1911 E. Edwardsville Rd
Wood River, IL 62095
Call Us Today: 618-216-8080
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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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1910
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
February
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April
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August
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December
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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
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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
2025
2024
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
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1994
1993
1992
1991
1990
1989
1988
1987
1986
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1984
1983
1982
1981
1980
1979
1978
1977
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1972
1971
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1969
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1962
1961
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1953
1952
1951
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1948
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1944
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1932
1931
1930
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1928
1927
1926
1925
Residence Status
Rent
Own
Military Housing
Live with Parents
Other
Housing Payment
$
per month
Other
Available Down Payment
$
Select Vehicle(s) of Interest
21 Audi Q5 Premium $19,490
23 BMW X1 xDrive28i $28,000
18 Buick Enclave Premium $15,495
24 Buick Enclave Premium $44,900
23 Buick Encore GX Preferred $23,800
19 Cadillac CT6 Premium Luxury AWD $26,999
21 Cadillac Escalade Sport Platinum $64,900
23 Chevrolet Blazer LT $27,899
22 Chevrolet Blazer RS $33,500
21 Chevrolet Colorado 4WD ZR2 Crew Cab $36,999
23 Chevrolet Equinox LT $21,000
18 Chevrolet Malibu LS $12,500
23 Chevrolet TrailBlazer ACTIV $24,500
23 Chevrolet Traverse LT Cloth $30,958
20 Chrysler Pacifica Launch Edition $22,900
22 Chrysler Voyager LX $20,900
22 Chrysler Voyager LX $20,800
19 Dodge Charger GT $19,249
21 Dodge Charger SXT $20,159
22 Dodge Charger SXT $18,900
20 Ford F-150 4WD Lariat SuperCrew $37,995
19 Ford Fiesta SE $12,000
18 Ford Focus S $10,495
08 Ford Fusion SE
23 Ford Maverick 2WD XL SuperCrew $26,900
23 Genesis G70 3.3T $36,000
19 GMC Acadia SLE $16,895
23 GMC Acadia SLE $30,230
20 GMC Sierra 1500 4WD Denali Crew Cab $35,900
23 GMC Sierra 2500HD 4WD SLT Crew Cab $53,999
18 Honda HR-V EX $19,795
17 Honda Odyssey EX-L $16,900
20 Hyundai Kona Ultimate $21,999
15 Jeep Grand Cherokee 4WD Limited $10,500
22 Jeep Grand Cherokee WK 4WD Laredo X $29,878
20 Jeep Wrangler Unlimited Sahara $28,990
22 Kia Carnival LXS $18,490
22 Kia Forte GT $20,999
19 Kia Forte LX $18,500
22 Kia Forte LXS $20,295
24 Kia Forte LXS $18,500
24 Kia Forte LXS $20,000
24 Kia Forte LXS $19,700
24 Kia Forte LXS $20,000
19 Kia Forte S $13,900
22 Kia K5 EX $24,990
21 Kia K5 GT-Line $13,215
22 Kia K5 GT-Line $24,290
22 Kia K5 GT-Line $23,999
17 Kia Optima EX $16,495
21 Kia Rio LX $16,990
24 Kia Seltos EX $22,990
21 Kia Seltos LX $17,500
21 Kia Sorento S $19,750
22 Kia Sorento S $23,450
22 Kia Sorento SX $33,000
24 Kia Sorento SX $33,500
18 Kia Sorento SX V6 $14,990
24 Kia Sorento X-Line SX Prestige $37,500
16 Kia Soul + $9,587
22 Kia Soul LX $19,990
24 Kia Soul LX $18,295
16 Kia Sportage EX $8,000
23 Kia Sportage EX $26,500
20 Kia Sportage LX $12,850
21 Kia Sportage S $13,990
21 Kia Sportage S $21,500
23 Kia Sportage X-Line $27,995
22 Kia Telluride EX $36,450
24 Kia Telluride EX X-Line $42,010
22 Kia Telluride LX $24,990
23 Mazda CX-30 2.5 S Select Package $20,194
23 Nissan Altima 2.5 SV $18,990
15 Nissan Murano SL
20 Nissan Rogue S $15,990
19 Ram 1500 2WD Big Horn/Lone Star Quad Cab $23,900
14 Ram 1500 Express $12,495
18 Ram 1500 Tradesman $15,875
24 Ram 1500 Classic SLT $31,000
20 Subaru Crosstrek Limited $22,000
17 Toyota Corolla iM $14,995
23 Toyota GR86 Premium $29,490
21 Toyota RAV4 XLE $23,000
22 Volkswagen Jetta SE $19,900
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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