1000 Lakeside Plaza
Lake St. Louis, MO 63367
636-235-4404
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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
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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
2021
2020
2019
2018
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2016
2015
2014
2013
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1921
Residence Status
Rent
Own
Military Housing
Live with Parents
Other
Housing Payment
$
per month
Other
Available Down Payment
$
Select Vehicle(s) of Interest
12 Acura TSX Tech Pkg $12,760
13 BMW X1 xDrive28i
11 Buick Lucerne Super $7,667
07 Chevrolet Corvette $22,599
06 Chevrolet Corvette 2dr Conv $20,296
13 Chevrolet Cruze LSi $9,599
17 Chevrolet Impala LS
15 Chevrolet Silverado 1500 4WD LS Double Cab $18,400
12 Chevrolet Silverado 1500 4WD LT Crew Cab
16 Chevrolet Silverado 1500 4WD LT w/2LT Double Cab $30,999
17 Chrysler Pacifica Touring-L $15,895
17 Chrysler Pacifica Touring-L $17,598
08 Dodge Charger $6,495
07 Dodge Ram 1500 SLT Pickup 4D 6 1/4 ft
11 Ford Edge Limited $9,155
14 Ford Escape SE $9,895
12 Ford F-150 4WD FX4 SuperCrew $23,895
11 Ford F-150 4WD Lariat SuperCrew $20,399
13 Ford Flex Limited $11,499
13 Ford Mustang GT $21,499
13 Ford Taurus Limited $8,770
17 GMC Acadia SLT $19,999
12 GMC Acadia SLT1
20 GMC Sierra 3500HD 4WD Denali Crew Cab $73,999
09 GMC Yukon SLE w/3SB $10,995
08 Honda Civic Sedan EX $5,995
10 Honda Civic Sedan LX $6,495
10 Honda Civic Sedan LX
10 Honda CR-V EX $11,599
18 Honda Fit EX $16,499
15 Honda Odyssey EX $17,599
04 HUMMER H2 $18,995
04 HUMMER H2 4dr Wgn $14,995
10 Hyundai Azera Limited $5,895
12 Hyundai Elantra GLS Sedan 4D
12 Hyundai Elantra GLS Sedan 4D
16 Hyundai Elantra SE Sedan 4D
17 Hyundai Elantra GT Auto $10,995
06 Isuzu NPR S Sport Utility 4D
19 Jeep Cherokee 4WD Altitude
06 Jeep Commander 2WD
04 Jeep Grand Cherokee 4WD Laredo $5,500
17 Jeep Patriot 4WD High Altitude $16,999
18 Jeep Wrangler Unlimited Sahara $37,999
18 Lexus ES ES 350 $29,999
13 Lexus GS 350 $21,299
03 Lincoln Town Car Executive $4,995
11 Mazda CX-7 i Touring $5,900
19 Mazda Mazda3 Sedan w/Preferred Pkg $21,599
18 Nissan Murano SV $17,895
17 Nissan Sentra SV $9,295
11 Nissan Xterra Pro-4X $9,800
09 Pontiac Vibe w/1SB $5,900
14 Ram 1500 4WD Express Crew Cab $22,354
12 Ram 1500 4WD SLT Quad Cab $13,822
16 Ram 1500 SLT Pickup 4D 5 1/2 ft
12 Ram 1500 SLT Pickup 4D 6 1/3 ft
14 Subaru Forester 2.5i Limited $9,050
11 Subaru Legacy 2.5i Prem $6,995
19 Toyota 4Runner TRD Off Road $41,575
19 Toyota C-HR XLE $22,475
19 Toyota C-HR XLE $19,975
08 Toyota Camry LE $5,495
18 Toyota Camry LE $18,475
21 Toyota Camry LE
14 Toyota Camry SE $9,500
18 Toyota Camry SE $19,999
18 Toyota Camry SE $19,999
20 Toyota Camry SE $23,999
15 Toyota Camry XLE $15,675
18 Toyota Camry XSE $25,975
18 Toyota Camry Hybrid LE $16,599
07 Toyota Corolla CE $5,900
18 Toyota Corolla SE $16,675
18 Toyota Highlander LE $28,975
15 Toyota Highlander Limited Platinum $24,699
18 Toyota Highlander SE $32,975
16 Toyota Highlander XLE $21,599
17 Toyota Highlander XLE $27,975
18 Toyota Highlander XLE $31,575
18 Toyota Highlander Hybrid XLE $33,599
20 Toyota Land Cruiser Heritage Edition $79,975
15 Toyota Prius Five $13,999
16 Toyota Prius Three $18,975
15 Toyota RAV4 Limited $18,999
13 Toyota RAV4 XLE $12,999
18 Toyota RAV4 XLE $23,575
18 Toyota RAV4 XLE $23,575
19 Toyota RAV4 XLE $25,999
18 Toyota RAV4 Hybrid XLE $25,575
18 Toyota RAV4 Hybrid XLE $24,575
12 Toyota Tacoma 2WD Access Cab $14,999
17 Toyota Tacoma 2WD SR5 Access Cab $22,975
19 Toyota Tacoma 4WD 4WD SR5 Double Cab $34,999
13 Toyota Tundra 4WD 4WD Double Cab $21,499
19 Toyota Tundra 4WD 4WD SR5 Double Cab $41,575
14 Volkswagen Jetta Sedan 1.8T SE Sedan 4D
18 Volkswagen Passat 2.0T SE $15,499
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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