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Federico Chrysler Dodge Jeep Ram Finance Application
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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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1908
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
March
April
May
June
July
August
September
October
November
December
2023
2022
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1923
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
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
1923
Residence Status
Rent
Own
Military Housing
Live with Parents
Other
Housing Payment
$
per month
Other
Available Down Payment
$
Select Vehicle(s) of Interest
19 Acura TLX V6 A-Spec $35,614
18 Alfa Romeo Stelvio Ti Sport $29,602
22 BMW X3 xDrive30i $47,705
20 Buick Encore Sport Touring $21,571
18 Cadillac ATS Sedan Luxury RWD $23,806
23 Chevrolet Blazer LT $43,499
20 Chevrolet Blazer Premier $34,888
20 Chevrolet Camaro 1LT $28,937
17 Chevrolet City Express Cargo Van LT $22,775
15 Chevrolet Equinox LT $12,250
20 Chevrolet Equinox LT $25,749
21 Chevrolet Express Cargo Van RWD 2500 135" $29,995
17 Chevrolet Impala LT 1LT $18,682
20 Chevrolet Silverado 1500 4WD LT Crew Cab $38,363
15 Chevrolet Silverado 1500 LT LT1 $24,781
04 Chevrolet SSR 2WD LS Reg Cab $25,995
21 Chevrolet Traverse Premier $41,897
19 Chrysler 300 Touring AWD $27,957
21 Chrysler Pacifica Hybrid Touring L $35,899
22 Chrysler Pacifica Hybrid Touring L $41,999
21 Chrysler Pacifica Touring L $29,896
21 Chrysler Pacifica Touring L $26,995
19 Chrysler Pacifica Touring L Plus $30,959
18 Dodge Challenger T/A 392 $42,799
21 Dodge Durango R/T $40,991
20 Dodge Grand Caravan GT $22,593
13 FIAT 500 Sport $12,675
21 Ford Escape S $23,980
13 Ford Escape SEL $10,899
20 Ford F-150 4WD XLT SuperCrew $38,950
20 Ford Fusion SE $23,637
20 Ford Mustang EcoBoost Premium $31,591
15 GMC Acadia SLE-1 $9,250
17 GMC Acadia Limited Limited $21,575
19 Honda CR-V EX $28,556
23 Honda HR-V LX $28,606
22 Honda Ridgeline Black Edition $43,957
15 Hyundai Elantra SE $11,494
21 Jeep Cherokee 2WD Latitude Plus $25,930
19 Jeep Cherokee 4WD High Altitude $27,766
20 Jeep Cherokee 4WD Limited $28,974
16 Jeep Cherokee 4WD Trailhawk $23,273
16 Jeep Compass High Altitude 4x4 $15,793
21 Jeep Gladiator 4WD Mojave $52,900
22 Jeep Gladiator 4WD Willys $41,702
21 Jeep Gladiator Overland 4x4 $46,787
21 Jeep Grand Cherokee 4WD Limited $29,492
20 Jeep Grand Cherokee 4WD Summit $41,997
20 Jeep Grand Cherokee Limited X $41,957
11 Jeep Grand Cherokee Overland 4x4 $14,995
17 Jeep Patriot 4WD 75th Anniversary Edition $17,927
21 Jeep Renegade Latitude $26,998
23 Jeep Wrangler High Altitude $54,554
21 Jeep Wrangler 4xe Unlimited Sahara $45,899
18 Jeep Wrangler JK Unlimited Unlimited Rubicon 4x4 $37,976
16 Jeep Wrangler Unlimited Sahara $30,499
20 Jeep Wrangler Unlimited Sahara $39,489
20 Jeep Wrangler Unlimited Sport S $34,458
20 Jeep Wrangler Unlimited Unlimited Willys 4x4 $38,964
21 Kia K5 LXS $24,991
15 Kia Sorento LX $12,739
22 Kia Sorento Hybrid EX $38,976
17 Kia Sportage LX $19,995
20 Kia Sportage LX $19,998
20 Lexus ES ES 350 F SPORT $37,319
20 Lincoln Navigator Reserve $58,873
17 Mazda CX-5 Touring $16,851
18 Mazda MAZDA3 5-Door Grand Touring $24,632
20 Nissan Kicks SR $22,336
21 Nissan Kicks SR $22,475
18 Ram 1500 4WD Big Horn Crew Cab $31,924
21 Ram 1500 4WD Big Horn Crew Cab $41,532
21 Ram 1500 4WD Longhorn Crew Cab $57,981
20 Ram 1500 Big Horn/Lone Star $43,571
21 Ram 2500 4WD Big Horn Crew Cab $46,819
22 Ram 3500 4WD Tradesman Crew Cab $67,687
13 Toyota Prius Three $11,997
18 Toyota Prius Three Touring $23,575
19 Volkswagen Arteon 2.0T SEL Premium R-Line 4Motion $31,814
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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