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
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
2019
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2010
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Residence Status
Rent
Own
Military Housing
Live with Parents
Other
Housing Payment
$
per month
Other
Available Down Payment
$
Select Vehicle(s) of Interest
18 Audi Q7 Premium Plus $42,965
18 Chevrolet Camaro SS $29,873
14 Chevrolet Captiva Sport Fleet LS $9,768
14 Chevrolet Captiva Sport Fleet LT $10,697
19 Chevrolet Cruze 4dr Sdn CVT $15,983
19 Chevrolet CRUZE LS $15,748
18 Chevrolet Express Passenger LT $24,000
19 Chevrolet Impala LT $18,794
19 Chevrolet Suburban LT $43,897
19 Chevrolet Suburban LT $43,897
11 Chevrolet Traverse LT w/1LT $11,500
10 Chevrolet Traverse LT w/2LT $10,000
05 Chrysler 300 300 $6,000
19 Chrysler Pacifica Touring L $25,650
19 Dodge Grand Caravan GT $19,867
10 Dodge Grand Caravan SXT $7,000
15 Ford Edge Titanium $20,785
16 Ford Escape SE $11,970
13 Ford Explorer Base $8,500
13 Ford Explorer XLT $11,450
15 Ford Explorer XLT $19,690
11 Ford F-150
14 Ford F-150 $31,965
14 Ford F-150 4WD Lariat SuperCrew $21,978
19 Ford F-150 4WD XLT SuperCrew $39,851
19 Ford F-150 4WD XLT SuperCrew
10 Ford F250 SUPER DUTY $19,500
11 Ford Flex Limited $10,000
18 Ford Mustang EcoBoost Premium $25,000
05 Ford Super Duty F-250 4WD Lariat SuperCab $10,000
19 Ford Super Duty F-250 SRW $45,000
12 Ford Super Duty F-250 SRW 4WD Lariat Crew Cab $34,500
16 Ford Super Duty F-250 SRW 4WD XLT Crew Cab $36,000
17 Ford Super Duty F-350 DRW 4WD XLT Crew Cab $57,995
19 Ford Super Duty F-350 SRW 4WD XLT Crew Cab $48,947
10 GMC Acadia SL $9,000
19 GMC Acadia SLT $29,999
12 GMC Terrain SLT-2 $9,500
08 GMC Yukon XL Denali AWD 4dr 1500 $9,000
18 Harley-Davidson FLDE $16,000
17 Honda Accord Sedan Sport SE $18,976
08 Honda Odyssey EX $8,000
19 Hyundai Accent 4-Door $14,987
19 Hyundai Accent 4-Door $13,964
18 Hyundai Elantra $15,870
15 Hyundai Sonata 2.4L Sport $13,500
19 INFINITI QX80 LUXE $48,947
18 Jaguar F-Pace 30t Premium $33,000
19 Jeep Compass 4WD Trailhawk $23,749
19 Jeep Wrangler Unlimited $35,649
19 Jeep Wrangler Unlimited $34,670
18 Kia Optima LX $15,555
15 Kia Rio LX $6,000
15 Kia Sorento LX $13,948
13 Kia SORENTO LX $8,500
17 Lincoln MKX Reserve $29,847
14 Mazda CX-5 Grand Touring $12,975
14 Mazda CX-5 Grand Touring $16,000
16 Mazda CX-5 Grand Touring $22,975
16 Mazda CX-5 Grand Touring $22,879
17 Mazda CX-5 Grand Touring $25,469
19 Mazda CX-5 Grand Touring $25,000
19 Mazda CX-5 Grand Touring $27,500
19 Mazda CX-5 Grand Touring $27,500
16 Mazda CX-5 Sport $17,500
16 Mazda CX-5 Touring $12,500
16 Mazda CX-5 Touring $19,800
18 Mazda CX-9 Signature $38,500
10 Mazda MAZDA3 Sedan $5,500
17 Mazda MAZDA3 Sedan Sport $14,500
18 Mazda MAZDA3 Sedan Sport $18,000
12 Mazda MAZDA5 Sport $6,900
18 Mazda MAZDA6 Grand Touring Reserve $27,985
18 Mazda MAZDA6 Signature $29,500
18 Mazda MAZDA6 Signature $27,983
08 Mazda Tribute $8,000
10 Mazda Tribute Grand Touring $9,000
19 MINI Countryman Cooper $23,975
19 Mitsubishi Eclipse Cross ES $18,957
18 Nissan Altima 2.5 SL $15,967
17 Nissan Altima 2.5 SV $15,978
19 Nissan Frontier SV $29,800
18 Nissan Pathfinder SV $22,987
18 Nissan Pathfinder SV $23,498
18 Nissan Pathfinder SV $26,500
16 Nissan Quest $13,987
18 Nissan Rogue S $17,500
18 Nissan Rogue SV $17,000
18 Nissan Sentra S $13,975
14 Nissan Versa Note $7,500
18 Nissan Versa Sedan SV $12,980
19 Ram 1500 Classic $29,900
19 Ram 1500 Classic $29,900
19 Ram 1500 Classic $29,000
19 Ram 1500 Classic $28,500
19 Ram 1500 Classic $28,500
19 Ram 1500 Classic $29,000
19 Ram 1500 Classic $29,900
19 Ram 1500 Classic $30,500
19 Ram 1500 Classic 4WD SLT Crew Cab
19 Ram 2500 4WD Big Horn Crew Cab $45,967
18 Subaru Forester Premium $24,500
17 Subaru Impreza Premium $17,985
19 Toyota 4Runner $36,975
19 Toyota 4Runner TRD Off Road Premium
19 Toyota Tacoma 4WD 4WD SR5 Double Cab $31,987
19 Toyota Tacoma 4WD 4WD SR5 Double Cab $39,876
19 Toyota Tacoma 4WD 4WD SR5 Double Cab $36,970
09 Toyota Venza 4dr Wgn V6 AWD (Natl) $12,987
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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