1205 South State Jerseyville, IL 62052
618-498-2139
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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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Social Security Number
-
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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
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December
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Gross Salary before taxes
$
per
Year
Month
Week
Housing Information
Address
City, State, Zip
state
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Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
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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
2024
2023
2022
2021
2020
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
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1964
1963
1962
1961
1960
1959
1958
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1955
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1953
1952
1951
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1948
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1931
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1926
1925
1924
Residence Status
Rent
Own
Military Housing
Live with Parents
Other
Housing Payment
$
per month
Other
Available Down Payment
$
Select Vehicle(s) of Interest
20 Buick Enclave Essence $22,995
14 Cadillac SRX Luxury Collection $16,495
20 Chevrolet Colorado 2WD LT Ext Cab $22,995
17 Chevrolet Colorado 4WD ZR2 Crew Cab $26,495
17 Chevrolet Equinox LT $15,995
16 Chevrolet Tahoe LS $19,995
14 Chrysler Town & Country Touring-L 30th Anniversary $15,995
21 Ford Bronco Big Bend $47,995
21 Ford Bronco Sport Badlands $28,995
21 Ford Bronco Sport Big Bend $26,995
21 Ford Bronco Sport Big Bend $27,995
23 Ford Edge SEL AWD $36,995
17 Ford Edge Titanium $15,995
18 Ford Edge Titanium $25,995
20 Ford Edge Titanium AWD $21,995
23 Ford Escape Active
22 Ford Escape S $22,995
20 Ford Escape SE $20,995
20 Ford Escape SE $21,495
20 Ford Escape SEL $26,995
20 Ford Escape SEL $18,995
21 Ford Escape SEL $23,995
22 Ford Escape SEL $25,995
23 Ford Escape ST-Line Select $29,995
18 Ford Escape Titanium $20,995
20 Ford Escape Titanium $23,995
20 Ford Escape Titanium Hybrid $20,995
21 Ford Expedition Limited $41,995
18 Ford Expedition Max Platinum $39,995
23 Ford Explorer Base $33,995
20 Ford Explorer Platinum $29,995
21 Ford Explorer Platinum $38,995
19 Ford Explorer XLT $26,995
16 Ford F-150 2WD XLT SuperCrew $15,995
14 Ford F-150 4WD Lariat SuperCrew $24,995
15 Ford F-150 4WD Lariat SuperCrew $22,995
15 Ford F-150 4WD Lariat SuperCrew $22,995
16 Ford F-150 4WD Lariat SuperCrew $24,995
19 Ford F-150 4WD Lariat SuperCrew $34,995
19 Ford F-150 4WD Lariat SuperCrew $34,995
21 Ford F-150 4WD Lariat SuperCrew $41,995
22 Ford F-150 4WD Lariat SuperCrew $53,495
23 Ford F-150 4WD Lariat SuperCrew $62,995
22 Ford F-150 4WD XL SuperCrew $47,995
10 Ford F-150 4WD XLT SuperCab
21 Ford F-150 4WD XLT SuperCab $40,995
16 Ford F-150 4WD XLT SuperCrew $29,995
23 Ford F-150 4WD XLT SuperCrew $49,995
13 Ford F-150 XL w/HD Payload Pkg $16,495
14 Ford Focus SE $12,995
15 Ford Fusion SE
24 Ford Maverick LARIAT $35,995
06 Ford Mustang GT Premium
22 Ford Mustang GT Premium $39,995
23 Ford Mustang Mach-E Premium $44,995
20 Ford Ranger 2WD LARIAT SuperCrew $30,995
19 GMC Sierra 1500 4WD SLT Crew Cab $41,995
11 GMC Sierra 3500HD SRW Work Truck $17,995
18 GMC Terrain Denali $23,995
23 GMC Terrain SLT $29,995
17 Jeep Cherokee 4WD Limited $21,995
14 Jeep Compass 2WD Sport $9,995
21 Jeep Grand Cherokee 4WD 80th Anniversary $28,995
22 Jeep Wrangler Unlimited Sahara $43,500
18 Jeep Wrangler JK Unlimited Sahara $26,995
18 Jeep Wrangler JK Unlimited Sport $25,995
20 Kia Optima EX Premium $25,995
23 Lincoln Nautilus Reserve $46,995
19 Lincoln Nautilus Select $22,995
22 Lincoln Navigator L Reserve $69,995
20 Nissan Murano SV $24,995
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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