12836 Highway 21
De Soto, MO 63020
636-337-7777
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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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1909
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
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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
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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
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1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
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1974
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1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
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1955
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1953
1952
1951
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1948
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1934
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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
20 Buick Encore Essence $17,795
19 Cadillac XT5 Luxury FWD $24,047
15 Chevrolet Equinox LT $11,495
17 Chevrolet Impala Premier $21,398
14 Chevrolet Silverado 1500 $18,555
23 Chevrolet Silverado 1500 4WD LT w/1LT Double Cab $44,699
21 Chrysler Pacifica Touring L $24,995
17 Dodge Charger SXT $18,555
21 Ford Bronco Badlands $45,655
23 Ford E-Transit Cargo Van $39,327
23 Ford E-Transit Cargo Van $39,481
23 Ford E-Transit Cargo Van $40,384
23 Ford E-Transit Cargo Van $40,384
23 Ford E-Transit Cargo Van $40,384
23 Ford E-Transit Cargo Van $40,383
20 Ford EcoSport SE $19,486
19 Ford EcoSport Titanium $16,988
19 Ford Edge Titanium AWD $21,473
20 Ford Escape SE $22,497
21 Ford Escape SE $23,071
22 Ford Escape Titanium $28,347
18 Ford Expedition Max Limited $32,002
21 Ford Explorer XLT $33,499
22 Ford Explorer XLT $34,490
15 Ford F-150 $20,455
22 Ford F-150 $51,055
22 Ford F-150 4WD Lariat SuperCrew $48,055
18 Ford F-150 4WD SuperCrew 5.5’ Box $17,876
21 Ford F-150 4WD XL SuperCrew $35,901
22 Ford F-150 Lightning 4WD SuperCrew 5.5’ Box $50,499
16 Ford Focus ST $16,779
20 Ford Fusion SE $19,183
22 Ford Maverick $32,005
13 Ford Mustang
17 Ford Mustang $32,055
20 Ford Ranger 4WD XLT SuperCrew $34,895
20 Ford Super Duty F-250 SRW $55,531
21 Ford Super Duty F-250 SRW $54,698
21 Ford Super Duty F-250 SRW $56,964
21 Ford Super Duty F-450 DRW 4WD Crew Cab 8’ Box $51,103
21 GMC Acadia Denali $35,945
19 GMC Yukon XL SLT $31,487
19 Jeep Cherokee 4WD Limited $23,495
21 Jeep Cherokee 4WD Limited $26,995
21 Jeep Compass 4WD Latitude $24,453
22 Jeep Grand Cherokee WK 4WD Laredo X $35,055
21 Jeep Renegade 4WD Latitude $23,341
16 Lexus IS 350 4dr Sdn AWD $23,896
18 Lincoln Navigator L Black Label $30,820
23 Nissan Altima 2.5 SV $25,795
20 Nissan Pathfinder SV $23,495
17 Nissan Rogue SV $16,489
17 Nissan Sentra $12,486
19 Ram 1500 $35,998
21 Ram 1500 4WD TRX Crew Cab $68,487
21 Ram 2500 4WD Big Horn Mega Cab $58,487
19 Takt Trailer
22 Tesla Model Y Performance $38,629
21 Toyota RAV4 XLE Premium $28,742
18 Toyota Tundra 4WD $33,495
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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