Platinum Motors Imports | Credit Application

Personal Information

First Name *

Last Name *

Date of Birth *

SSN *

Current Home Address *

Years at Current Address *

Months at Current Address *

Residential Status *

Monthly Rent/Mortgage Payment *

Email Address *

Phone Number *

Employment & Income

Current Employer *

Occupation/Position *

Employer Address *

Employment Status *

Monthly Income *

Years Employed *

Months Employed *

Other Sources of Income

Monthly Additional Income

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Co-Applicant Information

First Name

Last Name

Date of Birth

SSN

Current Home Address

Years at Current Address

Months at Current Address

Residential Status

Monthly Rent/Mortgage Payment

Email Address

Phone Number

Co-Applicant Employment & Income

Current Employer

Occupation/Position

Employer Address

Employment Status

Monthly Income

Years Employed

Months Employed

Other Sources of Income

Monthly Additional Income

Image Uploads

Front of ID *

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Max file size 10MB.

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Max file size 10MB.

Upload Registration (For Conquest/Loyalty)

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Max file size 10MB.

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Address
‍7060 Miramar Rd
San Diego, CA 92130

Call Us
(858) 750-8115

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Credit Application

Personal Information

Employment & Income

Co-Applicant Information

Co-Applicant Employment & Income

Image Uploads

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