online title loan application - drive away with cash in hand for the auto title you own!

Though we have a partnership with Phoenix Title Loans, LLC, North Scottsdale Loan and Gold now offers its own Online TItle Loan Application as well. Use this in the event that the PTL Application is ever down or you just need a second opinion. Simply fill the application to get the process started:

Amount Requesting for Title Loan (to the Nearest Dollar, no commas):
Upload a Picture of the Item for the Title Loan:
Name of Applicant:
Applicant's E-mail:
Applicant's Phone:
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Current Address:
Social Security Number:
Driver's License Number:
State where License was issued:
Are you Currently Employed:
Name of Employer/Source of Income:
Date When Hired:
 / 
 / 
Current Title Held:
Employer's Work Number:
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Work Address:
Average Take Home Pay Per MONTH (in Gross Dollars, rounded to nearest dollar, no commas):
Make of Vehicle (IE Ford Chevrolet, etc.):
Model of Vehicle (IE Silverado, F150, etc.):
Year of Vehicle/Model:
Mileage on Vehicle(rounded to nearest mile, no commas):
Vehicle License Plate:

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 North Scottsdale Loan and Gold(collectively, "NSDL") TO VERIFY THE APPLICATION FOR ITS TRUTHFULNESS. I give NSDL 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.
NSDL 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 NSDL. 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 NSDL 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, NSDL, 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 NSDL IN REVIEWING THE APPLICATION AND WILL AWAIT A RESPONSE FROM THEM SHORTLY.
Final Validation of Terms of Service:
Last 4 of SSN for Acceptance of Terms:
Applicant's Name: