12836 Highway 21
De Soto, MO 63020
636-337-7777
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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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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
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August
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December
2024
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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
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
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1974
1973
1972
1971
1970
1969
1968
1967
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1964
1963
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1961
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1953
1952
1951
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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
20
20 Buick Encore Essence $18,031
19 Chevrolet Camaro 1LT $22,792
20 Chevrolet Malibu LT $17,998
20 Chevrolet Silverado 1500 LT $30,904
23 Chevrolet Silverado 1500 LT LT1 $44,485
20 Chevrolet Sonic LT $17,102
22 Chrysler Pacifica Touring L $27,717
23 Dodge Challenger GT $33,443
17 Dodge Charger SXT $17,477
20 Dodge Journey SE $18,736
96 Ford Bronco XLT $27,284
23 Ford E-Transit Cargo Van
23 Ford E-Transit Cargo Van
23 Ford E-Transit-350 Base $39,477
23 Ford E-Transit-350 Base $39,489
23 Ford E-Transit-350 Base $39,479
20 Ford EcoSport SE $17,983
21 Ford EcoSport SE $19,642
18 Ford Edge SEL $17,409
19 Ford Edge Titanium $20,467
19 Ford Escape SE $18,072
20 Ford Escape SE $21,477
21 Ford Escape SE $21,486
19 Ford Escape SEL $18,449
21 Ford Escape SEL $20,478
21 Ford Escape Titanium $24,256
20 Ford Escape Titanium Hybrid $23,322
23 Ford Expedition Platinum $65,070
18 Ford Expedition Max Limited $30,751
14 Ford F-150
20 Ford F-150
21 Ford F-150
21 Ford F-150
22 Ford F-150 Lariat $49,397
20 Ford F-250SD Lariat $54,077
21 Ford F-250SD Lariat $52,327
21 Ford F-250SD Lariat $55,415
23 Ford F-250SD Lariat $71,369
17 Ford F-350SD Lariat $45,615
24 Ford F-450SD DRW $120,719
24 Ford F-450SD Limited DRW $120,755
14 Ford Focus Titanium $11,023
17 Ford Fusion Platinum $15,586
21 Ford Super Duty F-450 DRW 4WD Crew Cab 8’ Box
20 Ford Transit Connect XLT $22,197
15 GMC Acadia SLE-2
16 GMC Acadia SLE-2 $18,629
24 GMC Sierra 1500 SLT $59,055
18 Honda CR-V LX $20,697
17 Jeep Cherokee Trailhawk $22,594
19 Jeep Cherokee Trailhawk $23,494
21 Jeep Compass Latitude $22,914
21 Jeep Gladiator Mojave $43,055
05 Kia Amanti 4dr Sdn Auto
21 Kia Forte LXS $20,228
21 Kia Forte LXS $19,058
23 Kia Forte LXS $21,848
21 Kia K5 GT-Line
22 Kia K5 GT-Line $28,497
19 Kia Optima EX $21,055
23 Kia Sportage LX $26,755
16 Lexus IS 350 $23,879
23 Nissan Altima 2.5 SV $23,783
17 Nissan Sentra SV $11,495
21 Ram 1500 Big Horn/Lone Star $38,055
22 Ram 1500 Big Horn/Lone Star $40,135
19 Ram 1500 Classic Warlock $29,356
19 Ram 2500 Laramie $51,497
19 Takt Trailer
21 Toyota Camry SE $22,998
22 Toyota RAV4 Hybrid LE $29,494
22 Toyota Tacoma TRD Off-Road V6 $40,495
21 Toyota Tacoma 4WD
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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