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Jerseyville Motor Company Finance Application
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Applicant / Cosigner Information
*First Name, Middle Initial
*Last Name
*Email Address
*Day Phone Number
Evening Phone Number
Date of Birth
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1911
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1908
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1906
1905
1904
Social Security Number
-
-
Driver's License
Employment Information
Employer
Occupation
Supervisor
Business Phone
Employment Status
Employed Full Time
Employed Part Time
Self Employed
Temp Service
Unemployed
Student
Retired
Fixed Income
Homemaker
Other
Employment Start Date
January
February
March
April
May
June
July
August
September
October
November
December
2019
2018
2017
2016
2015
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1930
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1923
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1920
1919
Gross Salary before taxes
$
per
Year
Month
Week
Housing Information
Address
City, State, Zip
state
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Residence Move-in Date
January
February
March
April
May
June
July
August
September
October
November
December
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
Residence Status
Rent
Own
Military Housing
Live with Parents
Other
Housing Payment
$
per month
Other
Available Down Payment
$
Select Vehicle(s) of Interest
11 Acura MDX Tech Pkg
12 BMW 5 Series 535i xDrive
12 Buick Enclave Leather
16 Buick Encore Convenience
10 Cadillac CTS Sedan Luxury
17 Cadillac CTS Sedan Luxury AWD
09 Chevrolet Aveo LT w/1LT
14 Chevrolet Camaro LT
15 Chevrolet Camaro LT
16 Chevrolet Colorado 4WD Z71 Crew Cab
18 Chevrolet Cruze LS
16 Chevrolet Equinox LS
12 Chevrolet Equinox LT w/1LT
17 Chevrolet Silverado 1500 2WD Work Truck Reg Cab
11 Chevrolet Silverado 1500 4WD LS Ext Cab
14 Chevrolet Silverado 1500 4WD LT w/1LT Reg Cab
14 Chevrolet Silverado 1500 4WD LT w/2LT Double Cab
09 Chevrolet Silverado 1500 Work Truck
06 Chevrolet TrailBlazer LS
05 Chrysler 300 300 Touring
13 Dodge Challenger SRT8
06 Dodge Charger 4dr Sdn RWD
16 Dodge Durango R/T
06 Dodge Grand Caravan SE
04 Dodge Ram 1500
17 Ford Edge 2WD SEL
17 Ford Edge 2WD Titanium
13 Ford Edge Limited
14 Ford Edge Limited
08 Ford Edge SE
13 Ford Edge SEL
13 Ford Edge SEL
15 Ford Edge SEL
15 Ford Edge SEL
18 Ford Edge SEL
13 Ford Edge Sport
15 Ford Edge Titanium
16 Ford Edge Titanium
14 Ford Escape S
15 Ford Escape S
16 Ford Escape SE
18 Ford Escape SE
18 Ford Escape Titanium
16 Ford Expedition Limited
17 Ford Expedition EL Limited
16 Ford Explorer Limited
17 Ford Explorer Limited
15 Ford Explorer XLT
16 Ford Explorer XLT
17 Ford Explorer XLT
13 Ford F-150
16 Ford F-150 2WD XL Reg Cab
14 Ford F-150 4WD FX4 SuperCrew
10 Ford F-150 4WD Lariat SuperCrew
12 Ford F-150 4WD Lariat SuperCrew
14 Ford F-150 4WD Lariat SuperCrew
14 Ford F-150 4WD XLT SuperCab
10 Ford F-150 4WD XLT SuperCrew
10 Ford F-150 4WD XLT SuperCrew
12 Ford F-150 4WD XLT SuperCrew
13 Ford F-150 4WD XLT SuperCrew
14 Ford F-150 4WD XLT SuperCrew
15 Ford F-150 4WD XLT SuperCrew
15 Ford F-150 XLT
13 Ford Fiesta SE
09 Ford Flex Limited
14 Ford Flex SEL
13 Ford Focus SE
14 Ford Fusion SE
15 Ford Fusion SE
16 Ford Fusion SE
15 Ford Mustang EcoBoost Premium
17 Ford Mustang GT Premium
14 Ford Mustang V6 Premium
15 Ford Taurus SEL
15 Ford Transit Cargo Van
11 GMC Acadia Denali
13 GMC Acadia Denali
16 GMC Sierra 1500 4WD Denali Crew Cab
14 GMC Terrain Denali
13 Hyundai Veloster w/Gray Int
16 Jeep Cherokee 2WD Latitude
14 Jeep Cherokee 4WD Latitude
16 Jeep Compass 4WD Sport
13 Jeep Wrangler Sport
08 Jeep Wrangler X
12 Jeep Wrangler Unlimited Altitude
12 Jeep Wrangler Unlimited Sahara
16 Jeep Wrangler Unlimited Sport
14 Kia Sorento LX
16 Kia Sportage LX
14 Kia Sportage SX
09 Lincoln MKS
16 Lincoln MKS 4dr Sdn 3.7L FWD
15 Lincoln MKS EcoBoost
17 Lincoln MKX Reserve
07 Lincoln MKZ
15 Lincoln MKZ
15 Lincoln MKZ
05 Mazda MPV LX-SV
13 Mercedes-Benz S-Class S 550
08 Mercury Mountaineer Premier
15 Mitsubishi Outlander Sport SE
15 Nissan Altima 2.5 SV
14 Nissan Maxima 3.5 SV
11 Nissan Maxima 3.5 SV w/Premium Pkg
14 Nissan Murano LE
11 Nissan Murano S
16 Nissan Versa Note S
17 Nissan Versa Sedan S
15 Ram 1500 4WD Big Horn Crew Cab
16 Ram 1500 4WD Big Horn Crew Cab
14 Ram 1500 4WD Express Quad Cab
16 Scion iA
15 Subaru Forester 2.5i Premium
13 Toyota 4Runner SR5
17 Toyota 4Runner SR5
17 Toyota 4Runner TRD Off Road
18 Toyota 4Runner TRD Off Road
18 Toyota 4Runner TRD Off Road Premium
18 Toyota 4Runner TRD Off Road Premium
15 Toyota Avalon XLE
18 Toyota C-HR XLE
15 Toyota Camry LE
16 Toyota Camry LE
18 Toyota Camry LE
18 Toyota Camry LE
18 Toyota Camry LE
18 Toyota Camry LE
18 Toyota Camry LE
14 Toyota Camry SE
03 Toyota Camry XLE
13 Toyota Corolla L
14 Toyota Corolla L
15 Toyota Corolla LE
16 Toyota Corolla LE
16 Toyota Corolla LE
16 Toyota Corolla LE
18 Toyota Corolla LE
18 Toyota Corolla LE
18 Toyota Corolla LE
15 Toyota Corolla S
17 Toyota Corolla SE
12 Toyota Highlander
16 Toyota Highlander LE
15 Toyota Highlander Limited
16 Toyota Highlander XLE
07 Toyota RAV4 Sport
16 Toyota RAV4 XLE
17 Toyota Sienna L
12 Toyota Sienna Ltd
15 Toyota Sienna XLE
15 Toyota Sienna XLE
15 Toyota Sienna XLE Premium
10 Toyota Tacoma
16 Toyota Tacoma 4WD SR5 Double Cab
17 Toyota Tacoma 4WD TRD Off Road Double Cab
16 Toyota Tundra 2WD 2WD SR Double Cab
13 Toyota Tundra 4WD 4WD LTD CrewMax
09 Toyota Venza
10 Toyota Venza
18 Volkswagen Beetle S
Comments / Questions
Terms : I certify that the above information on this application for credit and any attachments I may send regarding this application are accurate and complete. I authorize and instruct any person or consumer reporting agency to compile and furnish any information it may have that may be required for the purpose of a credit transaction and agree same information shall remain your property whether or not credit is extended. I authorize you to obtain information from others concerning my credit standing and other relevant information impacting on this application and to provide others with information about your experience with me. I understand that I must update this credit information at your request and if this credit information changes.
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