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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
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April
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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
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
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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
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1930
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1920
1919
Residence Status
Rent
Own
Military Housing
Live with Parents
Other
Housing Payment
$
per month
Other
Available Down Payment
$
Select Vehicle(s) of Interest
14 Cadillac SRX Performance Collection $15,993
16 Chevrolet Corvette Z51 3LT $51,500
08 Chevrolet Malibu LT w/1LT
17 Chevrolet Silverado 1500 4WD Work Truck Double Cab $26,687
16 Chevrolet Tahoe LTZ $42,359
16 Dodge Challenger SRT 392 $35,912
17 Dodge Challenger T/A 392 $35,933
19 Dodge Charger GT $27,123
19 Dodge Durango R/T $37,815
18 Ford EcoSport SE $20,985
19 Ford EcoSport Titanium $18,540
19 Ford Edge FWD Titanium $29,035
16 Ford Edge SEL $19,385
16 Ford Edge Titanium $27,055
17 Ford Escape SE $15,177
19 Ford Escape SEL $19,464
19 Ford Escape SEL $20,284
19 Ford Escape Titanium $25,923
16 Ford Explorer Limited $26,171
19 Ford Explorer Limited $30,249
16 Ford F-150 $35,413
17 Ford F-150 $31,567
18 Ford F-150 $31,543
12 Ford F-150 4WD Platinum SuperCrew $28,000
13 Ford F-150 4WD Platinum SuperCrew $26,132
16 Ford F-150 4WD Platinum SuperCrew $40,405
16 Ford F-150 4WD XL Reg Cab $23,551
16 Ford F-150 4WD XLT SuperCrew $30,561
19 Ford F-150 4WD XLT SuperCrew $36,621
19 Ford Fiesta ST Line $14,750
18 Ford Fiesta Sedan SE $13,123
19 Ford Flex Limited $27,308
15 Ford Flex SE $10,998
16 Ford Flex SE
16 Ford Flex SEL $21,994
13 Ford Focus SE $4,600
18 Ford Focus SE $13,153
17 Ford Focus SEL $14,771
18 Ford Focus SEL $13,548
18 Ford Focus Hatchback SE $13,037
16 Ford Fusion SE $16,128
17 Ford Fusion SE $14,694
17 Ford Fusion SE $15,117
19 Ford Fusion Hybrid Titanium $25,987
19 Ford Mustang $24,902
18 Ford Mustang EcoBoost Premium $28,900
10 Ford Mustang GT500 $36,089
02 Ford Super Duty F-250 4WD Lariat Crew Cab $17,622
13 Ford Super Duty F-250 SRW 4WD Lariat Crew Cab $33,939
17 Ford Super Duty F-250 SRW 4WD XLT Crew Cab $42,991
13 Ford Super Duty F-350 SRW
18 Ford Super Duty F-450 DRW
17 Ford Taurus Limited $19,513
13 Ford Taurus SEL $10,273
19 Ford Transit Passenger Wagon XLT $36,515
12 Freightlin SPRINTER 3 $20,795
12 GMC Terrain SLT-2 $13,982
15 GMC Yukon SLE $28,229
08 Honda Accord Sedan LX $7,493
19 Honda Ridgeline Sport $28,798
19 Jeep Cherokee 4WD Trailhawk $25,326
15 Jeep Patriot
15 Jeep Wrangler Unlimited $23,561
15 Jeep Wrangler Unlimited $30,000
16 Jeep Wrangler Unlimited $36,981
16 Lincoln MKC Reserve $24,030
16 Lincoln MKX Reserve $26,213
18 Lincoln MKX Reserve $27,673
16 Lincoln Navigator L Select $43,591
15 Mazda MAZDA3 Sedan i SV $11,152
13 Mclaren Au MP4-12C SP $115,787
17 Mercedes-Benz GLE GLE 350 $35,234
18 Ram 1500 Express $23,846
07 Subaru Forester $5,114
18 Toyota Tundra 4WD 4WD 1794 Edition CrewMax $42,565
14 Toyota Tundra 4WD Truck 4WD SR5 CrewMax $30,424
17 Volkswagen Tiguan Wolfsburg Edition $18,640
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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