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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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
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April
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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
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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 BMW X3 xDrive30i $21,999
20 Buick Encore Preferred $20,999
20 Buick Encore GX Select $17,997
17 Buick Envision Essence $12,998
21 Buick Envision Essence $26,471
11 Chevrolet Camaro 2LS $10,796
16 Chevrolet Equinox LT $13,388
20 Chevrolet Equinox LT $13,495
21 Chevrolet Equinox LT $23,829
21 Chevrolet Equinox LT $16,299
19 Chevrolet Malibu LS $14,495
22 Chevrolet Trailblazer LT $19,959
21 Chevrolet Traverse LT Cloth $29,104
21 Chrysler Pacifica Touring L $26,364
20 Chrysler Pacifica Touring L Plus $27,293
12 Dodge Charger Road/Track $10,695
21 Dodge Durango R/T $35,990
22 Ford F-150 2WD XL Reg Cab $28,157
19 Ford Ranger 4WD LARIAT SuperCrew $31,400
20 Ford Ranger 4WD LARIAT SuperCrew $34,890
21 Genesis G80 3.5T $35,821
21 Honda Passport Sport $29,495
19 Hyundai Santa Fe SE $18,495
21 Hyundai Sonata SEL Plus $23,521
24 Hyundai Tucson Limited $27,569
19 Hyundai Veloster Turbo $16,299
21 Jeep Cherokee 4WD Trailhawk $23,320
22 Jeep Cherokee 4WD X $24,690
19 Jeep Cherokee Limited
23 Jeep Grand Cherokee 4WD Limited $37,159
18 Jeep Grand Cherokee 4WD Summit $24,128
21 Jeep Grand Cherokee 4WD Trailhawk $31,492
19 Kia Cadenza Premium $22,169
23 Kia EV6 GT-Line $39,875
24 Kia EV6 Light Long Range $41,574
21 Kia Forte GT-Line $18,869
23 Kia Forte GT-Line $17,495
21 Kia Forte LXS $16,500
21 Kia K5 GT-Line $22,997
21 Kia K5 GT-Line $22,695
23 Kia Niro EX $25,999
24 Kia Niro EX Touring $29,800
24 Kia Niro EX Touring $29,495
19 Kia Optima S
22 Kia Seltos EX $21,425
21 Kia Seltos LX $17,595
21 Kia Seltos S $13,495
24 Kia Seltos X-Line $26,499
21 Kia Sorento EX $24,125
21 Kia Sorento S $24,250
22 Kia Sorento S $27,284
21 Kia Sorento SX $26,950
23 Kia Sorento Hybrid EX $33,900
24 Kia Sorento Hybrid EX $35,999
18 Kia Soul + $11,999
19 Kia Sportage EX $19,080
19 Kia Sportage SX Turbo $10,951
24 Kia Sportage X-Line $31,995
22 Kia Telluride EX $33,248
24 Kia Telluride EX X-Line $41,490
23 Kia Telluride S $35,997
24 Kia Telluride SX Prestige $42,800
24 Kia Telluride SX X-Line $44,295
22 Nissan Frontier SV $30,597
22 Polestar 2 Long Range Dual Motor $29,000
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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