Extension Request

In order to receive an extension, you must fill out a new check for the fees of $60 only. Your request must be for 15 days or less to be accepted.

New requested date on original check (dd/mm/yy):

Complete the information below as you would on a new check:
..............................................................................................................................

New Check #:	Today's Date: (dd/mm/yy):
Pay to the order of: 300Cash.com....... Amount:Dollars.
****** Sixty and 00/100* Dollars***************

Bank Account Number:	Bank Name:

Please type your Signature:
.......................................................................

I authorize 300Cash.com, Inc. to withdraw on my current loan due date $60 from my checking account electronically for a 15 day maximum extension. I also understand that I will be charged a $25 fee if this check is returned for Non-Sufficient Funds.

I AGREE