1911 E. Edwardsville Rd
Wood River, IL 62095
Call Us Today: 618-216-8080
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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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1911
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1909
Social Security Number
-
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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
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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
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1991
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1982
1981
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1978
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1951
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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
19 Alfa Romeo Stelvio Ti Sport $25,576
20 Audi SQ5 Premium Plus $38,691
21 Buick Encore Preferred $18,277
19 Chevrolet Equinox LT $16,825
20 Chevrolet Equinox LT $22,406
20 Chevrolet Equinox LT $22,651
18 Chevrolet Equinox Premier $14,963
22 Chevrolet Equinox RS $25,999
14 Chevrolet Silverado 1500 4WD LTZ w/1LZ Crew Cab $25,528
20 Chevrolet Traverse LT Leather $31,229
19 Chrysler 300 Limited $20,670
20 Chrysler Pacifica Launch Edition $29,000
22 Chrysler Pacifica Limited $35,929
22 Dodge Charger SXT $24,799
19 Ford Edge Titanium AWD $20,787
18 Ford Escape Titanium $18,720
19 Ford F-150 4WD XLT SuperCrew $35,291
21 Genesis G70 2.0T $31,680
22 Genesis G70 3.3T $37,164
21 Genesis GV80 3.5T (A8) $49,044
21 GMC Canyon 4WD Denali Crew Cab $36,338
18 GMC Terrain SLE $18,781
19 GMC Terrain SLT $25,223
19 Honda CR-V EX $26,701
21 Honda Odyssey EX $35,480
22 Hyundai Elantra N Line $23,096
23 Hyundai Elantra Hybrid Limited $26,801
21 Hyundai Kona Limited $23,998
19 Hyundai Kona SE $16,199
20 Jeep Cherokee 2WD Latitude Plus $22,723
21 Jeep Cherokee 80th Anniversary $23,787
21 Jeep Grand Cherokee L Laredo $38,564
19 Jeep Renegade 4WD Latitude $14,999
20 Kia Forte GT-Line $18,641
21 Kia Forte GT-Line $18,888
21 Kia Forte LXS $17,352
21 Kia K5 GT-Line $25,770
21 Kia K5 GT-Line $27,208
21 Kia K5 GT-Line $26,722
23 Kia Niro $27,995
23 Kia Niro EV EX $31,185
19 Kia Optima LX $15,399
19 Kia Optima LX $15,340
19 Kia Optima LX $14,967
21 Kia Seltos S $19,645
24 Kia Seltos X-Line $28,000
21 Kia Sorento EX $27,517
23 Kia Sorento Hybrid EX $35,000
19 Kia Soul Base $13,107
20 Kia Soul LX $17,070
23 Kia Soul LX $20,919
18 Kia Sportage EX $18,800
21 Kia Sportage EX $24,105
20 Kia Sportage LX $17,386
20 Kia Sportage LX $19,803
23 Kia Sportage LX $25,578
23 Kia Telluride EX X-Line $40,995
21 Kia Telluride SX $34,567
20 Lincoln Nautilus Reserve $29,495
15 Nissan Altima 2.5 S
17 Nissan Pathfinder SL $14,301
22 Toyota 4Runner TRD Off Road $35,635
23 Toyota Corolla LE $24,460
18 Toyota Highlander XLE $29,200
17 Toyota RAV4 Limited $25,356
21 Volkswagen Atlas 2.0T SEL Premium $28,658
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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