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
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Employed Part Time
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Temp Service
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Student
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Fixed Income
Homemaker
Other
Employment Start Date
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Gross Salary before taxes
$
per
Year
Month
Week
Housing Information
Address
City, State, Zip
state
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Residence Move-in Date
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February
March
April
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Residence Status
Rent
Own
Military Housing
Live with Parents
Other
Housing Payment
$
per month
Other
Available Down Payment
$
Select Vehicle(s) of Interest
10 Buick Lucerne CXL Premium $8,500
17 Cadillac XT5 Luxury FWD $14,500
19 Case SV340 SKID STEER $49,000
19 Chevrolet Cruze LT $11,300
19 Chevrolet Equinox Premier $17,000
17 Chevrolet Express Cargo Van RWD 3500 155" $18,000
20 Chevrolet Malibu LS $15,700
18 Chevrolet Malibu LT
16 Chevrolet Tahoe LTZ $23,700
15 Chevrolet Traverse LT $14,500
17 Dodge Grand Caravan SE $16,000
19 Dodge Grand Caravan SE
17 Dodge Grand Caravan SXT
16 Ford Edge Titanium $19,000
20 Ford Escape SE $16,000
17 Ford F-150 4WD XLT SuperCrew $22,900
23 Ford F-150 LARIAT $115,000
13 Ford Fusion SE $8,500
23 Ford Mustang Mach-E GT $46,000
15 Ford Transit Wagon 350 XL
05 Freightliner XCR Chassis 4X2 Chassis $32,000
18 Genesis G80 3.8L $24,000
22 GMC Terrain SLE $19,000
18 GMC Yukon Denali
18 GMC Yukon Denali $33,000
14 Honda Accord Hybrid EX-L $17,000
12 Honda Accord Sedan LX $13,200
11 Honda Accord Sedan LX-P $11,200
16 Honda Civic Coupe LX-P $14,750
17 Honda Civic Coupe Touring $19,900
13 Honda Civic Sedan EX-L $13,900
20 Honda Civic Sedan LX $20,000
20 Honda Civic Sedan LX $20,970
19 Honda CR-V LX $21,500
21 Honda HR-V LX $19,959
19 Honda Odyssey EX-L
17 Hyundai Sonata 2.4L $10,150
18 Jeep Compass 4WD Latitude $14,900
18 Jeep Grand Cherokee 4WD Limited $18,000
15 Jeep Wrangler Sahara $17,000
17 Jeep Wrangler Unlimited Sahara $26,000
11 Kia Sedona EX $9,900
19 Kia Sedona EX $16,500
21 Kia Sedona LX
20 Land Rover Range Rover P525 HSE $57,000
22 Lexus ES ES 350 $37,900
22 Lexus RX RX 350L
15 Lexus RX 350 FWD 4dr $17,800
19 Mazda CX-3 Touring $18,600
17 Mercedes-Benz E-Class E 300 Luxury $20,000
19 Nissan Frontier SV $18,600
17 Nissan Frontier SV V6 $22,000
19 Nissan NV Passenger S $28,000
18 Nissan Rogue SL $17,700
19 Nissan Sentra SV $11,050
14 Ram 1500 2WD R/T Reg Cab $23,453
14 Ram 1500 2WD R/T Reg Cab
19 Ram 1500 Classic SLT $25,140
22 Ram 3500 4WD Tradesman Crew Cab $55,500
10 Saab 9-3 9-3X $13,000
01 Saab 9-3 SE
15 Toyota Avalon XLE $14,900
14 Toyota Camry SE $12,400
21 Toyota Camry SE
17 Toyota Corolla LE $14,100
15 Toyota Prius Four
10 Toyota Prius IV $10,579
18 Toyota Prius Three $19,400
17 Toyota Prius Two $14,600
16 Toyota Prius C Two $12,500
16 Toyota Prius C Two $13,000
19 Toyota Sequoia SR5 $27,500
17 Volkswagen Jetta 1.4T S $11,900
16 Volkswagen Jetta Sedan 1.4T SE w/Connectivity $12,250
22 Volvo XC90 Momentum $35,800
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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