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
January
February
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April
May
June
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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
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
Residence Status
Rent
Own
Military Housing
Live with Parents
Other
Housing Payment
$
per month
Other
Available Down Payment
$
Select Vehicle(s) of Interest
20 Buick Envision Essence $21,777
10 Buick LaCrosse CXL $6,995
15 Cadillac Escalade ESV Standard $20,577
05 Chevrolet Avalanche Z71 $9,977
21 Chevrolet Blazer LT $21,859
19 Chevrolet Blazer RS $24,977
09 Chevrolet Cobalt $5,977
04 Chevrolet Colorado $7,877
16 Chevrolet Corvette 3LT $48,577
21 Chevrolet Corvette 3LT $75,977
14 Chevrolet Cruze 1LT $8,877
12 Chevrolet Cruze LS $5,968
17 Chevrolet Malibu LT $9,977
05 Chevrolet Silverado 1500 $8,970
18 Chevrolet Silverado 1500 4WD LT w/2LT Crew Cab $32,377
23 Chevrolet Silverado 2500HD High Country $65,980
10 Chevrolet Tahoe LT $7,977
20 Chevrolet Traverse Premier $27,877
17 Chrysler 200 Touring $12,577
20 Chrysler Pacifica Limited $24,977
20 Chrysler Pacifica Limited $18,239
21 Chrysler Pacifica Touring $23,968
19 Chrysler Pacifica Touring L $19,870
21 Chrysler Pacifica Touring L $24,977
09 Chrysler PT Cruiser Touring $5,977
10 Chrysler Town & Country Touring $5,877
21 Chrysler Voyager LXI $19,977
07 Dodge Caliber SXT $5,777
16 Dodge Challenger SXT $14,977
15 Dodge Charger $12,977
21 Dodge Charger SXT $23,977
21 Dodge Charger SXT $23,977
16 Dodge Dart SE $4,777
20 Dodge Durango Citadel $31,482
15 Dodge Journey $7,477
17 Dodge Journey SE $9,877
12 Dodge Journey SXT $8,777
04 Dodge Ram 1500 $7,877
10 Dodge Ram 2500 $16,984
23 Ford Bronco 4 Door Advanced 4x4 $48,677
20 Ford Edge AWD $19,377
23 Ford Edge SE AWD $26,980
13 Ford Escape SE $6,977
14 Ford Escape SE $12,677
16 Ford Escape SE $8,477
17 Ford Escape Titanium $16,977
03 Ford Explorer 4dr 114 $5,980
11 Ford Explorer XLT $9,369
15 Ford Explorer XLT $14,977
10 Ford F-150 $13,877
19 Ford F-150 2WD SuperCab Box $18,790
20 Ford F-150 4WD Limited SuperCrew $39,897
21 Ford F-150 4WD XLT SuperCrew $36,354
14 Ford Fusion SE $5,984
16 Ford Fusion SE $8,477
10 Ford Fusion SEL $7,977
99 Ford Ranger 4WD XLT SuperCab $6,794
09 Ford Super Duty F-250 SRW $13,477
22 Ford Super Duty F-250 SRW 4WD Crew Cab Box $49,538
11 Ford Super Duty F-250 SRW 4WD Lariat Crew Cab $16,980
22 Ford Super Duty F-250 SRW 4WD Lariat Crew Cab $61,877
22 Ford Super Duty F-250 SRW 4WD XLT Crew Cab $49,977
10 Ford Super Duty F-250 SRW LARIAT $21,877
90 GMC 1500 Pickups Club Coupe $8,965
19 GMC Acadia SLE $15,477
15 GMC Acadia SLT $16,977
10 GMC Acadia SLT1 $7,577
17 GMC Acadia Limited Limited $18,755
20 GMC Sierra 1500 4WD AT4 Crew Cab $41,974
14 GMC Terrain SLE $12,977
19 GMC Yukon SLT $31,977
21 GMC Yukon SLT $42,876
13 GMC Yukon XL Denali $16,377
15 GMC Yukon XL Denali $21,978
11 GMC Yukon XL SLT $7,694
12 Honda Civic Sedan 4dr Auto EX-L $6,394
22 Honda Civic Si Manual $29,677
19 Honda CR-V EX $24,321
11 Honda CR-V SE $6,977
17 Honda CR-V Touring $13,848
11 Honda Element EX $13,977
09 HUMMER H3 H3T Alpha $18,977
13 Hyundai Accent 4-Door GLS $6,992
11 Hyundai Elantra $5,177
19 Hyundai Sonata $15,477
18 Hyundai Tucson Value $13,977
22 Hyundai Tucson Hybrid SEL Convenience $26,765
14 INFINITI QX80 4WD 4dr $11,980
21 INFINITI QX80 PREMIUM SELECT $40,877
09 Jaguar XJ Series XJ8 L $10,977
17 Jeep Cherokee 4WD Sport $16,677
20 Jeep Cherokee Trailhawk $20,728
12 Jeep Compass 4WD Sport $5,649
20 Jeep Compass Limited $18,602
14 Jeep Grand Cherokee 4WD Laredo $12,477
14 Jeep Grand Cherokee 4WD Limited $10,977
18 Jeep Grand Cherokee 4WD Limited $17,977
21 Jeep Wrangler Unlimited Sahara $30,969
22 Jeep Wrangler Unlimited Willys $37,977
18 Jeep Wrangler JK Unlimited Sport $23,890
14 Jeep Wrangler Unlimited $19,577
20 Jeep Wrangler Unlimited Sport Altitude $31,978
12 Kia Sorento $5,977
17 Land Rover Range Rover HSE $28,477
23 Mazda CX-30 2.5 S Carbon Edition $25,977
20 Mazda CX-30 AWD $17,980
21 Mazda CX-5 $18,777
23 Mazda CX-5 2.5 Turbo $32,977
21 Mazda CX-5 Carbon Edition Turbo $27,684
19 Mazda CX-5 Grand Touring $23,458
19 Mazda CX-5 Grand Touring $23,977
19 Mazda CX-5 Grand Touring $21,980
20 Mazda CX-5 Grand Touring $18,377
20 Mazda CX-5 Grand Touring Reserve $21,870
18 Mazda CX-5 Sport $16,980
24 Mazda CX-50 2.5 S Select Package $29,877
24 Mazda CX-50 2.5 S Select Package $29,877
24 Mazda CX-50 2.5 S Select Package $28,970
23 Mazda CX-50 2.5 Turbo Meridian Edition $34,977
11 Mazda CX-7 i SV $6,970
10 Mazda CX-9 GRAND TOURING $8,977
13 Mazda CX-9 Grand Touring $8,977
18 Mazda CX-9 Touring $18,977
24 Mazda CX-90 3.3 Turbo Preferred Plus $41,977
24 Mazda CX-90 3.3 Turbo Preferred Plus $41,377
24 Mazda CX-90 PHEV Premium Plus
24 Mazda Mazda3 Hatchback 2.5 S Select Sport $24,877
23 Mazda Mazda3 Hatchback Preferred
03 Mazda Protege LX $8,977
13 Mercedes-Benz M-Class ML350 $12,677
00 Mercury Grand Marquis LS $5,969
22 MINI Countryman Cooper $25,977
22 MINI Countryman Cooper $21,977
22 MINI Countryman Cooper $23,977
16 Nissan Altima 2.5 SV $14,577
18 Nissan Altima 2.5 SV $9,877
20 Nissan Armada Platinum $30,977
20 Nissan Armada SL $24,577
16 Nissan Maxima Platinum $14,537
17 Nissan Pathfinder $12,977
23 Nissan Rogue S $24,977
20 Nissan Rogue SV $14,982
23 Nissan Sentra SR
21 Nissan Versa SV $16,642
07 Nissan Xterra $6,477
06 Pontiac Grand Prix 4dr Sdn $3,977
07 Pontiac Solstice GXP $12,977
14 Ram 1500 4WD Longhorn Crew Cab $17,977
24 Ram 2500 Tradesman $49,969
23 Ram 3500 Big Horn $59,969
07 Saturn Sky Red Line $9,977
13 Subaru XV Crosstrek Limited $9,777
17 Tesla Model S $29,877
24 Toyota 4Runner TRD Pro $57,977
07 Toyota FJ Cruiser $17,577
07 Toyota Highlander $5,477
08 Toyota Sienna $5,977
12 Toyota Sienna $9,977
19 Toyota Tundra 4WD 4WD SR5 Double Cab $29,897
14 Volkswagen Passat TDI SEL Premium $14,877
10 Volkswagen Tiguan $7,945
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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