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
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Business Phone
Employment Status
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Employment Start Date
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Gross Salary before taxes
$
per
Year
Month
Week
Housing Information
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City, State, Zip
state
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Residence Move-in Date
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February
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April
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October
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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 Alfa Romeo Stelvio Ti Sport $21,500
16 BMW 3 Series 328i xDrive $13,300
14 BMW 5 Series 550i $20,000
15 Buick Enclave Leather $12,400
19 Buick Encore Preferred $14,300
07 Buick LaCrosse CXL $9,300
15 Buick LaCrosse Premium II $12,900
10 Buick Lucerne CXL Premium $12,900
17 Cadillac XT5 Luxury FWD $17,400
11 Chevrolet Avalanche LT $16,600
12 Chevrolet Colorado 2WD LT w/1LT Reg Cab $11,500
13 Chevrolet Cruze 1LT $8,300
11 Chevrolet Equinox LT w/1LT
19 Chevrolet Equinox Premier $20,500
18 Chevrolet Express Cargo Van RWD 2500 135" $18,500
17 Chevrolet Express Cargo Van RWD 3500 155" $20,500
13 Chevrolet Impala LS $9,900
20 Chevrolet Malibu LS $16,500
04 Chevrolet Monte Carlo SS Supercharged $10,900
14 Chevrolet Silverado 1500 4WD LTZ w/1LZ Crew Cab $20,850
16 Chevrolet Sonic LS $9,300
15 Chevrolet Tahoe LS $17,600
13 Chrysler 200 Limited $13,400
19 Dodge Grand Caravan SXT $14,600
11 Ford Econoline Cargo Van E-350 SD $14,500
20 Ford Escape SE $18,000
11 Ford Escape XLT $9,800
19 Ford Expedition Max XLT $28,000
23 Ford F-150 LARIAT $120,000
14 Ford F-150 XL $10,900
23 Ford Mustang Mach-E GT $49,500
20 Ford Transit Passenger Wagon 350 XLT $40,500
18 Ford Transit Passenger Wagon T-350 148 $25,800
21 Ford Transit Passenger Wagon T-350 148 $43,000
18 Ford Transit Passenger Wagon XLT $38,500
18 Genesis G80 3.8L $27,900
14 Honda Accord Sedan EX-L $16,600
11 Honda CR-V EX $13,700
19 Honda CR-V LX $23,000
15 Honda CR-V Touring $16,750
16 Honda CR-V Touring $19,240
17 Honda Fit LX $15,000
19 Honda HR-V EX-L $20,500
03 HUMMER H2 4dr Wgn $28,500
14 Hyundai Accent 5-Door GS $7,500
19 Hyundai Elantra SEL $14,550
12 Jeep Wrangler Sport $15,900
21 Kia Seltos S $15,900
20 Land Rover Range Rover P525 HSE $62,500
17 Mercedes-Benz E-Class E 300 Luxury $24,000
17 MINI Clubman Cooper S
13 Nissan Frontier S $13,900
19 Nissan Frontier SV $19,850
11 Nissan JUKE SL $9,900
19 Nissan NV Passenger NV3500 HD S $29,500
19 Nissan Sentra SV $12,100
09 Nissan Versa 1.8 S $7,800
12 Nissan Xterra S $15,500
21 Ram 1500 2WD Big Horn Quad Cab $30,000
10 Saab 9-3 9-3X $14,900
13 Scion iQ 3dr HB $9,300
08 smart fortwo Passion
19 Toyota Camry SE
10 Toyota Camry XLE $11,900
18 Toyota Camry XLE $17,900
07 Toyota Camry Solara SE $10,000
17 Toyota Prius Four $17,350
13 Toyota Prius Two $12,900
15 Toyota Prius C Three $10,900
08 Toyota Sienna LE 7-Passenger $13,300
14 Toyota Sienna XLE 8-Passenger $16,800
14 Volkswagen Golf 2.5L PZEV $12,500
19 Volkswagen Jetta 1.4T S ULEV $12,900
16 Volkswagen Jetta Sedan 1.8T SEL $11,500
14 Volkswagen Jetta Sedan S $8,500
22 Volvo XC90 Momentum $41,250
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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