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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
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2011
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1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
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
2026
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
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1981
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1961
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1953
1952
1951
1950
1949
1948
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1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
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
2026
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
Residence Status
Rent
Own
Military Housing
Live with Parents
Other
Housing Payment
$
per month
Other
Available Down Payment
$
Select Vehicle(s) of Interest
20 Acura MDX SH-AWD 7-Passenger $21,695
25 BMW 2 Series 228 xDrive $32,995
23 BMW X5 xDrive40i $41,795
26 BMW X5 xDrive40i $60,977
21 Chevrolet Blazer RS $22,297
20 Chevrolet Equinox LS $15,495
23 Chevrolet Equinox LT $20,988
10 Chevrolet Impala LT $4,995
24 Chevrolet Malibu LT $18,983
25 Chevrolet Silverado 1500 LT $39,775
25 Chevrolet Silverado 1500 LT $37,996
25 Chevrolet Silverado 1500 LT $37,997
19 Chevrolet Silverado 1500 LD 4WD LT w/1LT Double Cab $23,495
19 Chevrolet Traverse LT Cloth $13,998
24 Chevrolet Traverse Z71 $43,491
25 Chevrolet Trax 2RS $24,795
15 Chevrolet Trax LTZ $7,995
25 Chrysler Pacifica Limited $33,475
22 Chrysler Pacifica Touring L $21,295
24 Chrysler Pacifica Touring L $25,395
10 Chrysler Sebring Touring $7,995
24 Ford Edge ST Line $32,497
24 Ford Expedition Limited $41,285
23 Ford Explorer XLT $32,998
16 Ford F-150 4WD XLT SuperCrew $20,292
15 Ford F-150 XLT $13,988
25 Ford F-150 XLT $41,990
25 Ford F-150 XLT $42,690
25 Ford F-150 XLT $42,890
25 Ford F-150 XLT $42,890
20 Ford Fusion SE $15,495
18 Ford Fusion Hybrid SE $6,995
24 Ford Mustang EcoBoost Premium $29,995
16 GMC Acadia Denali $12,295
23 GMC Acadia SLE $28,795
19 GMC Acadia SLT $20,295
21 GMC Canyon 4WD AT4 w/Cloth Crew Cab $29,995
21 GMC Sierra 1500 4WD SLT Crew Cab $31,795
25 GMC Sierra 1500 SLT $40,995
25 GMC Sierra 1500 SLT $42,997
25 GMC Sierra 1500 SLT $39,995
20 GMC Sierra 2500HD 4WD Denali Crew Cab $51,995
18 GMC Yukon XL SLT Standard Edition
14 Honda Accord Sedan LX $13,295
19 Honda CR-V EX-L $25,995
19 Honda Passport Touring $22,585
21 Honda Pilot EX-L $21,595
19 Honda Pilot Touring 7-Passenger $24,495
23 Hyundai Palisade Limited $36,795
19 INFINITI QX80 LUXE $21,995
24 Jeep Compass Latitude $19,877
23 Jeep Grand Cherokee L 4WD Altitude $29,998
24 Jeep Grand Wagoneer Series II Obsidian $54,980
24 Jeep Grand Wagoneer L 4x4 $47,955
24 Jeep Wagoneer Series II $39,990
24 Jeep Wrangler Rubicon $38,595
20 Jeep Wrangler Unlimited Recon $28,495
22 Kia Seltos EX $19,995
21 Kia Telluride SX $23,997
15 Land Rover Range Rover Sport HSE $12,495
25 Land Rover Range Rover Velar Dynamic SE $39,995
25 Mazda CX-70 3.3 Turbo Preferred Package $29,977
25 Mercedes-Benz GLA GLA 250 $31,497
15 Nissan Altima 2.5 S $6,997
23 Nissan Altima 2.5 S $19,795
25 Nissan Altima S $21,990
25 Nissan Altima SL $28,935
13 Nissan Altima Sedan 2.5 S $6,395
20 Nissan Frontier SV $22,995
21 Nissan Frontier SV $18,995
25 Nissan Frontier SV $31,945
01 Nissan Frontier XE $6,990
24 Nissan Kicks S $19,495
23 Nissan Kicks SR $22,295
23 Nissan Kicks SR $21,588
24 Nissan Kicks SV $18,495
25 Nissan Kicks SV $22,995
26 Nissan Kicks SV $23,995
26 Nissan Kicks SV $24,995
25 Nissan Kicks Play S $20,490
25 Nissan Kicks Play S $20,490
25 Nissan Kicks Play S $20,490
25 Nissan Kicks Play S $20,490
20 Nissan Maxima SV $22,995
26 Nissan Murano Platinum $42,990
17 Nissan Murano SL $14,995
25 Nissan Murano SL $37,995
25 Nissan Murano SV $32,995
25 Nissan Murano SV $33,497
25 Nissan Murano SV $33,395
25 Nissan Murano SV $33,995
26 Nissan Pathfinder SV $38,985
26 Nissan Pathfinder SV $38,697
23 Nissan Rogue S $18,995
25 Nissan Rogue S $25,298
25 Nissan Rogue S $24,997
25 Nissan Rogue S $24,998
25 Nissan Rogue S $24,998
25 Nissan Rogue S $25,598
15 Nissan Rogue SL $9,990
23 Nissan Rogue SL $26,795
19 Nissan Rogue SV $12,995
21 Nissan Rogue SV $19,995
25 Nissan Rogue SV $26,595
25 Nissan Rogue SV $25,695
26 Nissan Rogue SV $25,995
26 Nissan Rogue SV $26,995
26 Nissan Rogue SV $26,795
26 Nissan Rogue SV $26,995
21 Nissan Rogue Sport S $18,995
22 Nissan Rogue Sport SL $21,798
17 Nissan Sentra SR $9,695
23 Nissan Sentra SR $21,490
25 Nissan Sentra SR $23,995
23 Nissan Sentra SV $19,995
23 Nissan Sentra SV $19,495
23 Nissan Sentra SV $17,295
23 Nissan Titan PRO-4X $33,995
20 Nissan Titan SV $21,495
25 Nissan Versa SV $18,495
25 Ram 1500 Big Horn $37,997
21 Subaru Ascent Limited $23,934
22 Subaru Ascent Limited $31,395
24 Subaru Crosstrek Wilderness $29,495
18 Subaru Outback Limited $17,995
24 Toyota RAV4 Adventure $33,997
20 Toyota RAV4 XLE Premium $20,998
21 Volkswagen Atlas 3.6L V6 SEL 4MOTION $27,695
23 Volkswagen Atlas Cross Sport 2.0T SE $22,488
12 Volvo C30
21 Volvo XC60 Inscription $24,995
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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