Credit Application — Coastal Motor Group

Licensed CA dealer
DLR #52875
Encrypted submission
TLS in transit
SSN encrypted at rest
Audited reveal
Signed at home
Delivered in CA

Your new vehicle

Confirm the vehicle we agreed on so we can lock in your paperwork.

Year

Make

Model

Trim / Color

Personal information

First name *

Middle

Last name *

Email *

Phone *

Date of birth

SSN (9 digits, encrypted)

256-bit TLS · encrypted at rest · every reveal is audit-logged

DL #

State

Residence

Start typing your street — we'll suggest the full address (US only).

Address line 1 *

Address line 2

City *

State *

ZIP *

Housing

Monthly payment

Years at address *

Months *

Employment

Status *

Employer *

Job title *

Employer phone *

Years at job *

Months *

Gross monthly income *

Other income

Employer address

Street address

City

State

ZIP

Co-applicant

Add a co-applicant (spouse, partner, etc.)

Driver's license *

Upload a clear photo of the front (and back if needed) of your driver's license. Encrypted in transit and at rest.

Upload driver's license *

Insurance

Auto insurance is required at vehicle delivery. Let us know where you stand.

Registration

Upload your current vehicle registration if you have one. (For conquest / loyalty rebate if applicable.)

Upload current registration (optional)

Supporting documents

Optional rebates — i.e. proof of first responder, recent college grad, student rebate, etc. Up to 3 files, PDF or image, 20MB max each.

Upload rebate proof (optional)

E-signature

Coastal Motor Group does not run credit. We securely transmit your information to our partnered dealership using encrypted files. Your SSN is encrypted at rest with bank-grade encryption and is never shown to anyone outside our authorized credit team.

Type your full legal name to sign *

I certify the information provided is true and accurate. I authorize Coastal Motor Group and its partnered dealership(s) to obtain my credit report and verify the information for the purpose of evaluating my application. I understand my IP address, browser, and timestamp will be recorded as part of this electronic signature.

You'll see a full preview of your application before it's submitted.

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