1700 S Noland Rd
Independence, MO 64055
816-461-0200
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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
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2014
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2012
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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
18 Acura TLX FWD $22,000
19 Audi A5 Sportback Premium $30,000
18 Chevrolet Colorado 2WD Work Truck Crew Cab $23,000
18 Chevrolet Cruze LS $12,500
18 Chevrolet Cruze LT $15,000
15 Chevrolet Malibu LT $12,000
19 Chevrolet Silverado 1500 2WD Custom Crew Cab $40,000
19 Chevrolet Silverado 1500 4WD LT Crew Cab $36,500
20 Chevrolet Silverado 1500 4WD LT Trail Boss Crew Cab $55,000
15 Chevrolet Trax LTZ $12,000
14 Dodge Dart Limited $10,000
18 Dodge Durango SXT $31,500
17 Dodge Journey SE $14,500
12 FIAT 500 Pop $8,500
14 Ford Edge SE $9,500
18 Ford Escape S $16,000
17 Ford Escape SE $16,000
19 Ford Explorer XLT $32,000
18 Ford F-150 Lariat $38,000
17 Ford F-150 XLT $26,500
14 Ford F-150 XLT 301A + CHROME PACKAGE $25,000
19 Ford F-150 XLT 302A + APPEARANCE PACKAGE + NAVIGATION $45,000
16 Ford Focus Hatchback ST $20,000
14 Ford Focus Sedan S $8,500
17 Ford Fusion SE $12,500
17 Ford Fusion SE $14,000
17 Genesis G80 3.8L $27,000
18 GMC Terrain Denali $34,000
18 Honda CR-V EX $26,000
13 Hyundai Elantra GLS PZEV $10,000
20 Hyundai Elantra SEL $17,500
18 Hyundai Santa Fe Sport 2.4L $20,500
17 Hyundai Sonata 2.4L $13,000
17 Hyundai Tucson Limited $15,000
15 INFINITI QX60 $19,000
19 Jeep Compass Limited $21,000
17 Jeep Renegade Trailhawk $21,000
12 Jeep Wrangler Unlimited Unlimited Sport $25,000
20 Kia Forte FE $17,500
20 Kia Forte GT-Line $20,500
17 Kia Forte LX $14,000
18 Kia Forte LX $12,500
21 Kia K5 LXS $22,500
18 Kia Niro Touring $17,500
18 Kia Niro Plug-In Hybrid EX $21,000
16 Kia Optima EX $17,000
16 Kia Optima EX $13,500
16 Kia Optima EX $17,500
16 Kia Optima LX $12,500
18 Kia Optima LX $17,000
18 Kia Optima S $18,500
16 Kia Rio LX $8,500
17 Kia Sedona SX $23,500
14 Kia Sorento LX $12,500
17 Kia Sorento LX $15,500
17 Kia Sorento LX $17,000
17 Kia Sorento LX $19,500
18 Kia Sorento LX V6 $24,500
13 Kia Soul + $11,500
17 Kia Soul + $15,500
18 Kia Soul + $16,000
15 Kia Soul Base $12,000
17 Kia Soul Base $14,000
18 Kia Soul Base $14,000
18 Kia Soul Base $13,500
20 Kia Soul S $18,000
17 Kia Soul EV EV $13,500
17 Kia Sportage EX $18,500
15 Kia Sportage LX $14,500
17 Kia Sportage LX $15,500
18 Kia Sportage LX $17,500
18 Kia Sportage LX $19,000
18 Kia Sportage LX $16,000
18 Kia Sportage LX $16,000
20 Kia Sportage LX $20,500
20 Kia Sportage LX $21,000
19 Kia Stinger Base $31,000
19 Kia Stinger Base $30,500
19 Kia Stinger GT $31,000
18 Kia Stinger Premium $32,000
20 Land Rover HB560/352QG P250 R-Dynamic S $52,500
16 Lexus CT 200h Hybrid $19,500
11 Lexus RX 350 $15,000
18 Mazda Mazda6 Signature $24,000
17 Nissan Altima 2.5 S $13,500
17 Nissan Altima 2.5 S $13,500
17 Nissan Altima 2.5 S $13,000
20 Nissan Altima 2.5 S $20,000
20 Nissan Altima 2.5 SL $22,000
20 Nissan Kicks S $16,500
17 Nissan Rogue S $16,500
15 Nissan Rogue Select S $15,500
11 Nissan Sentra 2.0 S $8,500
17 Nissan Sentra SV $10,500
18 Nissan Sentra SV $11,000
18 Nissan Sentra SV $11,500
17 Nissan Titan SL $38,000
18 Subaru Crosstrek Limited $26,500
18 Subaru Outback 2.5i $19,500
18 Subaru Outback Touring $27,000
16 Tesla Model S 90D $48,000
18 Toyota Corolla L $12,500
19 Toyota Corolla L $18,000
13 Toyota Highlander Limited $19,000
15 Toyota Highlander XLE $24,000
16 Toyota Tundra 4WD $32,000
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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