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Online Credit Application

Bold fields marked with an Asterisk (*) are required fields.

  • How Did You Hear About Us?

  • Section One: Customer Information

  • 111-11-1111
  • mm/dd/yyyy
  • Section Two: Landlord/Mortgage Information

  • Length at Current Address

  • Section Three: Previous Address

  • Length at Previous Address

  • Section Four: Spouse

  • 111-11-1111
  • Section Five: Proof of Residence

  • * Three Proof of Residency Documents Required
  • Section Six: Employment

  • Section Seven: Vehicle Information

  • Section Eight: References and Other Questions

  • Section Nine: Please Read Carefully / Legal and Disclaimers

  • If your application is approved, your Loan Agreement will require that you prepay and maintain comprehensive and collision insurance for a minimum of 6 months. If you are unable or unwilling to do so, we offer you the option, which is purely voluntary on your part, to obtain our Voluntary Debt Cancellation Waiver Option (“Option”). If you decide to choose the Option, an additional fee will be included in your amount financed and your monthly payment.

  • Accuracy Of Information - I certify that the information and documents being provided represents me as the intended Borrower(s) and that it is accurate and current. I understand that giving false information, within the intent of obtaining a loan from Embassy Loans, Inc. is considered fraud and is a felony offense.

  • Credit Bureau Authorization - I authorize Embassy Loans, Inc. to inquire about my credit and to verify all information provided on my loan application and documents provided, as well as any third party Embassy Loans, Inc. shall designate for the purpose of funding, acquiring or servicing this loan.

  • Embassy Loans Inc. is licensed under the “Florida Consumer Finance Act” and as such Embassy Loans is exempt from any licensing requirements under the “Florida Title Loan Act” to the extent that any of Embassy Loans’ activities involve the making of a loan of money to a consumer secured by bailment of a certificate of title to a motor vehicle.