2620 West Clay St.
St. Charles, MO 63301
Sales: 636-946-0925
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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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Social Security Number
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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
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2026
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Gross Salary before taxes
$
per
Year
Month
Week
Housing Information
Address
City, State, Zip
state
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Alaska
Arizona
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California
Colorado
Connecticut
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District of Columbia
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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
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2010
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1926
Residence Status
Rent
Own
Military Housing
Live with Parents
Other
Housing Payment
$
per month
Other
Available Down Payment
$
Select Vehicle(s) of Interest
13 BMW 3 Series 335i $16,500
97 BMW 8 Series 840ciA $27,000
21 BMW X3 xDrive30e $26,912
19 BMW X5 xDrive40i $24,000
20 BMW Z4 sDrive30i $33,000
14 Buick Regal Premium I
20 Cadillac Escalade Luxury $44,456
18 Cadillac Escalade ESV Platinum $28,400
19 Case SV340 SKID STEER $49,000
15 Chevrolet Camaro SS $25,900
17 Chevrolet Colorado 4WD Z71 Crew Cab $24,081
19 Chevrolet Colorado 4WD ZR2 Crew Cab $27,900
00 Chevrolet Corvette 2dr Convertible $19,675
02 Chevrolet Corvette 2dr Convertible $19,500
15 Chevrolet Equinox LT
23 Chevrolet Express Cargo Van 2500
23 Chevrolet Malibu LT $18,177
22 Chevrolet Spark LS
17 Chevrolet Trax LT $13,015
12 Chevrolet Volt 5dr HB $8,200
20 Dodge Challenger R/T Scat Pack $33,937
19 Dodge Challenger SXT $19,900
14 Dodge Charger RT Plus
22 Dodge Charger SXT $19,600
18 Dodge Grand Caravan SE $17,690
12 Ford Escape Limited
20 Ford Explorer ST
10 Ford Explorer XLT $10,000
18 Ford F-150 4WD XLT SuperCrew $24,900
23 Ford F-150 LARIAT $96,900
04 Ford F-150 XLT
19 Ford Fiesta SE $10,500
17 Ford Fusion S $10,180
19 Ford Fusion SE $15,609
24 Ford Super Duty F-350 DRW 4X2 4dr Crew Cab 179.8 in. WB $110,000
22 Genesis GV80 2.5T AWD $30,819
19 Honda Civic Hatchback EX $15,500
19 Honda Pilot EX-L $27,700
23 Honda Ridgeline Sport $28,415
21 Hyundai Palisade Calligraphy $26,900
24 Hyundai Tucson SEL $25,085
23 INFINITI QX50 SPORT $33,400
23 INFINITI QX60 AUTOGRAPH $43,400
21 Isuzu NQR 4X2 2dr 71.0 in. BBC Tilt Cab 109-212 in. WB
20 Jeep Grand Cherokee 4WD Limited $19,800
23 Kia Carnival LX $28,087
21 Kia Rio S $15,557
21 Kia Sedona EX $20,839
22 Kia Seltos S $18,400
25 Kia Sorento S $32,934
08 Lexus ES 350 4dr Sdn $9,900
16 Lexus IS 200t 4dr Sdn $23,685
24 Mazda CX-90 3.3 Turbo S Premium Plus $43,000
18 Nissan Murano S $16,133
19 Porsche Cayenne S $34,000
19 Ram 1500 4WD Big Horn Crew Cab $24,499
20 Ram 1500 4WD Laramie Crew Cab $33,404
24 Ram 3500 Big Horn $52,500
19 Subaru Outback Premium $16,700
23 Subaru Outback Premium $22,485
16 Toyota 4Runner Limited $24,900
19 Toyota Camry V6 Auto (Natl) $25,800
15 Toyota Camry XLE $14,000
24 Toyota Corolla XSE
21 Toyota Corolla Hatchback SE $18,112
21 Toyota Highlander XLE $32,535
16 Toyota RAV4 Hybrid Limited $26,431
11 Toyota Tundra 4WD 4WD LTD CrewMax
18 Toyota Tundra 4WD 4WD SR5 Double Cab $31,000
19 Volkswagen Jetta 1.4T S $12,500
23 Volkswagen Taos SE $21,947
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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