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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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1919
1918
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1916
1915
1914
1913
1912
1911
1910
1909
1908
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
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
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1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
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
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
1924
1923
Residence Status
Rent
Own
Military Housing
Live with Parents
Other
Housing Payment
$
per month
Other
Available Down Payment
$
Select Vehicle(s) of Interest
14 Acura MDX $19,500
18 BMW 5 Series 530i xDrive $28,000
21 Buick Enclave Avenir $44,500
20 Buick Encore Preferred $17,500
18 Cadillac Escalade Premium Luxury $59,995
17 Chevrolet Camaro LT $27,500
21 Chevrolet Equinox LT $24,000
18 Chevrolet Silverado 1500 LT $33,500
21 Chevrolet Tahoe RST $62,500
19 Chevrolet Traverse LT Leather $30,000
19 Chevrolet Traverse RS $34,495
16 Chevrolet Trax LS $9,500
21 Chrysler Pacifica Touring L $27,495
20 Dodge Durango Citadel $36,500
20 Dodge Grand Caravan GT $21,500
21 Ford Bronco Sport Badlands $36,500
21 Ford Bronco Sport Big Bend $28,000
20 Ford EcoSport Titanium $21,695
19 Ford Edge AWD SEL $24,500
20 Ford Edge SEL AWD $31,995
12 Ford Escape Limited $9,500
17 Ford Escape SE $14,500
20 Ford Escape SE $25,895
18 Ford Escape SEL $17,985
19 Ford Escape SEL $21,500
13 Ford Explorer Limited $13,500
08 Ford Explorer XLT $6,500
19 Ford Explorer XLT $30,000
20 Ford Explorer XLT $35,495
16 Ford F-150 4WD Lariat SuperCrew $28,995
20 Ford F-150 4WD Raptor SuperCrew $58,995
22 Ford F-150 4WD STX SuperCrew $44,000
15 Ford F-150 4WD XLT SuperCrew $20,500
19 Ford F-150 4WD XLT SuperCrew $37,925
20 Ford F-150 LARIAT $46,000
19 Ford Flex SEL $24,500
15 Ford Focus Hatchback SE $10,000
18 Ford Fusion S $13,500
15 Ford Fusion SE $13,500
18 Ford Mustang EcoBoost $25,000
22 Ford Mustang GT Premium $49,995
21 Ford Mustang Mach 1 $51,500
21 Ford Ranger 4WD XL SuperCrew $36,500
21 Ford Ranger 4WD XL SuperCrew $36,995
22 Ford Ranger 4WD XLT SuperCrew $42,995
18 Ford Super Duty F-250 SRW LARIAT $54,500
10 Ford Taurus Limited $7,500
20 Ford Transit Cargo Van 250 LR VAN $48,795
20 Ford Transit Cargo Van 250 LR VAN $49,995
21 Ford Transit Cargo Van 250 LR VAN $52,900
20 GMC Sierra 2500HD 4WD AT4 Crew Cab $64,500
20 Honda Accord Sedan EX-L 2.0T $34,995
21 Honda CR-V EX $31,500
17 Hyundai Elantra SE $14,000
21 Hyundai Kona Ultimate $26,500
21 Jeep Cherokee 2WD Latitude Lux $25,500
21 Jeep Cherokee 2WD Limited $33,000
22 Jeep Gladiator 4WD Rubicon $52,495
14 Jeep Grand Cherokee Laredo $13,000
19 Jeep Wrangler Unlimited Rubicon $46,000
21 Lincoln Aviator Reserve
20 Mazda CX-5 Grand Touring Reserve $29,500
20 Nissan Armada Platinum $38,500
18 Nissan Murano PLATINUM $24,500
21 Nissan Sentra SV $19,500
20 Ram 1500 Big Horn $34,500
21 Subaru Forester Sport $30,000
15 Toyota RAV4 XLE $13,500
18 Toyota Sequoia Platinum $43,500
18 Volkswagen Tiguan Limited 2.0T 4MOTION $21,495
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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