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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: Current Residence Information

  • Length at Current Address

  • Section Three: Previous Address

  • Length at Previous Address

  • Section Four: Co-Applicant

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

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

  • Section Seven: Vehicle Information

  • 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 Waiver Option, an additional fee will be included in your amount financed and your monthly payment.

  • You authorize us to make inquires concerning your credit history and standing. We may report information about your loan to the credit bureau.

  • I agree that you have my permission to contact me in reference to this loan using electronic means including texting, faxing, phone or email.

  • 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.