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Marty Cancila CDJR Florissant Finance Application
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Applicant / Cosigner Information
*First Name, Middle Initial
*Last Name
*Email Address
*Day Phone Number
Evening Phone Number
Date of Birth
Jan
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1911
1910
1909
1908
1907
1906
1905
1904
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
May
June
July
August
September
October
November
December
2019
2018
2017
2016
2015
2014
2013
2012
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1921
1920
1919
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
1997
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
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
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
16 Buick Cascada Premium $19,990
14 Buick Verano $15,888
11 Cadillac CTS-V Coupe $34,888
16 Chevrolet Cruze LT $14,830
13 Chevrolet Equinox LT $10,820
17 Chevrolet Impala LT $18,994
18 Chevrolet Impala LT $18,914
18 Chevrolet Impala LT $18,977
18 Chevrolet Impala LT $20,888
18 Chevrolet Impala LT $20,888
18 Chevrolet Impala LT $18,780
18 Chevrolet Malibu LT $17,991
18 Chevrolet Malibu LT $17,870
18 Chevrolet Malibu LT $18,998
18 Chevrolet Malibu LT $18,991
16 Chevrolet Silverado 1500 4WD LT w/1LT Double Cab $27,789
16 Chevrolet Silverado 1500 4WD LTZ w/1LZ Crew Cab $34,987
15 Chevrolet Tahoe LTZ $39,994
16 Chrysler 200 C $15,990
11 Chrysler 200 Limited $11,888
15 Chrysler 200 Limited $12,675
15 Chrysler 200 Limited $11,856
15 Chrysler 200 Limited $11,937
16 Chrysler 200 Limited $13,632
16 Chrysler 200 Limited $13,585
16 Chrysler 200 Limited $14,597
16 Chrysler 200 Limited $13,444
16 Chrysler 200 Limited $13,377
13 Chrysler 200 LX $9,950
15 Chrysler 200 LX $11,894
13 Chrysler 200 Touring $12,888
17 Chrysler 300 300C $20,888
18 Chrysler 300 300S $24,997
18 Chrysler 300 300S
12 Chrysler 300 Limited
18 Chrysler 300 Limited
18 Chrysler 300 Limited
18 Chrysler 300 Limited
18 Chrysler 300 Limited $26,990
18 Chrysler 300 Limited $21,140
18 Chrysler 300 Limited $22,990
17 Chrysler Pacifica Touring-L $25,918
11 Dodge Avenger Heat $11,993
14 Dodge Avenger SE $10,699
14 Dodge Avenger SE $10,430
18 Dodge Challenger R/T $25,991
16 Dodge Challenger SRT 392 $41,970
17 Dodge Challenger SXT $21,760
17 Dodge Challenger SXT $22,988
18 Dodge Charger R/T $26,888
18 Dodge Charger R/T $25,590
17 Dodge Charger SXT $23,993
17 Dodge Charger SXT $23,928
18 Dodge Charger SXT Plus $22,716
18 Dodge Charger SXT Plus $23,989
18 Dodge Charger SXT Plus $23,989
18 Dodge Charger SXT Plus $24,993
15 Dodge Durango SXT $23,219
17 Dodge Grand Caravan SXT $18,989
17 Dodge Grand Caravan SXT $18,888
18 Dodge Journey GT $21,888
18 Dodge Journey GT $21,888
18 Dodge Journey SE $17,424
18 Dodge Journey SE $17,366
18 Dodge Journey SE $17,346
18 Dodge Journey SE $17,267
18 Dodge Journey SE $17,370
18 Dodge Journey SE $17,295
18 Dodge Journey SE $17,174
18 Dodge Journey SE $18,298
16 Ford Escape SE $13,888
18 Ford F-150 4WD XLT SuperCrew $34,989
13 Ford Fiesta SE $9,980
15 Ford Focus SE $12,993
16 Ford Focus SE $13,600
16 Ford Fusion SE $14,991
18 Ford Fusion SE $18,439
17 Ford Fusion Titanium $19,840
16 GMC Acadia SLE $22,888
16 GMC Sierra 1500 4WD SLT Crew Cab $36,990
17 GMC Terrain SLE $25,888
11 Honda CR-V LX $9,979
15 Hyundai Santa Fe Sport
17 Hyundai Santa Fe Sport 2.4L $16,990
15 Hyundai Sonata 2.4L SE $15,888
17 Hyundai Sonata SE $16,771
19 Jeep Cherokee 2WD Latitude $18,917
18 Jeep Compass 2WD Sport $17,744
18 Jeep Compass 2WD Sport $18,888
18 Jeep Grand Cherokee 4WD Limited $33,888
16 Jeep Grand Cherokee 4WD Summit $38,880
13 Jeep Grand Cherokee Laredo 4WD $15,888
17 Jeep Patriot 2WD 75th Anniversary Edition $16,679
17 Jeep Patriot 2WD 75th Anniversary Edition $16,440
17 Jeep Patriot 2WD 75th Anniversary Edition $16,612
17 Jeep Patriot 2WD 75th Anniversary Edition $15,989
17 Jeep Patriot 2WD 75th Anniversary Edition $15,989
15 Jeep Patriot 2WD Sport $11,991
17 Jeep Renegade 2WD Latitude $18,993
17 Jeep Renegade 4WD Latitude $19,888
17 Jeep Renegade 4WD Latitude $18,768
17 Jeep Renegade 4WD Sport $17,490
10 Jeep Wrangler Sport $17,888
13 Jeep Wrangler Unlimited Moab $20,888
09 Jeep Wrangler Unlimited Sahara $20,888
18 Kia Forte LX $16,993
15 Kia Optima LX $14,993
18 Kia Optima LX $16,993
16 Kia Sorento LX $17,991
17 Kia Soul + $13,990
15 Kia Soul Base $10,594
17 Mazda MAZDA3 4-Door Sport $14,480
17 Nissan Altima
18 Nissan Altima $17,990
15 Nissan Altima 2.5 S $11,444
15 Nissan Altima 2.5 S $14,880
17 Nissan Altima 2.5 S $15,991
16 Nissan Altima 2.5 SL $17,888
17 Nissan Altima 2.5 SV
17 Nissan Altima 2.5 SV $16,990
18 Nissan Altima 2.5 SV $17,990
18 Nissan Altima 2.5 SV $17,990
18 Nissan Altima 2.5 SV $17,990
18 Nissan Altima 2.5 SV $17,990
18 Nissan Altima 2.5 SV $17,990
18 Nissan Altima 2.5 SV $17,990
16 Nissan Maxima 3.5 Platinum $22,926
17 Nissan Maxima SL $28,888
17 Nissan Rogue S $16,990
17 Nissan Rogue S $15,993
13 Nissan Rogue SV $13,888
17 Nissan Sentra SR $14,859
17 Porsche Boxster $54,230
17 Ram 1500 4WD Express Crew Cab $28,998
15 Ram 1500 4WD Laramie Longhorn Crew Cab $24,879
14 Ram 2500 Big Horn $33,888
15 Toyota Camry LE $16,990
17 Toyota Camry LE $17,989
14 Toyota Corolla LE $13,515
18 Toyota Corolla LE $16,991
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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