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Apply for an In-Store Auto Title Loan

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Auto Title Loan Application

Personal Information
Vehicle and References

3 Personal References - One Must Be a Relative Not Living With You!

Employment

This Credit Services & Loan Application ("Application") is not a promise to provide services or obtain a loan. This Application will be used by us for underwriting our credit services as well as by the third party lender for loan underwriting. By signing below, you agree that this Application can be used and relied upon by both of us and the third party lender, and treated as a separate application by both. You acknowledge that we may accept or reject, at our sole discretion, your request for credit services, and that the third party lender may accept or reject, at its sole discretion, your request of a loan, subject to applicable law. Until we accept your request and execute a CSO Agreement and any other documents required by a third party lender, we shall have no obligation to provide credit services and the third party lender has no obligation to make a loan.

Assignment: You authorize us to and acknowledge that we may transfer any of our rights, titles, and interests under this Application at our discretion. You may not transfer your rights or obligations under this Application without our prior written consent.

CSO Disclosure and Loan Terms: Approved Money Center, LLC is a registered Texas credit services organization and a credit access business. Our services include assisting you in the arranging, processing and servicing of a loan from a third party lender. You acknowledge that you have been advised that our credit services and any third party loan made pursuant to this Application may not be at the lowest rate or best terms available, and that you may shop for credit services and loans from other providers and lenders without any obligation to us. Auto Title Customers: You acknowledge that if you fail to repay the loan in full, including all finance charges, you may lose your vehicle.

ECOA Notice: The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant's income derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with this law concerning this creditor is the Federal Trade Commission, Equal Credit Opportunity, Washington, DC 20580, www.ftc.gov.

Negative Information: We may report information about your account to credit bureaus. Late payments, missed payments, or other defaults on your account may be reflected on your credit report.

Consent to E-mail Communications and Electronic Disclosures: You are not required to provide your email address. If you provided your email address and authorized us to send emails to you ("Your Consent"), then you are requesting to receive emails from us. This includes disclosures and solicitations. You further consent to the use and acceptance of electronic records, and electronic disclosures. This Consent to E-mail Communications and Electronic Disclosures informs you of your rights when receiving legally required disclosures, notices, and any other information from us. By providing Your Consent, you acknowledge receipt of this disclosure. You consent to the use of electronic records and disclosures. The emails and disclosures we may send, may include for example, disclosures or notices under state or federal law, including those pursuant to the Equal Credit Opportunity Act, Truth in Lending Act, Gramm-Leach-Bliley Act, and other disclosures or notices under applicable federal, state or local laws or regulations, or any other notices, information, or solicitations we may send. You may request a paper copy of any emailed disclosure by submitting a request through the link found with the emails. You may also send a written request to Approved Money Center, 9020 N. Capital of Texas Highway, Suite I-200, Austin, TX 78759. We will provide such copies to you at no charge. We will retain all Disclosures as required by applicable law. Your Consent only applies to emails we send and receive. You consent to electronically receiving disclosures relating to transactions, accounts, and other emails electronically. Before deciding to obtain electronic disclosures, you acknowledge that you considered whether you have the required hardware and software capabilities. To access and retain Disclosures electronically, you will need to use the following computer software and hardware: a PC with Internet access and an Internet Browser that meets the following minimum requirements: Microsoft® Internet Explorer 6.1 or later versions or Mozilla Firefox 2.0 or later versions. The specific Internet Browser must also support at least 128-bit encryption. To read some documents, you will need a PDF file reader like Adobe® Acrobat Reader. If these requirements change and a material risk arises that you won't receive Disclosures electronically, we will notify you. You will need a printer or long-term storage, such as a disk drive, to retain, download, or print the Disclosures. You may withdraw Your Consent at any time. If you want to withdraw Your Consent, submit a request through the link in any email we send, or write to the address found in this disclosure. If you withdraw Your Consent, such withdrawal will not affect the legal effectiveness, validity, or enforceability of prior electronic Disclosures. If your electronic address, mailing address, telephone number, or any information you provided changes, then you agree to inform us. You may contact us by clicking the appropriate link on email, or writing to the address in this disclosure. BY PROVIDING YOUR EMAIL ADDRESS, AND THEREBY AGREEING, YOU ACKNOWLEDGE AND AGREE THAT YOU: (1) CAN ACCESS THE DISCLOSURES IN THE DESIGNATED FORMATS DESCRIBED ABOVE, (2) READ THE INFORMATION ABOUT ELECTRONIC RECORDS, AND DISCLOSURES, IN THIS CONSENT TO EMAIL COMMUNICATIONS AND ELECTRONIC DISCLOSURES, (3) CONSENT TO HAVING DISCLOSURES PROVIDED OR MADE AVAIALBALE TO YOU IN ELECTRONIC FORM, (4) CONSENT TO DOING BUSINESS WITH US ELECTRONICALLY, AND (5) MAY REQUEST A PAPER COPY OF ANY EMAILED DISCLOSURES, WHICH WE WILL PROVIDE TO YOU AT NO COST. You may request and obtain a copy of this information to retain for future reference.

Text Messages: By opting-in you are providing consent to use personal information to provide the services you've requested, including services that display customized content and advertising. Your provider's standard messaging rates apply to our confirmation and all subsequent SMS correspondence. To opt out receiving text messages, please select the "op-out" button on any text message received or by sending "STOP", "END", "QUIT" to the SMS text message you have received. If you remove your SMS information from our database it will no longer be used by us for secondary purposes, disclosed to third parties, or used by us or third parties to send promotional correspondence to you. Data obtained from you in connection with this SMS service may include your name, address, cell phone number, your provider's name, and the date, time, and content of your messages. We will not be liable for any delays in receipt of any SMS message, as delivery is subject to effective transmission from your network operator. SMS messages are provided on an AS IS basis.

Phone Messages: You authorize us to contact the phone numbers listed. You authorize us to mail correspondence to your address. You authorize us to call and leave messages on any answering machine/service at your phone numbers listed.

By signing below and submitting this Application, you verify that all of the information in this Application is accurate and correct.

E-Signature

Fees and Disclosures

Fees/Disclosures