1-800-398-6657

City Loan Application Form

Please answer the following questions as completely as possible, so that we may better serve you.

Full Name:
Daytime Tel. Number:
Evening Tel. Number:
E-mail:
Is your vehicle paid off?
Is the title in your name?
CA Title:
Vehicle Year:
Vehicle Make:
Model & Trim:

(i.e. 2wd, 4wd, extended cab, XLT, LX, SE)
Odometer mileage:
Vehicle ID Number (VIN#):

(optional)
Loan amount requested:
Are you employed?
Are you a California resident?
How did you hear about us?
Verification Code:

Type the answer for above calculation that you see in the image: