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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
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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
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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
17 Buick Encore Preferred $17,500
18 Buick Encore Sport Touring $19,000
21 Buick Envision Essence $32,000
17 Buick Envision Preferred $23,000
17 Cadillac ATS Coupe Luxury AWD $27,500
17 Chevrolet Express Cargo Van
19 Chevrolet Silverado 1500 4WD LT Trail Boss Crew Cab $49,995
19 Chevrolet Silverado 1500 4WD LT Trail Boss Crew Cab $40,000
19 Chevrolet Sonic LT $14,000
18 Chevrolet Traverse LT Leather $31,000
19 Chevrolet Traverse LT Leather $29,000
19 Chevrolet Trax LS $17,000
20 Ford Escape SE Sport Hybrid $30,000
18 Ford F-150 PLATINUM 4WD SUPERCREW 5. $39,000
22 Ford Mustang EcoBoost Premium $32,000
18 Ford Super Duty F-250 SRW 4WD Lariat Crew Cab $55,500
20 Ford Super Duty F-250 SRW 4WD Lariat Crew Cab $53,500
16 GMC Acadia Denali $18,000
21 GMC Acadia Denali $38,500
16 GMC Acadia SLE $18,500
18 GMC Acadia SLT $23,000
20 GMC Acadia SLT $33,500
16 GMC Canyon 2WD Ext Cab $18,000
22 GMC Canyon 4WD AT4 w/Cloth Crew Cab $39,000
21 GMC Canyon 4WD Elevation Crew Cab $36,000
16 GMC Canyon 4WD SLE Crew Cab $22,500
18 GMC Sierra 1500 4WD Denali Crew Cab $46,900
19 GMC Sierra 1500 4WD Denali Crew Cab $51,500
22 GMC Sierra 1500 4WD Denali Crew Cab $65,000
22 GMC Sierra 1500 4WD Elevation Crew Cab $56,500
19 GMC Sierra 1500 4WD SLE Crew Cab $33,500
14 GMC Sierra 1500 4WD SLT Crew Cab $26,500
17 GMC Sierra 1500 4WD SLT Crew Cab $36,500
22 GMC Sierra 2500HD 4WD AT4 Crew Cab $75,000
19 GMC Sierra 2500HD 4WD Denali Crew Cab $58,000
18 GMC Terrain Denali $30,000
18 GMC Terrain SLT $23,000
22 GMC Yukon Denali $84,500
17 GMC Yukon SLE $28,500
19 GMC Yukon XL SLT Standard Edition $37,500
13 Honda Civic Sedan EX-L $13,500
22 Honda Civic Sedan Sport $31,500
19 Honda Fit EX $17,500
18 Honda Odyssey EX-L $30,000
18 Jaguar XF 20d Prestige $25,000
21 Jeep Cherokee ALTITUDE 4X4 $28,500
19 Kia Sorento LX $18,500
20 Kia Stinger GT-Line $29,000
20 Mazda MAZDA6 Touring $24,000
21 Mercedes-Benz C-Class C 300 $35,000
19 Tesla Model 3 Standard Range $32,500
20 Tesla Model Y Performance $56,000
20 Toyota RAV4 Limited $34,000
16 Toyota Tundra 4WD Truck 4WD SR5 CrewMax $29,500
20 Volvo XC40 Momentum $31,500
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.
Areas Served
O'Fallon
Wentzville
Bowling Green
St. Peters
Troy
Warrenton
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