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Applicant / Cosigner Information
*First Name, Middle Initial
*Last Name
*Email Address
*Day Phone Number
Evening Phone Number
Date of Birth
Jan
Feb
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Apr
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1919
1918
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1916
1915
1914
1913
1912
1911
1910
1909
1908
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
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
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1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
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
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
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
Residence Status
Rent
Own
Military Housing
Live with Parents
Other
Housing Payment
$
per month
Other
Available Down Payment
$
Select Vehicle(s) of Interest
12 Acura MDX Tech Pkg $13,395
23 BMW 2 Series 228i xDrive $44,695
20 BMW 3 Series 330i xDrive $35,795
16 BMW 3 Series 340i xDrive $27,995
20 BMW 3 Series M340i xDrive $48,695
21 BMW 3 Series M340i xDrive $54,395
15 BMW 4 Series 428i $16,995
23 BMW 5 Series 540i xDrive $59,695
20 BMW 5 Series M550i xDrive $49,990
21 BMW 7 Series 750i xDrive $64,995
22 BMW i4 eDrive40 $49,990
23 BMW M5 Sedan $109,900
23 BMW X3 M40i $63,990
21 BMW X3 xDrive30i $42,900
23 BMW X3 xDrive30i $53,495
21 BMW X4 M40i $46,495
20 BMW X5 xDrive40i $49,895
21 BMW X5 xDrive40i $40,795
21 BMW X5 xDrive40i $55,995
22 BMW X5 xDrive40i $57,695
22 BMW X5 xDrive40i $63,890
24 BMW X7 M60i $109,995
17 Chevrolet Corvette Grand Sport 3LT $71,990
19 Chevrolet Silverado 1500 4WD LTZ Crew Cab $39,990
21 Chevrolet Tahoe High Country $59,695
15 Ford Taurus SEL $13,395
17 Honda Pilot Touring $23,990
22 Hyundai Santa Fe Hybrid Limited $36,990
21 Jeep Grand Cherokee 4WD 80th Anniversary $37,695
18 Jeep Grand Cherokee 4WD High Altitude $30,695
19 Land Rover Range Rover Velar R-Dynamic SE $43,895
19 Lexus NX $29,990
11 Lincoln MKS 4dr Sdn 3.7L FWD $11,250
17 Mercedes-Benz GLC GLC 300 $25,895
16 Nissan Murano Platinum $18,695
21 Nissan Rogue Platinum $33,990
19 Subaru Crosstrek Premium $26,990
21 Volkswagen Tiguan SEL Premium R-Line $33,990
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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