Here's an idea of our Online Title Loan Application

Our Online Title Loan Application

Use our easy online title loan application your title loan today. This online title loan application is good for customers in Phoenix, Mesa, Tempe, Chandler, Queen Creek, and Glendale. An online application is the fastest way to get approved. You should receive a response very quickly on an online title loan application, though if you like you are welcome to apply online and then call us at (480) 499-4699 for an instant approval.

Applicant Name:
Loan Amount Requested (rounded to nearest dollar, no commas):
Current E-mail:
Applicant's Date of Birth (use mm/dd/yyyy format):
Marital Status:
Driver's License Number:
State of License:
SSN or TIN:
CURRENT Home Phone:
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Cellular Phone (optional):
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Current Address (Phoenix and All Surrounding Cities ONLY):
How long was Stay/Residency at current location:
Are you CURRENTLY Employed?
Name of Current Employer/Source of Income (if Yes):
Date When Hired:
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Current Title Held:
Current Employer's Local Work Contact Number:
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Current Employer's Local Work Address:
Average Take Home Pay PER MONTH (in Gross Dollars, rounded to nearest dollar):
Additional Income per Month (rounded to nearest dollar):
Source(s) of Additional Income(if applicable, list here):
Make of Vehicle (IE Ford, Chevrolet, etc.):
Model of Vehicle (IE Silverado, F150, etc.):
Sub-Model of Vehicle (EX, LX, LS, Sport, King Ranch, etc):
Year of Current Model:
Upload a Picture of the Vehicle for the Title Loan: (This increases chance of approval)
Condition of Unit/Model used for collateral (visual inspection may be required):
Mileage on Vehicle (nearest mile, no commas):
License Plate
Width of unit (for mobile homes, rounded in inches):
Length of unit (for mobile homes, rounded in inches):
Vehicle Identification Number (VIN), if applicable:
Title Number of Property, if applicable:

Authorization and Indemnification Statements

By authorizing and signing below, I, the Applicant, do hereby CERTIFY that ALL INFORMATION I SUPPLIED ON AND ANY ADDITION TO THIS APPLICATION (collectively, "the Application") is TRUE and CORRECT to the best of my knowledge and I CONFIRM THAT I HAVE READ AND FULLY AGREE TO ALL OF THE TERMS OF THE APPLICATION.I ALLOW COMPLETE AUTHORITY TO BE GIVEN TO ATLAS CAPITAL, LLC (collectively, "Atlas") AND/OR PHOENIX TITLE LOANS, LLC ( collectively, "PTL") TO VERIFY THE APPLICATION FOR ITS TRUTHFULNESS. I give Atlas and/or PTL COMPLETE AUTHORITY to contact any person that is identified on the Application during its underwriting/review process AND AT ANY TIME DURING THE SERVICING OF MY LOAN. THIS INCLUDES, AND DOES NOT LIMIT TO, LEAVING MESSAGES IN REGARDS TO SUCH INQUIRIES. I Represent, Acknowledge, and WARRANT that I AM NOT CURRENTLY A DEBTOR IN ANY EXISTING BANKRUPTCY PROCEEDING, NOR WILL I MAKE ANY ATTEMPT AT OR INTENTION OF FILING A BANKRUPTCY PETITION WITHIN 90 DAYS OF RECEIVING MY LOAN. 
Any and all statements of Falsehood discovered will be sufficient basis for rejection of application, DENIAL of credit AND Dismissal of LOAN, followed by Civil Actions levied against me if found after acceptance. I REPEAT, ANY AND ALL STATEMENTS OF FALSEHOOD DISCOVERED WILL BE SUFFICIENT BASIS FOR REJECTION OF APPLICATION, DENIAL OF CREDIT, AND DISMISSAL OF LOAN FOLLOWED BY CIVIL ACTIONS LEVIED AGAINST ME IF FOUND AFTER ACCEPTANCE.
Atlas and/or PTL is given FULL AUTHORITY TO REQUEST AND KEEP ON RECORD A COPY OF MY CONSUMER CREDIT REPORT, TO CHECK UPON MY CREDIT HISTORY (AS REQUIRED OF FEDERAL AND STATE REGULATIONS), AND REVIEW MY CURRENT AND PRIOR EMPLOYMENT HISTORIES AS A GROUNDS FOR MY WORTHINESS TO THIS LOAN. I am aware that a NEGATIVE CREDIT REPORT WILL BE SUBMITTED TO A CREDIT REPORTING AGENCY AS REQUIRED BY FEDERAL AND STATE LAW, IN PARTICULAR REGARDS TO MY FAILURE TO FULFILL THE TERMS OF MY OBLIGATIONS.
THE APPLICATION IS THE SOLE PROPERTY OF ATLAS AND PTL. I HAVE NO OWNERSHIP OF THE APPLICATION. I REPEAT, THE APPLICATION IS THE SOLE PROPERTY OF ATLAS AND PTL. I HAVE NO OWNERSHIP OF THE APPLICATION.
UPON PROVIDING A CONTACT NUMBER (CELLULAR OR OTHERWISE), I GIVE FULLY EXPRESSED CONSENT TO RECEIVE ANY TYPE OF CALL AND/OR TEXT MESSAGE PROVIDED BY ATLAS AND/OR PTL IN REGARDS TO MY APPLICATION AND (IF APPROVED) MY LOAN AT ANY TIME. I WILL INDEMNIFY THEM OF CHARGES FOR SUCH CALLS AND TEXTS SHOULD I RECEIVE THEM AND WILL NOT HOLD THEM ACCOUNTABLE FOR CHARGES THAT WOULD OTHERWISE COME FROM MY CELLULAR/TELEPHONE SERVICE PROVIDER.

Covered Borrower Identification Statement

Upon signing and signing below in regards to the Covered Borrower Identification Statement, I HEREBY DECLARE THAT I AM NOT A REGULAR OR RESERVED MEMBER OF THE UNITED STATES ARMED FORCES (ARMY, NAVY, MARINE CORPS, COAST GUARD, AND/OR AIR FORCE), SERVING ON ACTIVE DUTY UNDER A MANDATED CALL TO DUTY OR ON A STANDBY ORDER OF A MANDATED CALL TO DUTY THAT DOES NOT SPECIFY A PERIOD OF 30 CALENDAR DAYS OR FEWER. I AM NOT A DEPENDENT OF SUCH A MEMBER OF THE UNITED STATES ARMED FORCES NOR AM I A DEPENDENT OF SAID MEMBER'S SPOUSE. I AM ALSO NOT THAT MEMBER'S CHILD UNDER THE LEGAL AGE OF EIGHTEEN YEARS OLD (18). I AM NOT AN INDIVIDUAL FOR WHOM THIS MEMBER PROVIDED MORE THAN ONE-HALF OF MY FINANCIAL SUPPORT OF A PERIOD OF OR WITHIN 180 DAYS IMMEDIATELY PRECEDING TODAY'S DATE.

FINAL AUTHORIZATION

To All Concerned:

I, THE UNDERSIGNED, GIVE FINAL AUTHORIZATION AND ACCEPTANCE TO YOU, ATLAS AND/OR PTL, TO ASK ANY QUESTION TO ME THAT YOU DEEM SO NECESSARY AS PART OF THE RELATIONSHIP I HAVE OR AM ABOUT TO ENTER INTO WITH YOU. THE PROVIDED CONTACT INFORMATION GIVEN IN THE APPLICATION IS ACKNOWLEDGMENT OF OUR AGREEMENT TO THESE AND ANY TERMS THAT MAY ARISE IN FUTURE DATES. I THANK ATLAS AND/OR PTL IN REVIEWING THE APPLICATION AND WILL AWAIT A RESPONSE FROM THEM SHORTLY.



Final Validation of Terms of Service:
Last 4 of SSN/TIN for acceptance of terms:
Name of Applicant:

We thank you for considering our online title loan application for your title loan needs. We here at Phoenix Title Loans, LLC hope that this application process will be the key to your financial future no matter what part of the Valley you may reside, be it Phoenix, Scottsdale, Avondale, Mesa, Chandler, Queen Creek, Glendale or even Casa Grande. With online experience being the standard of business, we want to provide all potential Valley customers the opportunity to receive the chance to get the cash they need with our online title loan application.