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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
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Dec
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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
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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
20 Buick Enclave Essence $20,995
18 Buick Encore Preferred $11,888
23 Cadillac CT5 Premium Luxury $40,995
17 Cadillac XT5 Luxury FWD $15,995
15 Chevrolet Camaro LT $16,995
13 Chevrolet Cruze 1LT $5,995
24 Chevrolet Equinox LS $24,995
19 Chevrolet Equinox LT $16,995
13 Chevrolet Traverse LTZ $8,995
20 Chevrolet Trax LT $16,995
16 Chrysler 200 Limited $9,995
17 Chrysler Pacifica Limited $19,995
16 Dodge Charger R/T $17,995
24 Ford Bronco Sport Big Bend $26,888
14 Ford Econoline Cargo Van Commercial $13,995
09 Ford Expedition EL XLT $7,995
20 Ford F-150 Lariat $27,777
19 Ford Ranger XLT $26,998
17 GMC Acadia Denali $17,995
21 GMC Acadia SLE $22,995
18 GMC Terrain SLE $9,995
18 Honda Odyssey EX-L $20,888
16 Hyundai Elantra SE $9,995
20 Hyundai Elantra SE $13,995
13 Hyundai Santa Fe 2.0L Turbo $8,888
21 INFINITI Q50 3.0t Signature Edition $31,977
21 INFINITI QX50 LUXE $26,995
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
23 Mazda CX-5 2.5 Turbo $27,995
09 Mazda Mazda3 Sedan i Touring Value
21 Nissan Altima 2.5 Platinum $23,997
15 Nissan Altima 2.5 SL $10,995
21 Nissan Altima 2.5 SR $17,997
23 Nissan Altima 2.5 SR $23,888
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
23 Nissan Armada Platinum $53,995
24 Nissan Armada SL $49,995
09 Nissan cube 1.8 Krom $5,995
23 Nissan Frontier PRO-4X $34,777
19 Nissan Frontier SV $19,988
19 Nissan Frontier SV $22,995
20 Nissan Frontier SV $20,995
23 Nissan Frontier SV $32,615
14 Nissan JUKE NISMO $10,988
24 Nissan Kicks SR $24,995
21 Nissan Kicks SV $13,995
23 Nissan Maxima SR $34,777
23 Nissan Maxima SR $31,995
03 Nissan Murano
21 Nissan Murano S $23,995
14 Nissan Murano SL $6,995
21 Nissan Murano SL $21,988
21 Nissan Murano SL $27,777
24 Nissan Murano SL $31,888
24 Nissan Murano SL $33,998
24 Nissan Murano SL $34,777
23 Nissan Murano SV $26,997
23 Nissan Murano SV $29,555
23 Nissan Murano SV $25,988
22 Nissan Pathfinder Platinum $33,995
24 Nissan Pathfinder Platinum $42,997
15 Nissan Pathfinder S $7,995
22 Nissan Pathfinder SV $24,997
16 Nissan Quest Platinum $9,995
21 Nissan Rogue Platinum $27,995
23 Nissan Rogue Platinum $29,995
23 Nissan Rogue Platinum $29,998
21 Nissan Rogue S $21,888
16 Nissan Rogue SL $13,995
20 Nissan Rogue SL $17,995
21 Nissan Rogue SL $23,997
21 Nissan Rogue SL $24,995
21 Nissan Rogue SV $24,995
21 Nissan Rogue SV $22,997
21 Nissan Rogue SV $22,880
21 Nissan Rogue SV $22,688
21 Nissan Rogue SV $21,995
22 Nissan Rogue SV $21,995
23 Nissan Rogue SV $25,997
23 Nissan Rogue SV $26,997
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 $25,998
23 Nissan Rogue SV $27,988
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 $26,998
23 Nissan Rogue SV $25,995
23 Nissan Rogue SV $26,997
23 Nissan Rogue SV $26,997
22 Nissan Rogue Sport SL $23,995
20 Nissan Rogue Sport SV $17,997
15 Nissan Sentra S
20 Nissan Titan PRO-4X $29,995
23 Nissan Titan XD SV $49,995
24 Nissan Versa S $18,888
13 Nissan Xterra PRO-4X $13,995
23 Nissan Z Proto Spec $49,995
23 Ram 2500 Power Wagon $63,977
09 Saturn Sky 2dr Conv $9,995
19 Toyota Avalon Hybrid $21,995
11 Toyota RAV4 FWD 4dr 4-cyl 4-Spd AT $7,995
22 Toyota Tacoma 4WD TRD Sport V6 $35,988
19 Volkswagen Atlas 3.6L V6 SE w/Technology $20,995
19 Volkswagen Atlas 3.6L V6 SE w/Technology $17,995
21 Volkswagen Golf TSI $18,995
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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