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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1911
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
March
April
May
June
July
August
September
October
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December
2026
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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
2026
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
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1993
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1991
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1986
1985
1984
1983
1982
1981
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1978
1977
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1972
1971
1970
1969
1968
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1963
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1951
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1940
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1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
Residence Status
Rent
Own
Military Housing
Live with Parents
Other
Housing Payment
$
per month
Other
Available Down Payment
$
Select Vehicle(s) of Interest
22 Audi Q3 S line Premium Plus $25,495
24 BMW M8 Competition $102,500
23 Buick Envision Essence $28,900
25 Chevrolet Blazer LT $23,204
24 Chevrolet Equinox LS $18,900
24 Chevrolet Malibu LT $18,795
23 Chevrolet Tahoe RST $55,099
23 Chevrolet TrailBlazer LS $18,495
25 Chevrolet Traverse FWD LT $36,500
24 Chevrolet Traverse Limited RS $36,995
25 Chrysler Pacifica Limited $30,900
21 Chrysler Pacifica Touring L $20,495
24 Chrysler Pacifica Touring L $30,500
22 Dodge Challenger R/T $30,990
18 Dodge Durango GT $17,400
23 Ford Bronco Big Bend $39,750
23 Ford Bronco Sport Big Bend $23,495
22 Ford Escape SE $15,400
21 Ford Escape SEL $20,500
22 Ford Escape SEL $19,999
20 Ford F-150 4WD XLT SuperCrew $27,212
19 GMC Acadia SLT $15,990
20 GMC Acadia SLT $19,989
17 GMC Acadia Limited Limited
20 Hyundai Santa Fe SEL w/SULEV
18 Hyundai Santa Fe Sport 2.4L
24 Hyundai Tucson SEL $21,999
24 Hyundai Tucson SEL $21,839
23 Jeep Grand Cherokee L 4WD Overland $36,799
20 Jeep Wrangler Unlimited Sahara $24,900
26 Kia Carnival EX $38,500
22 Kia Carnival LXS $21,900
24 Kia EV6 Light Long Range $30,764
25 Kia K4 GT-Line $24,700
24 Kia K5 GT-Line $24,250
25 Kia K5 GT-Line $25,900
23 Kia Niro EX $23,495
25 Kia Niro LX $23,500
25 Kia Niro LX $22,300
23 Kia Seltos EX $22,900
24 Kia Seltos EX $23,900
24 Kia Seltos EX $23,400
23 Kia Seltos S $21,900
23 Kia Seltos SX $20,495
24 Kia Sorento SX $31,995
25 Kia Sorento X-Line SX Prestige $37,500
24 Kia Sportage EX $26,010
25 Kia Sportage EX $29,900
23 Kia Sportage LX $22,900
21 Kia Sportage S $21,899
24 Kia Sportage SX-Prestige $29,990
24 Kia Sportage X-Line $27,900
25 Kia Sportage PHEV X-Line Prestige $39,500
19 Kia Stinger Premium $22,541
20 Kia Telluride EX $21,495
24 Kia Telluride EX X-Line $36,990
22 Kia Telluride LX $18,900
22 Kia Telluride SX $28,999
25 Kia Telluride SX-Prestige X-Line $45,999
22 Nissan Altima 2.5 S $20,000
25 Nissan Altima SL $26,929
24 Nissan Armada SV $33,900
23 Nissan Kicks S $18,900
20 Nissan Murano SV $15,999
17 Ram 1500 4WD Big Horn Quad Cab $21,495
25 Toyota Camry XLE $34,031
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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