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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
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
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31
2009
2008
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1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
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
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
1994
1993
1992
1991
1990
1989
1988
1987
1986
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1984
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1982
1981
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1978
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1976
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1969
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1967
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1964
1963
1962
1961
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1958
1957
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1955
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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
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
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
Residence Status
Rent
Own
Military Housing
Live with Parents
Other
Housing Payment
$
per month
Other
Available Down Payment
$
Select Vehicle(s) of Interest
21 Cadillac XT5 Premium Luxury $34,904
21 Cadillac XT5 Premium Luxury $34,589
22 Chevrolet Blazer LT $26,888
23 Chevrolet Traverse LT Cloth $29,880
22 Chrysler 300 300S $29,994
23 Chrysler 300 300S $32,976
22 Chrysler Pacifica Touring L
22 Dodge Charger GT $29,994
22 Dodge Charger SXT $26,000
23 Dodge Durango GT Plus
23 Dodge Durango GT Plus
21 Dodge Durango SXT $26,994
21 GMC Terrain SLT $21,800
24 INFINITI QX80 PREMIUM SELECT $59,888
21 Jaguar F-Pace S $39,994
19 Jeep Cherokee 2WD Latitude $15,000
19 Jeep Cherokee 2WD Latitude $15,000
19 Jeep Cherokee 2WD Latitude $16,000
19 Jeep Cherokee 2WD Latitude $17,500
19 Jeep Cherokee 2WD Latitude $16,000
19 Jeep Cherokee 2WD Latitude $16,000
19 Jeep Cherokee 2WD Latitude $15,000
19 Jeep Cherokee 2WD Latitude $15,000
19 Jeep Cherokee 2WD Latitude $15,000
19 Jeep Cherokee 2WD Latitude $15,000
19 Jeep Cherokee 2WD Latitude $15,000
19 Jeep Cherokee 2WD Latitude $15,000
19 Jeep Cherokee 2WD Latitude $15,000
19 Jeep Cherokee 2WD Latitude $14,000
19 Jeep Cherokee 2WD Latitude $15,000
19 Jeep Cherokee 2WD Latitude $15,000
19 Jeep Cherokee 2WD Latitude $15,000
19 Jeep Cherokee 2WD Latitude $16,500
19 Jeep Cherokee 2WD Latitude $15,000
20 Jeep Cherokee 2WD Latitude $16,000
20 Jeep Cherokee 2WD Latitude $16,000
19 Jeep Cherokee 4WD Latitude $12,000
19 Jeep Cherokee 4WD Limited $22,500
19 Jeep Cherokee Latitude Plus $15,000
19 Jeep Compass 4WD Latitude $20,500
21 Jeep Compass 4WD Limited $23,500
23 Jeep Compass 4WD Limited $28,944
21 Jeep Grand Cherokee 4WD High Altitude $37,989
23 Jeep Grand Cherokee 4WD Limited $37,976
21 Jeep Grand Cherokee 4WD Trailhawk $33,000
18 Jeep Grand Cherokee Limited $20,000
18 Jeep Grand Cherokee Limited $20,000
18 Jeep Grand Cherokee Upland $18,000
21 Jeep Grand Cherokee L 4WD Limited $31,000
19 Jeep Renegade Latitude $15,000
19 Jeep Renegade Latitude $16,000
19 Jeep Renegade Latitude $16,000
19 Jeep Renegade Latitude $16,000
19 Jeep Renegade Latitude $15,000
19 Jeep Renegade Latitude $16,000
19 Jeep Renegade Latitude $16,000
23 Jeep Wagoneer L Series III $66,000
21 Jeep Wrangler 4xe Unlimited Sahara $41,994
19 Jeep Wrangler Unlimited Sport S $25,000
20 Kia Optima LX $24,890
20 Nissan Kicks S $19,990
22 Nissan Rogue Sport S $22,606
23 Nissan Titan SV $54,000
21 Ram 1500 4WD Big Horn Crew Cab $37,500
21 Ram 1500 4WD Big Horn Quad Cab $37,500
19 Ram 1500 4WD Tradesman Crew Cab $24,000
19 Ram 1500 Big Horn/Lone Star $26,000
21 Toyota Highlander XLE $36,499
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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