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Applicant / Cosigner Information
*First Name, Middle Initial
*Last Name
*Email Address
*Day Phone Number
Evening Phone Number
Date of Birth
Jan
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1911
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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
2021
2020
2019
2018
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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
18 Audi S5 Sportback Prestige $29,000
16 Cadillac SRX Luxury Collection $16,500
20 Chevrolet Camaro 1LT $26,000
14 Chevrolet Captiva Sport Fleet LT
20 Chevrolet Colorado 4WD Z71 Crew Cab $33,000
18 Chevrolet Equinox LT $15,000
12 Chevrolet Silverado 1500 4WD LT Ext Cab $17,000
20 Chevrolet Silverado 1500 4WD RST Crew Cab $34,900
22 Chevrolet Silverado 2500HD 4WD High Country Crew Cab $67,500
14 Chevrolet Silverado 2500HD 4WD Work Truck Reg Cab $22,500
17 Chevrolet Sonic LT $12,000
21 Chevrolet TrailBlazer ACTIV $26,500
15 Chevrolet Trax LS $12,300
21 Chrysler Pacifica Touring L $31,500
22 Chrysler Pacifica Touring L $33,500
14 Chrysler Town & Country Touring-L $11,000
18 Dodge Challenger R/T Scat Pack $36,000
18 Dodge Challenger SXT $23,000
17 Dodge Journey SE $10,500
23 Ford Bronco Wildtrak $69,000
22 Ford Bronco Sport Big Bend $28,000
14 Ford C-Max Energi SEL $11,500
20 Ford EcoSport SE $21,000
20 Ford Edge SEL AWD $27,000
20 Ford Edge SEL AWD $28,000
20 Ford Edge SEL AWD $27,000
21 Ford Edge SEL AWD $32,000
17 Ford Edge Sport AWD $21,500
18 Ford Edge Titanium $19,500
15 Ford Edge Titanium AWD $16,800
14 Ford Escape S $11,000
14 Ford Escape SE
15 Ford Escape SE $12,500
16 Ford Escape SE
18 Ford Escape SE $16,000
20 Ford Escape SE $24,500
20 Ford Escape SE $24,000
20 Ford Escape SE $23,500
20 Ford Escape SE $23,500
21 Ford Escape SE $25,000
21 Ford Escape SE $26,000
21 Ford Escape SE $25,000
21 Ford Escape SE $25,000
21 Ford Escape SE $25,500
22 Ford Escape SE Hybrid $27,500
20 Ford Escape SEL $25,000
20 Ford Escape Titanium $26,000
20 Ford Escape Titanium $27,800
20 Ford Escape Titanium $30,000
20 Ford Escape Titanium $26,500
20 Ford Escape Titanium $29,500
21 Ford Escape Titanium $31,500
21 Ford Escape Titanium $30,000
21 Ford Escape Titanium $30,500
21 Ford Escape Titanium Hybrid $29,000
20 Ford Expedition XLT $46,000
21 Ford Expedition Max Limited $53,000
21 Ford Explorer Limited $38,500
21 Ford Explorer Limited $39,000
21 Ford Explorer Platinum $46,500
21 Ford Explorer Platinum $44,000
21 Ford Explorer ST $45,500
20 Ford Explorer XLT $32,500
20 Ford Explorer XLT $31,500
21 Ford Explorer XLT $38,500
21 Ford Explorer XLT $35,500
21 Ford Explorer XLT $38,000
21 Ford Explorer XLT $35,500
21 Ford Explorer XLT $36,500
17 Ford F-150 2WD XL SuperCrew $24,500
21 Ford F-150 4WD Lariat SuperCrew $58,500
21 Ford F-150 4WD Lariat SuperCrew $51,800
23 Ford F-150 4WD Platinum SuperCrew $70,500
17 Ford F-150 4WD Raptor SuperCrew $43,000
19 Ford F-150 4WD Raptor SuperCrew $53,000
19 Ford F-150 4WD Raptor SuperCrew $58,500
21 Ford F-150 4WD Raptor SuperCrew $71,000
21 Ford F-150 4WD STX SuperCrew $38,500
21 Ford F-150 4WD XLT SuperCab $40,000
15 Ford F-150 4WD XLT SuperCrew $19,500
16 Ford F-150 4WD XLT SuperCrew $21,000
16 Ford F-150 4WD XLT SuperCrew $24,000
20 Ford F-150 4WD XLT SuperCrew $39,500
21 Ford F-150 4WD XLT SuperCrew $45,000
21 Ford F-150 4WD XLT SuperCrew $44,000
21 Ford F-150 4WD XLT SuperCrew $44,000
19 Ford F-150 King Ranch $48,000
13 Ford F-150 Platinum $22,000
16 Ford F-150 XLT $29,500
21 Ford F-150 XLT $44,500
21 Ford F-150 XLT $44,000
21 Ford F-150 XLT $44,000
21 Ford F-150 XLT $45,000
21 Ford F-150 XLT $44,500
22 Ford F-150 XLT
18 Ford Fiesta SE $14,000
16 Ford Flex SEL $15,000
13 Ford Fusion S $9,500
15 Ford Fusion SE $17,000
20 Ford Fusion SE $20,000
20 Ford Fusion SE $20,000
12 Ford Mustang Boss 302 $30,500
20 Ford Mustang EcoBoost $26,000
19 Ford Mustang GT $32,000
20 Ford Mustang GT Premium $37,000
20 Ford Mustang GT Premium $38,400
19 Ford Ranger 4WD LARIAT SuperCrew $36,500
21 Ford Super Duty F-250 SRW 4WD Platinum Crew Cab $74,500
23 Ford Super Duty F-350 SRW Lariat $95,000
19 Ford Taurus Limited $22,500
19 Ford Taurus Limited $22,400
21 Ford Transit Cargo Van 250 LR VAN $40,000
20 Ford Transit Cargo Van 250 MR VAN $40,000
16 Hyundai Sonata 2.4L SE $14,000
21 Hyundai Sonata SEL Plus $25,000
15 Jeep Cherokee 4WD Trailhawk $15,000
21 Jeep Gladiator 4WD Rubicon $45,000
21 Jeep Gladiator 4WD Rubicon $46,500
21 Jeep Grand Cherokee 4WD Laredo E $30,500
19 Jeep Grand Cherokee 4WD Limited $30,000
20 Jeep Grand Cherokee 4WD Summit $38,300
23 Jeep Grand Cherokee L 4WD Altitude $43,500
17 Jeep Renegade 4WD Trailhawk $16,000
18 Jeep Wrangler JK Unlimited Unlimited Sport
20 Jeep Wrangler Unlimited Unlimited Sport Altitude $38,000
17 Mercedes-Benz C-Class C 300 4MATIC Sedan $23,400
16 Nissan Rogue SV $14,500
21 Ram 1500 4WD Big Horn Crew Cab $41,500
21 Ram 1500 4WD Big Horn Crew Cab $40,000
19 Ram 1500 4WD Big Horn/Lone Star Crew Cab $29,500
21 Ram 1500 4WD Laramie Crew Cab $47,500
18 Subaru Forester Touring $22,500
21 Subaru Outback Limited $32,000
22 Subaru Outback Limited $32,500
22 Volkswagen Atlas 3.6L V6 SE w/Technology $37,000
22 Volkswagen Golf GTI SE $33,500
20 Volkswagen Jetta R-Line $20,500
18 Volkswagen Tiguan SEL Premium $27,200
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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