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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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
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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
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Massachusetts
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Montana
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New Jersey
New Mexico
New York
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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
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2018
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2016
2015
2014
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1923
Residence Status
Rent
Own
Military Housing
Live with Parents
Other
Housing Payment
$
per month
Other
Available Down Payment
$
Select Vehicle(s) of Interest
20 Buick Enclave Preferred $30,362
05 Chevrolet Avalanche Z66 $13,995
09 Chevrolet Cobalt LT w/2LT $7,505
18 Chevrolet Malibu LS $16,989
19 Chevrolet Malibu LS $17,999
18 Chevrolet Silverado 1500 4WD LT w/1LT Double Cab $28,724
18 Chevrolet Silverado 1500 LT LT1 $29,934
22 Chevrolet TrailBlazer ACTIV $25,962
20 Chevrolet Traverse LT Leather $32,822
21 Chevrolet Traverse Premier $38,881
20 Chrysler Pacifica Limited $26,806
22 Ford EcoSport SE $25,511
16 Ford Explorer Limited $17,173
16 Ford Explorer XLT $17,440
18 Ford F-150 4WD XLT SuperCab $26,652
19 Ford Fusion SE $19,461
22 Ford Mustang Mach-E Premium $48,891
20 GMC Terrain Denali $33,197
20 Honda Odyssey EX $31,764
20 Honda Pilot EX-L $34,895
22 Hyundai Kona Limited $26,899
21 Hyundai Sonata SEL Plus $23,646
06 Hyundai Tucson GLS $6,995
20 INFINITI Q50 3.0t LUXE $23,997
19 Jeep Cherokee 4WD Limited $25,938
20 Jeep Wrangler Unlimited Sahara $38,598
20 Jeep Wrangler Unlimited Sport $34,893
23 Kia EV6 Wind $48,960
20 Kia Forte LXS $18,223
21 Kia Forte LXS $19,346
22 Kia K5 GT $30,026
22 Kia K5 GT-Line $30,845
22 Kia K5 LXS $24,952
17 Kia Niro LX $13,478
20 Kia Niro LX $22,197
11 Kia Optima LX $9,751
19 Kia Optima S $19,247
16 Kia Optima SX Turbo $14,564
22 Kia Seltos EX $27,630
21 Kia Seltos S $24,059
19 Kia Sorento EX V6 $25,984
19 Kia Sorento EX V6 $23,786
18 Kia Sorento Limited V6 $22,424
15 Kia Sorento LX $12,528
16 Kia Sorento LX $16,899
20 Kia Sorento LX $23,993
21 Kia Sorento SX $37,692
22 Kia Sorento SX $39,333
15 Kia Soul + $12,107
17 Kia Sportage EX $16,405
20 Kia Sportage LX $18,392
22 Kia Sportage Nightfall $28,558
23 Kia Sportage X-Line $33,546
19 Kia Stinger Base $27,380
20 Kia Telluride S $32,499
20 Mazda CX-5 Grand Touring $22,665
20 Mazda CX-5 Touring $25,989
22 Nissan Pathfinder S $32,301
17 Ram 1500 4WD Rebel Crew Cab $30,167
21 Ram 1500 4WD Tradesman Crew Cab $34,339
20 Toyota Camry SE $21,601
11 Toyota Corolla LE $11,900
22 Toyota Corolla Hatchback XSE $27,733
19 Toyota Highlander Limited $32,312
21 Volkswagen ID.4 1st Edition $37,171
13 Volkswagen Tiguan SEL $11,875
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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