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
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1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
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1974
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1972
1971
1970
1969
1968
1967
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1961
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1953
1952
1951
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1931
1930
1929
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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 $18,853
19 Chevrolet Camaro $25,055
15 Chevrolet Equinox LT $10,246
13 Chevrolet Impala LT $11,495
15 Chevrolet Malibu LS $15,495
21 Chevrolet Malibu LS $20,497
14 Chevrolet Silverado 1500 $17,479
20 Chevrolet Silverado 1500 4WD LT Double Cab $30,871
23 Chevrolet Silverado 1500 4WD LT w/1LT Double Cab $44,699
20 Chrysler Voyager LXI $20,055
17 Dodge Charger SXT $17,827
21 Ford Bronco Badlands $45,655
23 Ford E-Transit Cargo Van $40,495
23 Ford E-Transit Cargo Van $40,495
23 Ford E-Transit Cargo Van $39,495
23 Ford E-Transit Cargo Van $39,495
23 Ford E-Transit Cargo Van $39,495
23 Ford E-Transit Cargo Van $40,495
20 Ford EcoSport SE $18,636
21 Ford EcoSport SE $20,999
19 Ford EcoSport Titanium $16,776
18 Ford Edge 2WD SE $19,258
18 Ford Edge 2WD SEL $18,692
18 Ford Edge AWD SEL $17,515
20 Ford Edge SEL AWD $23,883
19 Ford Edge Titanium AWD $21,804
19 Ford Escape SE $18,685
20 Ford Escape SE $22,497
23 Ford Expedition Platinum $71,799
18 Ford Expedition Max Limited $31,351
21 Ford Explorer XLT $32,489
22 Ford Explorer XLT $33,327
19 Ford F-150 $33,495
22 Ford F-150 $51,055
19 Ford F-150 2WD XL Reg Cab $20,719
22 Ford F-150 4WD Lariat SuperCrew $46,634
15 Ford F-150 4WD SuperCrew 145 $19,732
20 Ford Fusion SE $19,183
17 Ford Mustang $32,055
19 Ford Mustang $28,495
13 Ford Mustang 2dr Cpe GT $21,055
20 Ford Ranger 4WD XLT SuperCrew $32,489
20 Ford Super Duty F-250 SRW $55,519
21 Ford Super Duty F-250 SRW $53,525
21 Ford Super Duty F-250 SRW $56,964
17 Ford Super Duty F-350 SRW
21 Ford Super Duty F-450 DRW 4WD Crew Cab 8’ Box $51,103
20 Ford Transit Connect Van XLT $23,495
21 GMC Acadia Denali $35,497
19 GMC Yukon XL SLT $30,870
19 Jeep Cherokee $22,844
19 Jeep Cherokee 4WD Limited $22,699
21 Jeep Cherokee 4WD Limited $26,995
21 Jeep Compass 4WD Latitude $24,291
23 Kia Forte $22,936
16 Lexus IS 350 4dr Sdn AWD $23,896
18 Lincoln Navigator L Black Label $28,126
22 Nissan Altima 2.5 SV $23,471
23 Nissan Altima 2.5 SV $25,457
17 Nissan Sentra $12,486
19 Ram 1500 $32,122
21 Ram 1500 4WD TRX Crew Cab $68,057
19 Takt Trailer
18 Tesla Model 3
21 Toyota RAV4 XLE Premium $28,632
19 Toyota RAV4 Hybrid XSE $30,495
18 Toyota Tundra 4WD 4WD SR5 Double Cab $33,495
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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