971 Wilmer Road Wentzville, MO 63385
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Applicant / Cosigner Information
First Name, Middle Initial
Last Name
Email Address
Day Phone Number
Evening Phone Number
Date of Birth
Birth Month
Month
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Birth Day
Day
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Birth Year
Year
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Social Security Number
Driver's License
Employment Information
Employment Status
Employed Full Time
Employed Part Time
Self Employed
Temp Service
Unemployed
Student
Retired
Fixed Income
Homemaker
Other
Employer
Occupation
Supervisor
Business Phone
Employment Start Date
January
February
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April
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December
2024
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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
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
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
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1974
1973
1972
1971
1970
1969
1968
1967
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1964
1963
1962
1961
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1953
1952
1951
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Residence Status
Rent
Own
Live with Relatives
Other
Housing Payment
$
per Month
Other
Available Down Payment
$
Select a Vehicle of Interest
20 Acura MDX w/Technology Pkg $29,000
21 Audi Q3 Premium $23,000
17 Audi Q5 Premium Plus $22,402
20 BMW 3 Series M340i xDrive $47,000
19 BMW X1 xDrive28i $25,000
21 BMW X4 M40i $45,000
17 Buick Enclave Premium $22,250
20 Cadillac CT5 Sport $31,500
22 Chevrolet Camaro 1LT $24,000
20 Chevrolet Equinox LS $18,500
21 Chevrolet Equinox LT $19,500
17 Chevrolet Traverse LT $11,500
18 Chevrolet Trax LS
19 Chevrolet Trax LS $12,500
21 Chevrolet Trax LT $17,000
17 Chrysler 200 Limited Platinum $17,000
13 Chrysler 300 300C $10,500
22 Chrysler Pacifica Touring L $25,000
20 Dodge Challenger R/T Scat Pack $40,000
23 Dodge Challenger SXT $27,000
23 Dodge Challenger SXT $26,000
23 Dodge Challenger SXT $26,500
19 Dodge Charger SXT $17,500
18 Dodge Durango GT $25,000
20 Ford Expedition Max Platinum $55,000
14 Ford Explorer XLT $12,000
20 Ford F-150 4WD Raptor SuperCrew $51,000
19 Ford F-150 Lariat $36,000
19 Ford F-150 Lariat $43,000
12 Ford F-150 XLT $16,500
14 Ford Fiesta Sedan SE $8,000
11 Ford Focus Sedan SE $6,000
19 Ford Fusion SEL $19,000
17 Ford Mustang EcoBoost $18,000
15 GMC Acadia SLT $14,500
20 GMC Savana Cargo Van RWD 2500 135" $33,000
20 GMC Savana Cargo Van RWD 2500 135" $34,000
20 GMC Terrain Denali $29,500
20 GMC Yukon XL SLT $34,500
23 Honda HR-V Sport $25,500
08 HUMMER H2 SUV $25,000
23 Hyundai Elantra SEL
23 Hyundai Elantra SEL $24,620
23 Hyundai Elantra Hybrid Limited $29,720
23 Hyundai Elantra Hybrid Limited $25,500
22 Hyundai Kona SEL $20,000
23 Hyundai Kona SEL $23,000
24 Hyundai Kona SEL $25,500
24 Hyundai Kona SEL $26,520
21 Hyundai Palisade Calligraphy $32,500
24 Hyundai Palisade SEL
24 Hyundai Santa Cruz SEL $31,000
23 Hyundai Santa Cruz SEL Premium $31,000
23 Hyundai Santa Cruz SEL Premium $31,000
24 Hyundai Santa Cruz XRT
23 Hyundai Santa Fe SEL
23 Hyundai Santa Fe SEL $26,500
23 Hyundai Santa Fe SEL $31,500
23 Hyundai Santa Fe SEL $31,000
23 Hyundai Santa Fe SEL $32,000
17 Hyundai Santa Fe Sport 2.0L Turbo Ultimate $15,500
22 Hyundai Sonata Limited $24,500
21 Hyundai Sonata SE $17,651
23 Hyundai Sonata SE $23,000
21 Hyundai Sonata SEL $18,500
23 Hyundai Sonata SEL
23 Hyundai Sonata Hybrid SEL $27,500
23 Hyundai Sonata Hybrid SEL $27,500
24 Hyundai Tucson SE $27,500
22 Hyundai Tucson SEL $23,204
23 Hyundai Tucson SEL $29,800
24 Hyundai Tucson SEL $29,000
24 Hyundai Tucson SEL $30,000
24 Hyundai Tucson SEL $30,000
24 Hyundai Tucson SEL $30,000
24 Hyundai Tucson SEL $30,670
24 Hyundai Tucson SEL
24 Hyundai Tucson SEL $29,500
20 Hyundai Tucson Value $20,500
24 Hyundai Tucson Hybrid N Line $34,500
19 Hyundai Veloster 2.0 Premium $17,000
20 Hyundai Veloster N Manual $19,000
20 Hyundai Venue SEL $15,500
19 INFINITI QX50 ESSENTIAL $25,000
22 Jeep Cherokee 4WD Latitude Lux $25,500
21 Jeep Compass 4WD Limited $22,400
16 Jeep Compass High Altitude $10,500
21 Jeep Grand Cherokee Limited $27,500
21 Jeep Grand Cherokee Limited $27,000
20 Jeep Grand Cherokee SRT $54,000
19 Jeep Wrangler Unlimited Unlimited Sahara $32,000
23 Kia Forte LXS $19,000
21 Kia Soul S $15,000
23 Mazda CX-30 2.5 S Carbon Edition $24,500
20 Mazda CX-5 Grand Touring Reserve $22,500
18 Nissan 370Z Coupe Base $28,000
21 Nissan Maxima SV $21,000
21 Nissan Maxima SV $22,500
16 Nissan Murano Platinum $22,500
23 Nissan Murano SV $28,500
14 Ram 1500 Express
18 Ram 1500 Night $34,000
17 Ram 1500 Sport $30,000
18 Ram 1500 Sport $31,500
21 Subaru Ascent Premium $26,000
18 Tesla Model 3 Long Range $31,500
18 Toyota Avalon Limited $24,000
19 Toyota Avalon Touring $28,000
19 Toyota C-HR XLE $19,800
21 Toyota Camry SE $21,000
21 Toyota Corolla LE $17,900
21 Toyota Corolla LE $18,300
21 Toyota Corolla LE $18,500
20 Toyota Corolla SE $18,000
22 Toyota RAV4 Limited $36,000
21 Toyota Sequoia Platinum $48,000
18 Toyota Tundra 4WD SR $34,000
17 Volkswagen Golf R 4-Door Manual w/DCC/Nav $21,500
14 Volkswagen Jetta Sedan SEL
23 Volkswagen Tiguan SE $27,000
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.