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St. Charles Nissan Finance Application
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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
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
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31
2010
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1924
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1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
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
July
August
September
October
November
December
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
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2002
2001
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1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
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
2025
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
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
Residence Status
Rent
Own
Military Housing
Live with Parents
Other
Housing Payment
$
per month
Other
Available Down Payment
$
Select Vehicle(s) of Interest
06 BMW Z4 3.0si $10,995
10 Buick Enclave CXL w/2XL
20 Buick Enclave Essence $20,995
23 Cadillac CT5 Premium Luxury $40,995
17 Cadillac XT5 Luxury FWD $13,995
15 Chevrolet Camaro LT $16,995
24 Chevrolet Equinox LS $24,995
20 Chevrolet Traverse Premier $24,995
16 Chrysler 200 Limited $9,995
17 Chrysler Pacifica Limited $19,995
16 Dodge Durango R/T $14,995
24 Ford Bronco Sport Big Bend $26,888
14 Ford Econoline Cargo Van Commercial $13,995
15 Ford F-150 4WD Platinum SuperCrew $17,995
18 Ford F-150 4WD XLT SuperCrew $18,995
15 Ford Focus Sedan SE $8,995
17 GMC Acadia Denali $17,995
21 GMC Acadia SLE $22,995
15 GMC Canyon 2WD SLE
18 GMC Terrain SLE $9,995
12 GMC Terrain SLT-2
14 Honda CR-V EX-L $8,995
18 Honda Odyssey EX-L $20,888
13 Hyundai Elantra Limited $5,995
20 Hyundai Elantra SE $14,995
21 INFINITI Q50 3.0t SIGNATURE EDITION $31,977
17 Jeep Wrangler Unlimited Unlimited Rubicon $28,988
16 Jeep Wrangler Unlimited Unlimited Sport $17,888
21 Kia Forte GT $18,998
22 Kia Sorento Hybrid EX $25,995
21 Lexus ES ES 350 $32,888
14 Lincoln MKZ $6,995
05 MINI Cooper Hardtop S $6,995
15 Nissan Altima 2.5
21 Nissan Altima 2.5 Platinum $23,997
15 Nissan Altima 2.5 S $9,995
21 Nissan Altima 2.5 SR $17,997
23 Nissan Altima 2.5 SR $23,777
24 Nissan Altima 2.5 SR $26,888
21 Nissan Altima 2.5 SV $19,995
24 Nissan Altima 2.5 SV $23,888
25 Nissan Altima S $24,995
23 Nissan Armada Platinum $53,995
22 Nissan Armada SL $39,995
24 Nissan Armada SV $42,995
11 Nissan cube 1.8 S $4,995
23 Nissan Frontier PRO-4X $34,777
19 Nissan Frontier SV $22,995
20 Nissan Frontier SV $20,995
22 Nissan Kicks SV $19,995
24 Nissan Kicks SV $20,995
23 Nissan Maxima SR $33,995
21 Nissan Murano S $23,995
21 Nissan Murano SL $21,988
24 Nissan Murano SL $31,888
24 Nissan Murano SL $33,998
24 Nissan Murano SL $34,777
18 Nissan Murano SV $16,995
23 Nissan Murano SV $29,555
23 Nissan Murano SV $26,997
23 Nissan Murano SV $25,988
24 Nissan Pathfinder Platinum $42,997
23 Nissan Pathfinder SL $33,995
22 Nissan Pathfinder SV $24,997
21 Nissan Rogue Platinum $27,995
23 Nissan Rogue Platinum $29,998
23 Nissan Rogue Platinum $30,995
21 Nissan Rogue S $20,995
21 Nissan Rogue S $21,888
24 Nissan Rogue S $23,995
20 Nissan Rogue SL $17,995
21 Nissan Rogue SL $23,997
21 Nissan Rogue SL $22,995
21 Nissan Rogue SV $20,595
21 Nissan Rogue SV $24,995
21 Nissan Rogue SV $22,688
21 Nissan Rogue SV $22,997
21 Nissan Rogue SV $22,880
21 Nissan Rogue SV $21,995
22 Nissan Rogue SV $21,995
22 Nissan Rogue SV $21,995
22 Nissan Rogue SV $21,995
23 Nissan Rogue SV $25,995
23 Nissan Rogue SV $25,995
23 Nissan Rogue SV $25,995
23 Nissan Rogue SV $26,988
23 Nissan Rogue SV $26,997
23 Nissan Rogue SV $26,997
23 Nissan Rogue SV $26,997
23 Nissan Rogue SV $26,997
23 Nissan Rogue SV $26,997
23 Nissan Rogue SV $26,997
23 Nissan Rogue SV $26,997
23 Nissan Rogue SV $26,997
23 Nissan Rogue SV $26,998
23 Nissan Rogue SV $25,997
23 Nissan Rogue SV $26,997
23 Nissan Rogue SV $27,988
23 Nissan Rogue SV $26,997
23 Nissan Rogue SV $26,997
23 Nissan Rogue SV $25,998
23 Nissan Rogue SV $26,997
23 Nissan Rogue SV $26,997
24 Nissan Rogue SV $29,995
22 Nissan Rogue Sport SL $23,995
19 Nissan Rogue Sport SV $17,995
20 Nissan Rogue Sport SV $17,997
24 Nissan Sentra SR $24,995
20 Nissan Titan PRO-4X $29,995
23 Nissan Titan XD SV $49,995
24 Nissan Versa S $18,995
24 Nissan Versa S $18,995
24 Nissan Versa S $18,995
24 Nissan Versa S $18,995
24 Nissan Versa SV $18,995
23 Nissan Z Proto Spec $49,995
23 Ram 2500 Power Wagon $62,997
09 Saturn Sky 2dr Conv $9,995
19 Toyota Avalon Hybrid Limited $21,995
16 Toyota Corolla LE $9,995
13 Toyota Highlander 4WD 4dr V6 (Natl) $11,995
18 Toyota Prius Four $15,995
19 Volkswagen Atlas 3.6L V6 SE w/Technology $20,995
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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