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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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
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April
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August
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December
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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
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1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
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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 $26,984
14 Buick Encore Leather $12,594
13 Cadillac Escalade ESV Platinum Edition $15,969
15 Cadillac Escalade ESV Standard $19,500
20 Cadillac XT5 Premium Luxury FWD $31,437
05 Chevrolet Avalanche $9,999
02 Chevrolet Camaro 2dr Cpe $8,995
04 Chevrolet Colorado $6,998
14 Chevrolet Cruze 1LT $8,435
15 Chevrolet Equinox LT $10,988
16 Chevrolet Impala LT $18,997
21 Chevrolet Silverado 1500 4WD LT Trail Boss Crew Cab $46,979
22 Chevrolet Suburban LT $49,969
22 Chevrolet Suburban LT $49,858
23 Chevrolet Traverse LT Cloth $31,346
20 Chevrolet Traverse Premier $28,977
22 Chrysler Pacifica Limited $29,984
21 Chrysler Pacifica Touring $24,965
21 Chrysler Pacifica Touring L $24,964
22 Chrysler Pacifica Touring L $26,984
22 Chrysler Pacifica Touring L $26,979
21 Chrysler Voyager LXI $23,965
16 Dodge Challenger
21 Dodge Charger SXT $23,964
20 Dodge Durango Citadel $32,974
19 Dodge Grand Caravan GT $17,994
22 Ford Bronco Sport Outer Banks $30,592
23 Ford Edge SE AWD $29,945
19 Ford Escape SE $17,497
20 Ford Escape SEL $22,955
19 Ford Escape Titanium $21,813
03 Ford Explorer $4,879
11 Ford Explorer XLT $9,935
13 Ford Explorer XLT $10,969
17 Ford F-150 $27,638
19 Ford F-150 2WD SuperCab Box $20,988
21 Ford F-150 4WD Platinum SuperCrew $49,969
17 Ford F-150 4WD Raptor SuperCrew $49,955
21 Ford F-150 4WD XLT SuperCrew $37,965
15 Ford Focus SE $8,469
11 Ford Super Duty F-250 SRW $20,977
22 Ford Super Duty F-250 SRW $49,982
22 Ford Super Duty F-250 SRW $50,965
22 Ford Super Duty F-250 SRW 4WD Lariat Crew Cab $65,940
22 Ford Super Duty F-250 SRW 4WD XLT Crew Cab $45,899
23 GMC Acadia Denali $44,988
16 GMC Sierra 1500 4WD Denali Crew Cab $31,970
16 GMC Sierra 1500 4WD SLT Crew Cab $28,968
12 GMC Sierra 2500HD 4WD Denali Crew Cab $32,845
90 GMC SIERRA C1500 $8,995
15 GMC Yukon XL Denali $24,928
11 GMC Yukon XL SLT $7,995
04 Honda Accord Sedan EX $5,995
22 Honda Accord Sedan Sport SE
20 Honda Accord Sedan Touring 2.0T $28,379
19 Honda CR-V EX $23,948
22 Honda Odyssey Elite $39,945
14 Honda Odyssey EX-L $11,969
22 Honda Pilot Special Edition $36,480
09 HUMMER H3 H3T Alpha $19,769
13 Hyundai Sonata GLS PZEV $12,805
17 Hyundai Tucson AWD $17,224
17 Hyundai Tucson Eco $11,922
18 Hyundai Tucson Sport $17,849
18 Hyundai Tucson Value $20,715
07 INFINITI G35 Sedan $8,965
14 INFINITI QX80 4WD 4dr $14,488
21 INFINITI QX80 PREMIUM SELECT $41,978
19 Jeep Cherokee 4WD Latitude $18,898
21 Jeep Gladiator 4WD Rubicon $37,955
24 Jeep Wrangler Sport S $43,969
21 Jeep Wrangler Unlimited Sahara $32,967
09 Jeep Wrangler X
16 Kia Soul + $10,988
17 Land Rover Range Rover HSE $31,977
21 Lincoln Navigator Reserve $51,940
21 Mazda CX-5 $27,977
22 Mazda CX-5 2.5 S Select Package $26,982
23 Mazda CX-5 2.5 S Select Package $28,964
23 Mazda CX-5 2.5 Turbo Signature $36,964
19 Mazda CX-5 Grand Touring $23,965
19 Mazda CX-5 Grand Touring $24,965
21 Mazda CX-5 Grand Touring $27,968
14 Mazda CX-5 Touring $5,995
16 Mazda CX-5 Touring $18,969
21 Mazda CX-5 Touring $22,985
24 Mazda CX-50 2.5 S Premium Package $34,969
24 Mazda CX-50 2.5 S Select Package $31,969
22 Mazda CX-9 Carbon Edition $34,827
18 Mazda CX-9 Grand Touring $22,964
21 Mazda CX-9 Touring $29,877
22 Mazda CX-9 Touring Plus $32,469
21 Mazda MX-5 Miata RF Grand Touring $26,988
20 Mitsubishi Outlander Sport 2.0 CVT $17,855
15 Nissan Altima $4,995
21 Nissan Kicks S $17,964
18 Nissan Murano SL $18,685
19 Nissan NV Passenger NV3500 HD SV $37,393
19 Nissan Rogue S $18,769
16 Nissan Rogue SV $16,954
21 Nissan Titan PRO-4X $42,964
21 Nissan Versa SV $17,969
21 Nissan Versa SV $17,965
18 Ram 1500 $26,984
22 Ram 2500 4WD Big Horn Crew Cab $48,332
23 Ram 3500 Big Horn $66,487
22 Subaru Impreza Limited $27,825
13 Subaru XV Crosstrek Limited
18 Toyota 4Runner 4WD (Natl) $30,948
21 Toyota Camry $22,988
22 Toyota Camry SE Auto (Natl) $23,988
19 Toyota Highlander $23,765
14 Toyota Sienna LE $8,984
19 Toyota Tundra 4WD 4WD SR5 Double Cab $29,869
14 Volkswagen Passat $10,968
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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