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
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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
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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
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Massachusetts
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New Mexico
New York
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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
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1951
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1923
Residence Status
Rent
Own
Military Housing
Live with Parents
Other
Housing Payment
$
per month
Other
Available Down Payment
$
Select Vehicle(s) of Interest
08 Acura TSX Nav $8,969
15 Buick Enclave Premium $17,968
17 Buick Envision Essence $16,968
10 Cadillac CTS Sedan Luxury $11,988
20 Cadillac XT5 Premium Luxury FWD $34,969
19 Can-Am RYKER $10,498
07 Chevrolet Cobalt LS $3,998
21 Chevrolet Corvette 2LT $83,984
17 Chevrolet Cruze Premier $12,984
18 Chevrolet Equinox LT $21,969
19 Chevrolet Equinox LT $22,639
20 Chevrolet Equinox LT $21,988
12 Chevrolet Equinox LTZ $8,532
05 Chevrolet Impala Base $4,994
08 Chevrolet Silverado 1500 2WD Work Truck Ext Cab $12,488
17 Chevrolet Silverado 1500 4WD LT w/1LT Crew Cab $32,981
12 Chevrolet Sonic LT $6,984
17 Chevrolet Traverse LT $22,314
17 Chevrolet Trax LT $16,974
14 Chrysler 300 $9,985
11 Dodge Charger $10,869
13 Dodge Dart $10,977
15 Dodge Durango Limited $19,988
17 Dodge Grand Caravan GT $16,988
14 Dodge Grand Caravan SE $7,000
17 Dodge Journey Crossroad $17,469
09 Dodge JOURNEY SE $7,998
13 Ford Edge SE $10,774
13 Ford Edge SEL $12,856
13 Ford Escape SEL $14,498
14 Ford Escape Titanium $8,985
03 Ford Escape XLS Popular $4,999
15 Ford Expedition $24,958
14 Ford Explorer Limited $17,280
11 Ford Explorer XLT $11,974
14 Ford F-150 $27,969
17 Ford F-150 $36,980
19 Ford F-150 4WD Raptor SuperCrew $62,980
16 Ford F-150 4WD XLT SuperCrew $28,977
13 Ford Focus Sedan SE $8,488
16 Ford Focus Sedan SE $11,968
11 Ford Fusion Hybrid $8,549
17 GMC Acadia Denali $24,385
09 GMC Sierra 1500 2WD Work Truck Reg Cab $10,988
18 GMC Sierra 1500 4WD SLT Crew Cab $38,992
18 GMC Sierra 1500 4WD SLT Crew Cab $35,969
22 GMC Sierra 2500HD 4WD AT4 Crew Cab $75,846
10 GMC Terrain SLE-1 $8,999
18 Harley-Davidson STREET $8,995
21 Honda Accord Sedan LX $26,968
19 Honda Accord Sedan Sport 1.5T $27,375
18 Honda Civic Sedan $20,994
07 Honda CR-V EX-L $9,988
21 Honda CR-V EX-L $32,871
11 Honda Fit Sport $9,469
17 Honda Pilot EX $23,980
15 Honda Pilot EX-L $19,894
22 Hyundai Elantra SE $21,987
15 Hyundai Santa Fe Sport FWD 4dr 2.4 $13,246
18 Hyundai Tucson SEL $16,809
17 INFINITI Q50 3.0t Premium $19,489
17 Jaguar F-Pace 20d Prestige $26,984
17 Jeep Grand Cherokee 4WD Laredo $22,894
16 Jeep Patriot 2WD Sport $9,949
13 Jeep Patriot 4WD Sport $10,968
21 Jeep Wrangler Sport $36,980
13 Kia Optima Hybrid $9,969
19 Kia Soul + $15,945
19 Land Rover Discovery SE $29,985
17 Land Rover Range Rover HSE $37,976
13 Lexus CT 200h Hybrid $13,469
20 Mazda CX-30 Select Package $23,965
18 Mazda CX-5 Grand Touring $26,881
20 Mazda CX-5 Grand Touring $29,452
21 Mazda CX-5 Grand Touring $29,884
20 Mazda CX-5 Sport $25,677
23 Mazda CX-50 2.5 Turbo $38,463
09 Mazda CX-7 $7,948
22 Mazda CX-9 $41,988
16 Mazda CX-9 Touring $15,969
22 Mazda CX-9 CARBON EDITION $41,163
13 Mazda MAZDA2 Sport $6,978
21 Mazda Mazda3 Hatchback 2.5 S w/Premium Package $29,794
20 Mazda Mazda3 Hatchback w/Premium Pkg $23,477
17 Mazda Mazda3 Sedan Touring $19,890
18 Mazda MAZDA6 Signature $18,988
06 Mazda MX-5 Miata $12,967
09 Mazda RX-8 $9,800
05 Mazda Tribute s $5,998
20 Mitsubishi Outlander Sport $21,984
19 Nissan Altima 2.5 S $17,468
16 Nissan Frontier SV $21,490
17 Nissan Pathfinder $18,798
19 Nissan Rogue Sport S $19,974
22 Ram 1500 4WD Big Horn Crew Cab $51,594
21 Ram 1500 4WD Big Horn Quad Cab $38,977
11 Subaru Forester 2.5X Premium $8,977
15 Subaru Impreza Sedan Premium $14,998
13 Toyota Corolla S $10,200
18 Toyota Highlander $30,975
14 Toyota Sienna $13,958
13 Volkswagen Passat $11,977
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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