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636-224-8576
560 South Highway 47
Union, MO 63084
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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
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Jul
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1914
1913
1912
1911
1910
1909
1908
Social Security Number
-
-
Driver's License
Employment Information
Employment Status
Employed Full Time
Employed Part Time
Self Employed
Temp Service
Unemployed
Student
Retired
Fixed Income
Homemaker
Other
Occupation
Employer
Employment Start Date
January
February
March
April
May
June
July
August
September
October
November
December
2023
2022
2021
2020
2019
2018
2017
2016
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1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
Gross Salary before taxes
$
per
Year
Month
Week
Business Phone
Housing Information
Residence Status
Rent
Own
Military Housing
Live with Parents
Other
Residence Move-in Date
January
February
March
April
May
June
July
August
September
October
November
December
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
1923
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
Housing Payment
$
per month
Other
Available Down Payment
$
Select Vehicle(s) of Interest
05 Cadillac DeVille Base
22 Cadillac XT6 Premium Luxury $45,911
18 Chevrolet Colorado 2WD Work Truck Crew Cab $17,911
20 Chevrolet Equinox LT $23,911
21 Chevrolet Equinox LT $22,911
18 Chevrolet Express Cargo Van RWD 2500 155" $23,911
17 Chevrolet Silverado 1500 2WD Work Truck Reg Cab $17,411
17 Chevrolet Silverado 1500 2WD Work Truck Reg Cab $17,411
19 Chevrolet Silverado 1500 4WD Custom Double Cab $35,911
16 Chevrolet Silverado 1500 4WD LT w/1LT Double Cab $27,911
17 Chevrolet Silverado 1500 4WD LTZ w/1LZ Crew Cab $38,911
22 Chevrolet Silverado 1500 Work Truck $34,911
22 Chevrolet Silverado 1500 Work Truck $33,911
19 Chevrolet Silverado 2500HD 4WD LTZ Crew Cab $43,911
20 Chevrolet Silverado 2500HD 4WD LTZ Crew Cab $59,911
24 Chevrolet Silverado 3500HD LT $79,911
23 Chevrolet Tahoe High Country $82,911
21 Ford Bronco Badlands $49,991
23 Ford Bronco Badlands $60,911
23 Ford Bronco Badlands $58,911
23 Ford Bronco Badlands $66,911
21 Ford Bronco Base $42,911
23 Ford Bronco BASE 4 DOOR ADVANCED 4X4 $68,911
22 Ford Bronco Wildtrak $65,911
21 Ford Bronco Sport Outer Banks $31,991
22 Ford Edge ST-Line AWD $36,911
22 Ford Edge Titanium $33,911
20 Ford Edge Titanium AWD $31,911
16 Ford Escape SE
20 Ford Escape SE Sport Hybrid $29,911
21 Ford Escape Titanium $25,911
20 Ford Expedition Platinum $56,911
20 Ford Explorer Platinum $41,991
21 Ford Explorer Platinum $45,911
22 Ford Explorer ST $49,911
16 Ford Explorer XLT $14,500
22 Ford F-150 4WD King Ranch SuperCrew $68,911
22 Ford F-150 4WD Lariat SuperCrew $56,911
21 Ford F-150 4WD Raptor SuperCrew $72,911
22 Ford F-150 4WD Raptor SuperCrew $81,911
22 Ford F-150 4WD XL Reg Cab $38,911
20 Ford F-150 4WD XLT SuperCrew $42,900
23 Ford F-150 4WD XLT SuperCrew $75,911
22 Ford Maverick AWD Lariat SuperCrew $40,900
22 Ford Maverick AWD XLT SuperCrew $37,911
23 Ford Maverick XLT Advanced $38,911
22 Ford Mustang EcoBoost $29,411
21 Ford Mustang GT $41,911
23 Ford Mustang Mach-E Premium $49,911
22 Ford Ranger 4WD LARIAT SuperCrew $43,911
21 Ford Ranger 4WD XLT SuperCrew $37,911
11 Ford Super Duty F-350 DRW 4WD XL Crew Cab $32,411
16 Ford Super Duty F-350 DRW XL $34,911
19 Ford Super Duty F-350 SRW 4WD Lariat SuperCab $57,411
23 Ford Super Duty F-350 SRW LARIAT $94,911
22 Ford Super Duty F-550 DRW 4WD XL Reg Cab $73,500
19 Ford Transit Connect Wagon XLT $22,911
18 GMC Sierra 1500 4WD Denali Crew Cab $36,911
20 GMC Sierra 1500 4WD SLT Crew Cab $42,911
20 GMC Sierra 3500HD 4WD Denali Crew Cab $66,911
20 GMC Sierra 3500HD 4WD Reg Cab $42,911
20 GMC Terrain SLE $26,411
21 GMC Yukon XL Denali $73,911
20 Honda HR-V EX $26,900
20 Honda HR-V LX $21,911
20 Honda Odyssey Elite $40,911
18 Jayco Eagle HT $29,991
21 Jeep Cherokee 4WD Limited $29,911
22 Jeep Compass 2WD Latitude Lux $30,911
21 Jeep Grand Cherokee 4WD High Altitude $43,911
21 Jeep Grand Cherokee 4WD Limited $29,911
21 Jeep Grand Cherokee L 4WD Limited $39,911
22 Jeep Wrangler Unlimited Willys $42,991
20 Jeep Wrangler Unlimited Rubicon $46,911
13 Kia Soul Base $8,991
17 Lexus ES ES 300h $29,911
16 Lexus ES 350 4dr Sdn $24,911
21 Mazda CX-9 Touring $31,500
23 Ram 1500 4WD Big Horn Crew Cab $48,411
22 Ram 1500 Classic 2WD Tradesman Reg Cab $28,911
18 Ram 3500 4WD Laramie Crew Cab $38,911
22 Subaru Outback Limited $31,911
19 Subaru Outback Touring $28,900
16 Toyota Camry SE $17,500
16 Toyota Land Cruiser 4dr 4WD (Natl) $55,411
18 Toyota RAV4 LE $22,911
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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