Home Rental Sales Services About (469) 374-9090 Email PERSONAL INFORMATION RESIDENCE INFORMATION State* Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Time at Address years* 1 2 3 4 5 6 7 8 9 10 months* 1 2 3 4 5 6 7 8 9 10 11 Residence Type Rent Own Mortgage EMPLOYMENT INFORMATION Self-Employed? Yes No Number of Years at Present Job? If less than 2, where did you work previously? * 1 2 3 4 5 6 7 8 9 10+ State* Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Check If Co-Applicant TRADE-IN VEHICLE INFORMATION FINANCIALS Checking Account? Yes No Savings Account? Yes No Please Check* * Co-Applicant needs to certify their details I, the Co-Applicant, certify that all of the statements in this application are true and complete and are made for the purpose of obtaining credit. LOAN DETAILS If you are unsure of the details of your loan then a representative will contact you to aid you in completion of this or any section that you request. Check Here * If you would like a representative to contact you Vehicle To Be Purchased TERMS AND CONDITIONS ACKNOWLEDGMENT AND CONSENT: I certify that the above information is complete and accurate to the best of my knowledge. Creditors receiving this application will retain the application whether or not it is approved. Creditors may rely on this application in deciding whether to grant the requested credit. False statements may subject me to criminal penalties. I authorize the creditors to obtain credit reports about me on an ongoing basis during this credit transaction and to check my credit and employment history on an ongoing basis during the term of the credit transaction. If this application is approved, I authorize the creditor to give credit information about me to its affiliates. If you're a resident of California, Maine, Massachusetts, New York, Ohio, Rhode Island, Vermont, Washington, or Wisconsin, please scroll down to read the notice called for under the law of your state. By submitting this application, you represent that you've read the notice required under the law of your state. CALIFORNIA RESIDENTS: A married applicant may apply for an individual account. MAINE RESIDENTS: Consumer reports (credit reports) may be obtained in connection with this application. If you request, the creditor will inform you: whether or not consumer reports were obtained, and if reports were obtained, the names and addresses of the consumer reporting agencies (credit bureaus) that furnished the reports. You have the right to choose the agent and insurer for the insurance required by this transaction, but the insurer must be approved by the creditor. MASSACHUSETTS RESIDENTS: Massachusetts law prohibits discrimination on the basis of marital status or sexual orientation. NEW YORK RESIDENTS: A consumer credit report may be requested in connection with this application or in connection with updates, renewals, extensions or enforcement of any credit granted as a result of this application. Upon your request, the creditor will inform you whether or not a consumer credit report was requested, and if so, the name and address of the agency that furnished such report. OHIO RESIDENTS: The Ohio laws against discrimination require that all creditors make credit equally available to all credit worthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law. RHODE ISLAND RESIDENTS: A consumer credit report may be requested in connection with this application. VERMONT RESIDENTS: I authorize the creditor to obtain credit reports on an ongoing basis about me from credit reporting agencies in connection with this extension of credit transaction. The creditor may obtain credit reports about me on an ongoing basis in connection with this extension of credit transaction for any one or more of the following reasons: reviewing the account; increasing the credit line on the account; taking collection action on the account; or, any other legitimate purposes associated with the account. WASHINGTON RESIDENTS: Please advise us if the creditor should investigate your credit references and/or credit history under another name. MARRIED WISCONSIN RESIDENTS: No provision of a marital property agreement, a unilateral settlement agreement under Wis. Stat. §766.59, or a court decree under Wis. Stat. §766.70 adversely affects the interest of the creditor unless the creditor, prior to the time the credit is granted, is furnished a copy of the agreement, statement or decree, or has actual knowledge of the adverse provision. Type your name to signify your electronic signature I agree* * By checking this box you acknowledge that you have read, understand, and agree to the terms and conditions above. You also acknowledge that you have been provided access to, read, and understand our Privacy Policy. Apply . Locations 4709 Lone Star Blvd. ste C. Ft Worth, TX 76106 Telephone: (469) 374-9090 Fax: 469-248-0055 Toll Free: 888-575-2846 Get Directions Email © 2021 Platinum Motorcars. All Rights Reserved. Sitemap Privacy Policy Powered By: All Auto Network