Now you can complete and submit your customer application form on this page and email it to us,
which will save time when you come to our office. You will sign your application upon arrival.

INSTRUCTIONS:

1. Please complete the entire form then hit the 'email' button at the bottom of the form.

2. After you email us your application, make sure you bring your clear auto title, valid State or
Mexican ID and two proofs of residency (water bill, lease; etc.) to the KJC location that you
selected in your application (below).
Choose Your KJC Location From This List: (copy/paste your desired location's email
address into the Customer Application form above.)
KJC Auto Title Loan is growing fast - so if there's not a location
near you, there may be one coming soon, so please check back!

Click here for KJC customer feedback.
Loan Amount
Requested:
Vehicle VIN Number:
Vehicle Year:
Vehicle Make:
Vehicle Model:
Vehicle Color:
Vehicle Insurance Co.:
Tag Expiration Date:
Name(s) on Title:
Main Vehicle Driver:
Social Security No.:
TX Drivers License #:
Date of Birth:
Your Last Name:
Your First Name:
Your Middle Initial:
Your Address:
Your City:
Your State:
Your Zip Code:
County You Live In:
Home Status - enter
either: Own, Rent or
Live with Relative:
Length of Lease:
Landlord & Mortgage:
Landlord Phone #:
Home Phone Number:
Cell Phone Number:
Email Address:
Employer:
Employer Address:
Employer City:
Employer State:
Employer Zip:
Employer Phone:
Employer Phone
Extension Number:
Department/Title:
Shift Days/Shift Hours:
How Long at this job:
Pay Frequency - enter
either: Monthly,
Bi-Monthly, Weekly or
Bi-Weekly:
If the title has two names on it, please complete the next 12 boxes
all colored red, if not, skip them and continue below:
Social Security No. of
Co-Ap or Spouse:
TX Drivers License #:
Date of Birth:
Last Name:
First Name:
Middle Initial:
Spouse/Co-Ap Phone:
Address of
Spouse/Co-Ap, if
different than yours:
Employer:
Employer Address:
Employer City, State
and ZIP:
Employers Phone #:
How did you hear about us?
Please type in Friend,
Brochure, TV ad, Radio ad,
Yellow Pages, Newspaper,
Signs, Internet, Referral -
and if referral, who was it?
From the KJC locations
listed at the bottom of this
page, please enter the
location you would like this
information sent to, so it can
be ready when you arrive:
5 PERSONAL REFERENCES REQUIRED: PLEASE
PROVIDE COMPLETE INFORMATION FOR YOUR
APPLICATION TO BE PROCESSED:
REFERENCE #1-NAME:
Your Relationship to
them:
Address:
City, State, Zip:
Home Phone #:
Cell Phone #:
REFERENCE #2-NAME:
Your Relationship to
them:
Address:
City, State, Zip:
Home Phone #:
Cell Phone #:
REFERENCE #3-NAME:
Your Relationship to
them:
Address:
City, State, Zip:
Home Phone #:
Cell Phone #:
REFERENCE #4-NAME:
Your Relationship to
them:
Address:
City, State, Zip:
Home Phone #:
Cell Phone #:
REFERENCE #5-NAME:
Your Relationship to
them:
Address:
City, State, Zip:
Home Phone #:
Cell Phone #:
Any Comments or
Questions for KJC?




note: after you hit
the 'email' button
you will see a
screen that shows
your information
was sent to us.
IF DRIVER OF THE VEHICLE IS UNDER THE AGE OF 18, A QUALIFIED APPLICANT MUST SIGN FOR THE LOAN.
Austin Area: (click location for directions)
Corpus Christi Area: (click location for directions)
Ft. Worth Area: (click location for directions)
Dallas Area: (click location for directions)
Houston Area: (click location for directions)
San Antonio Area: (click location for directions)
5725 N IH-35  Austin TX  78723  phone: 512-323-9509  fax: 512-323-9589  email: KJC30@kjctitle.com
2701 S Congress  Austin TX  78704  phone: 512-448-3900  fax: 512-448-3992  email: KJC31@kjctitle.com
2100 East Riverside, Suite B   Austin TX  78741  phone: 512-462-2204  fax: 512-462-2287   email: KJC32@kjctitle.com
3414 E 7th    Austin TX 78702  phone: 512-861-0738  fax: 512-371-6580  email: kjc44@kjctitle.com
6400-3 South Congress  Austin TX 78745  phone: 512-961-5305  email: kjc60@kjctitle.com
6400 N Lamar  Austin TX  78752   phone: 512-861-0740  fax: 512-371-6581  email: kjc48@kjctitle.com
4238 Ayers Street  Corpus Christi TX  78415  phone: 361-854-1668  fax: 361-854-7155   email: KJC3@kjctitle.com
307 S 14Th Ste B   Kingsville TX  78363   phone: 361-516-0076   fax: 361-516-0889   email: KJC10@kjctitle.com
3021 Bachman Drive, Suite 108  Dallas TX 75220  phone: 214-350-5502   fax: 214-350-5532   email: KJC35@kjctitle.com
818 W. Jefferson Blvd Dallas  TX  75208 phone: 972-755-3255  fax: 972-591-0558   email: KJC37@kjctitle.com
2504 W Illinois Dallas TX  75233  phone: 214-206-9461  fax: 972-591-0589  email: kjc46@kjctitle.com
2248 S Buckner Blvd  Dallas TX 75227  phone 214-206-9463  fax 972-591-0588  email: kjc47@kjctitle.com
5016 E Lancaster Ave Ste 100  Fort Worth TX 76103  phone: 817-536-7900  fax: 817-536-7904  email: KJC4@kjctitle.com
725 NW 28th Street  Fort Worth TX  76164  phone: 682-200-1233   fax: 817-717-8546  email: kjc36@kjctitle.com
1518A E Abrams  Arlington TX 76010  phone 817-385-1094  fax 817-789-6494  email: kjc53@kjctitle.com
6606 Lawndale Ste 300  Houston TX  77023  phone: 713-923-9277  fax: 713-923-9801  email: KJC1@kjctitle.com
11422 S. W. Freeway Ste 600  Houston TX  77031  phone: 281-575-8115  fax: 281-575-8294  email: KJC2@kjctitle.com
3926 Aldine Mail Route Ste C  Houston TX  77039  phone: 281-449-9300  fax: 281-449-9302  email: KJC12@kjctitle.com
131 West Southmore Pasadena TX  77502  phone: 713-740-9331  fax: 713-740-9334  email:  KJC13@kjctitle.com
4912 Airline # A Houston TX  77022  phone: 713-695-4373  fax: 713-695-4376  email: KJC16@kjctitle.com
723 West Mount Houston  Houston TX  77038   phone: 281-847-2300  fax:  281-847-2303  email: KJC26@kjctitle.com
509 Uvalde Houston  TX  77015  phone: 713-451-4545  fax: 713-451-4548  email: KJC27@kjctitle.com
3302 Ave H #102 Rosenberg TX  77471  phone: 281-725-6389  fax: 281-725-6390  email: kjc42@kjctitle.com
9600 Fondren Street  Houston TX  77096  phone:  281-936-0134  fax: 832-209-8455  email: kjc49@kjctitle.com
3411 Irvington Houston  TX  77009  phone: 281-936-0123   fax: 832-209-8453  email: kjc51@kjctitle.com
9999 Homestead Road Houston TX  77016  phone: 281-936-0136  fax: 281-973-4663  kjc58@kjctitle.com
3534 Fredericksburg # 15  San Antonio TX  78201  phone: 210-737-9700   fax: 210-737-9707   email: KJC6@kjctitle.com
405 Gladstone  San Antonio  TX  78214   phone: 210-399-0888  fax: 210-384-2037  email: kjc38@kjctitle.com
8928 Culebra Rd  San Antonio TX  78209  phone: 210-399-0880  fax: 210-782-9489  email: kjc39@kjctitle.com
4000 Blanco Rd  San Antonio  TX  78212  phone: 210-399-0886  fax: 210-782-9563  email: kjc43@kjctitle.com
9400 Perrin Beitel  San Antonio TX 78217  phone: 210-399-0894  fax: 210-764-5108  email: kjc57@kjctitle.com
4410 Callaghan  San Antonio  TX  78238  phone: 210-399-0878  fax: 210-782-9562  email: kjc45@kjctitle.com
319 S Zarzamora  San Antonio TX 78207  phone: 210-399-0896  fax: 210-764-5110  email: kjc59@kjctitle.com