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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
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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
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December
2022
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1922
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
2022
2021
2020
2019
2018
2017
2016
2015
2014
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2002
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1991
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1984
1983
1982
1981
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1978
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1971
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1963
1962
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Address
City, State Zip
state
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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
18 Buick LaCrosse Premium $26,900
19 Cadillac Escalade ESV Premium Luxury $68,911
22 Cadillac Escalade ESV Sport $125,911
04 Cadillac XLR 2dr Convertible $27,911
15 Cadillac XTS Luxury $24,900
17 Chevrolet Equinox LT $19,991
18 Chevrolet Equinox LT $24,900
22 Chevrolet Silverado 2500HD 4WD LT Crew Cab $69,500
17 Chevrolet Tahoe Premier $45,900
20 FIAT 500X Trekking Plus $30,991
79 Ford BRONCO $44,991
21 Ford Bronco Sport First Edition $43,911
18 Ford EcoSport SE $22,417
20 Ford EcoSport SE $23,911
22 Ford Edge SEL AWD $39,911
20 Ford Edge ST AWD $46,911
20 Ford Escape SE $30,511
22 Ford Escape SE Hybrid $34,500
20 Ford Expedition Platinum $69,911
20 Ford Explorer Limited $47,911
18 Ford Explorer Sport $37,991
20 Ford Explorer XLT $40,991
16 Ford F-150 $28,900
18 Ford F-150 $34,911
18 Ford F-150 4WD King Ranch SuperCrew $53,991
21 Ford F-150 4WD Lariat SuperCrew $67,411
15 Ford F-150 4WD XLT SuperCrew $21,451
17 Ford F-150 4WD XLT SuperCrew $27,911
18 Ford F-150 4WD XLT SuperCrew $28,911
19 Ford F-150 4WD XLT SuperCrew $43,911
19 Ford F-150 4WD XLT SuperCrew $43,911
22 Ford F-150 4WD XLT SuperCrew $61,911
14 Ford F-250
21 Ford F-650 Straight Frame Gas 2WD Reg Cab $82,500
19 Ford Ranger 4WD LARIAT SuperCrew $43,991
18 Ford Super Duty F-250 SRW 4WD Lariat Crew Cab $58,911
19 Ford Super Duty F-250 SRW 4WD Lariat Crew Cab $68,911
22 Ford Super Duty F-250 SRW 4WD Lariat Crew Cab $91,911
20 Ford Super Duty F-250 SRW 4WD XL SuperCab $48,911
20 Ford Super Duty F-250 SRW 4WD XLT Crew Cab $63,991
21 Ford Super Duty F-350 SRW 2WD XL SuperCab $42,911
17 Ford Super Duty F-350 SRW 4WD Lariat Crew Cab $61,411
22 Ford Super Duty F-600 DRW XLT $89,500
21 Ford Transit Cargo Van 250 MR VAN $62,911
21 Ford Transit Cargo Van 250 MR VAN $62,911
21 Ford Transit Cargo Van T-150 Low Rf 8670 GVWR AWD $81,991
20 Ford Transit Connect Van XL $33,500
20 Forest River LACROSSE $40,000
21 Forest River WILDWOOD 22RBS $25,900
17 GMC Acadia Denali $26,911
21 GMC Acadia Denali $51,911
18 GMC Acadia SLE $28,911
18 GMC Acadia SLT $26,911
21 GMC Sierra 1500 4WD AT4 Crew Cab $62,911
18 GMC Sierra 1500 4WD SLT Crew Cab $43,500
21 GMC Sierra 3500HD 4WD Denali Crew Cab $87,900
17 GMC Yukon Denali $42,991
22 GMC Yukon XL SLT $80,000
20 Highland Ridge MESA RIDGE $40,911
18 Honda Accord Sedan Sport $26,500
20 Hyundai Tucson Ultimate $34,911
17 INFINITI QX80 AWD $46,911
17 Jeep Renegade 4WD Limited $24,900
22 Jeep Wagoneer 4WD Series III $80,911
16 Jeep Wrangler Sahara $29,991
21 Jeep Wrangler Willys $41,991
13 Jeep Wrangler Unlimited Moab $28,911
18 Jeep Wrangler Unlimited Rubicon $52,911
16 Jeep Wrangler Unlimited Sport $23,900
19 Kia Sorento LX V6 $28,925
15 Lexus ES 350 4dr Sdn $22,991
19 Lincoln MKC Reserve $34,911
20 Lincoln MKZ Reserve $39,991
19 Lincoln Nautilus Black Label $49,911
19 Lincoln Nautilus Reserve $42,911
20 Lincoln Navigator Black Label $84,911
18 Mazda MAZDA3 5-Door Touring $24,900
18 Mercedes-Benz C-Class C 300 $36,911
21 Mercedes-Benz GLE GLE 350 $68,511
15 Nissan JUKE SL $16,990
19 Nissan NV Cargo SV $30,911
19 Nissan Rogue SL $28,911
08 Pontiac Solstice 2dr Conv $13,991
17 Ram 1500 Express $30,900
16 Ram 2500 4WD Laramie Crew Cab $53,900
21 Ram 3500 4WD Tradesman Reg Cab $62,911
21 Ram 3500 Chassis Cab $68,511
18 Ram ProMaster Cargo Van 2500 High Roof 159" WB $38,911
18 Starcraft SOLTICE LITE $34,900
17 Subaru Outback Limited $34,911
22 Toyota GR Supra 3.0 Premium $61,991
21 Toyota RAV4 Hybrid LE $36,900
14 Toyota Sequoia Platinum $34,900
17 Toyota Tacoma 2WD SR Access Cab $26,411
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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