573-335-5999
460 Siemers Drive
Cape Girardeau, MO 63701
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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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1909
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
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April
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June
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August
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December
2024
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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
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
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
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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
Residence Status
Rent
Own
Military Housing
Live with Parents
Other
Housing Payment
$
per month
Other
Available Down Payment
$
Select Vehicle(s) of Interest
21 Audi Q5 Premium Plus $27,269
14 Buick Encore Leather $12,469
19 Buick Envision Preferred $20,369
13 Cadillac Escalade ESV Platinum Edition $15,969
15 Cadillac Escalade ESV Standard $21,569
20 Cadillac XT5 Premium Luxury FWD $30,969
05 Chevrolet Avalanche Z71 $10,969
04 Chevrolet Colorado $7,969
14 Chevrolet Cruze 1LT $8,969
15 Chevrolet Equinox LT $11,569
21 Chevrolet Silverado 1500 4WD LT Trail Boss Crew Cab $46,969
22 Chevrolet Suburban LT $47,969
22 Chevrolet Suburban LT $49,969
14 Chevrolet Suburban LTZ $20,969
23 Chevrolet Traverse LT Cloth $31,969
20 Chevrolet Traverse Premier $29,869
20 Chevrolet Trax LS $16,869
21 Chrysler Pacifica Touring $24,969
21 Chrysler Pacifica Touring L $24,969
22 Chrysler Pacifica Touring L $27,969
22 Chrysler Pacifica Touring L $26,569
21 Chrysler Voyager LXI $23,869
16 Dodge Challenger $15,269
21 Dodge Charger $43,969
21 Dodge Charger SXT $24,169
20 Dodge Durango Citadel $33,969
22 Ford Bronco Sport Outer Banks $31,469
23 Ford Edge SE AWD $30,969
19 Ford Escape SE $17,169
13 Ford Escape SEL $10,969
20 Ford Escape SEL $23,969
19 Ford Escape Titanium $21,569
03 Ford Explorer $5,469
14 Ford Explorer Limited
11 Ford Explorer XLT $9,969
13 Ford Explorer XLT $10,969
12 Ford F-150
16 Ford F-150 $23,969
19 Ford F-150 2WD SuperCab Box $21,469
21 Ford F-150 4WD Platinum SuperCrew $49,969
17 Ford F-150 4WD Raptor SuperCrew $52,969
17 Ford F-150 4WD XLT SuperCrew $27,469
21 Ford F-150 4WD XLT SuperCrew $37,969
14 Ford Fusion S $12,969
22 Ford Super Duty F-250 SRW $49,969
22 Ford Super Duty F-250 SRW 4WD Crew Cab Box $50,969
11 Ford Super Duty F-250 SRW 4WD Lariat Crew Cab $20,969
22 Ford Super Duty F-250 SRW 4WD Lariat Crew Cab $64,969
19 Genesis G70 2.0T Advanced $26,969
23 GMC Acadia Denali $44,988
90 GMC SIERRA C1500 $8,969
13 GMC Yukon XL Denali
15 GMC Yukon XL Denali $24,969
11 GMC Yukon XL SLT $8,669
22 Honda Accord Sedan Sport SE $28,269
18 Honda Accord Sedan Touring $25,969
19 Honda CR-V EX $24,969
22 Honda Odyssey Elite $39,969
14 Honda Odyssey EX-L $11,869
22 Honda Pilot Special Edition $36,269
09 HUMMER H3 H3T Alpha $20,469
13 Hyundai Sonata GLS PZEV $12,769
17 Hyundai Tucson AWD $16,969
17 Hyundai Tucson Eco $12,469
18 Hyundai Tucson Sport $16,969
18 Hyundai Tucson Value $19,969
07 INFINITI G35 Sedan Sport $8,969
14 INFINITI QX80 4WD 4dr $14,369
21 INFINITI QX80 PREMIUM SELECT $41,969
19 Jeep Cherokee 4WD Latitude $18,769
21 Jeep Gladiator 4WD Rubicon $38,269
19 Jeep Grand Cherokee $23,969
21 Jeep Wrangler Unlimited Sahara $32,869
16 Jeep Wrangler Unlimited $23,969
16 Kia Soul + $12,569
17 Land Rover Range Rover HSE $31,469
23 Mazda CX-30 2.5 Turbo Premium Plus Package $32,969
21 Mazda CX-30 Select Package $20,469
21 Mazda CX-5 $27,969
22 Mazda CX-5 2.5 S Premium Plus Package $31,469
22 Mazda CX-5 2.5 S Select Package $26,969
23 Mazda CX-5 2.5 S Select Package $28,769
23 Mazda CX-5 2.5 S Select Package $28,969
23 Mazda CX-5 2.5 Turbo $34,869
23 Mazda CX-5 2.5 Turbo Signature $36,969
19 Mazda CX-5 Grand Touring $24,869
21 Mazda CX-5 Grand Touring $27,969
24 Mazda CX-50 2.5 S Premium Package $33,769
24 Mazda CX-50 2.5 S Select Package $30,969
23 Mazda CX-50 2.5 Turbo Meridian Edition $35,869
23 Mazda CX-9 Signature $36,969
23 Mazda CX-9 Signature $37,969
21 Mazda CX-9 Touring $29,469
22 Mazda CX-9 Touring $27,469
22 Mazda CX-9 Touring Plus $32,569
24 Mazda CX-90 3.3 Turbo Preferred Plus $41,769
12 Mazda MX-5 Miata Grand Touring $15,869
21 Mazda MX-5 Miata RF Grand Touring $27,069
03 Mazda Protege ES $8,969
09 MINI Cooper Clubman 2dr Cpe $8,969
22 MINI Countryman Cooper $26,469
22 MINI Countryman Cooper $22,969
22 MINI Countryman Cooper $23,969
22 MINI Countryman Cooper $24,369
20 Mitsubishi Outlander Sport 2.0 CVT $17,569
16 Nissan Altima $14,969
21 Nissan Kicks S $17,469
19 Nissan NV Passenger NV3500 HD SV $35,899
19 Nissan Rogue S $18,469
16 Nissan Rogue SV $16,569
21 Nissan Titan PRO-4X $43,969
21 Nissan Versa SV $18,469
21 Nissan Versa SV $17,469
14 Ram 1500
18 Ram 1500 4WD Big Horn Crew Cab $26,969
22 Ram 2500 4WD Big Horn Crew Cab $48,912
24 Ram 2500 Tradesman $49,969
23 Ram 3500 Big Horn $66,969
22 Subaru Impreza Limited $26,769
13 Subaru XV Crosstrek Limited $9,969
18 Toyota 4Runner 4WD (Natl) $30,469
22 Toyota Camry SE Auto (Natl) $23,469
19 Toyota Highlander LE V6 AWD (Natl) $23,969
14 Toyota Sienna LE $9,469
19 Toyota Tundra 4WD 4WD SR5 Double Cab $29,969
14 Volkswagen Passat $10,969
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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