept collateral in connection with this service.
Caution: It is important that you read the contract thoroughly before you sign it.
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