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
Self Employed
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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Residence Status
Rent
Own
Military Housing
Live with Parents
Other
Housing Payment
$
per month
Other
Available Down Payment
$
Select Vehicle(s) of Interest
18 Audi A3 Cabriolet 2.0T quattro Premium Plus $27,500
20 Audi Q8 Premium Plus $46,000
19 Buick Enclave Premium $20,500
13 Cadillac ATS 4dr Sdn 2.5L RWD
19 Cadillac XT4 AWD Sport $21,500
19 Case SV340 SKID STEER $50,000
08 Chevrolet Avalanche LT w/1LT $19,250
23 Chevrolet Corvette 3LT $100,000
13 Chevrolet Cruze LTZ $9,100
18 Chevrolet Equinox LT $18,400
10 Chevrolet Impala LS $10,900
20 Chevrolet Malibu LT $16,900
16 Chevrolet Silverado 1500 LS $19,500
17 Chevrolet Spark LS $9,900
15 Chevrolet Tahoe LT $25,900
15 Chevrolet Trax LTZ $12,800
05 Chrysler Crossfire Limited $13,900
11 Ford Econoline Cargo Van E-250 $10,800
11 Ford Econoline Cargo Van E-250 $10,000
19 Ford Explorer XLT $18,000
23 Ford F-150 LARIAT $109,000
23 Ford Mustang Mach-E GT $56,500
20 Ford Transit Cargo Van 350 HR VAN $32,000
21 Ford Transit Passenger Wagon T-350 148 $49,500
18 Ford Transit Passenger Wagon XLT $38,250
19 Ford Transit Passenger Wagon XLT $46,000
21 Ford Transit Passenger Wagon XLT $44,500
16 Ford Transit Wagon T-350 148 $37,000
19 Freightliner Sprinter Van Roof V6 144" RWD $32,000
05 Freightliner XC-R Raised Rail Rear Engine Motor Home $32,000
08 GMC Yukon Denali AWD 4dr $10,500
13 INFINITI QX56
16 Jeep Renegade 2WD Latitude $12,500
22 Jeep Renegade 4WD Latitude $23,000
12 Jeep Wrangler Unlimited Sport $14,500
15 Kia Rio LX $10,900
18 Lexus GX Base $34,000
23 Mazda CX-50 2.5 Turbo Premium Package $36,000
19 Mercedes-Benz GLA GLA 250 $23,900
15 Mercedes-Benz S-Class S 550 $31,500
10 Nissan 370Z Touring $16,300
17 Nissan Armada Platinum $26,100
09 Pontiac G8 GXP $26,500
16 Ram 1500 4WD Express Quad Cab $19,800
18 Ram 1500 4WD Laramie Crew Cab $26,000
20 Ram 1500 4WD Longhorn Crew Cab $37,000
14 Toyota Corolla S Plus
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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