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
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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
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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
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2021
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2018
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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
18 Audi A4 Premium Plus $21,395
18 Buick Encore Preferred $15,295
24 Buick Encore GX ST $24,990
22 Chevrolet Blazer LT
17 Chevrolet Colorado 4WD LT Crew Cab $17,995
11 Chevrolet Equinox LT w/1LT
20 Chevrolet Silverado 1500 4WD Custom Crew Cab $29,500
18 Chevrolet Traverse RS $17,500
22 Chrysler Pacifica Touring L $21,199
22 Chrysler Pacifica Touring L $21,199
20 Dodge Charger Scat Pack Widebody $41,900
22 Dodge Charger SXT $21,400
21 Dodge Durango R/T $31,250
16 Dodge Grand Caravan R/T $10,000
16 Dodge Grand Caravan SXT Plus $12,500
20 Ford F-150 4WD XLT SuperCrew $18,900
16 GMC Terrain SLE
18 Hyundai Elantra Value Edition $14,999
22 Hyundai Santa Fe Calligraphy $29,895
22 Hyundai Santa Fe Hybrid SEL Premium $27,995
17 Hyundai Sonata SE $14,399
18 Hyundai Sonata SEL $14,987
22 Hyundai Sonata SEL $20,000
18 Jeep Compass 2WD Sport
22 Jeep Grand Cherokee 4WD Limited $30,400
21 Jeep Wrangler Willys $24,999
23 Jeep Wrangler 4xe Sahara $35,372
17 Jeep Wrangler Unlimited Big Bear $18,295
14 Jeep Wrangler Unlimited Rubicon X
23 Kia Carnival LX $25,800
24 Kia EV6 Light Long Range $34,500
24 Kia EV9 Wind $51,000
21 Kia Forte GT $19,295
22 Kia Forte GT $21,995
19 Kia Forte LXS
24 Kia Forte LXS $18,995
21 Kia K5 EX $24,999
23 Kia K5 GT-Line
24 Kia K5 GT-Line $26,895
22 Kia Niro EV EX Premium $17,999
19 Kia Optima LX $10,999
20 Kia Optima LX $14,250
20 Kia Optima LX
22 Kia Seltos EX
16 Kia Sorento EX $13,495
17 Kia Sorento LX $11,295
22 Kia Sorento LX $24,999
21 Kia Sorento S $23,159
23 Kia Sorento S $26,990
22 Kia Sorento SX Prestige $28,819
17 Kia Sorento SX V6 $12,995
20 Kia Sportage EX $12,990
21 Kia Sportage EX $22,950
22 Kia Sportage LX
22 Kia Sportage Nightfall
21 Kia Sportage S
24 Kia Sportage X-Line $30,650
23 Kia Stinger GT-Line
22 Kia Telluride S $29,999
20 Kia Telluride SX $25,999
22 Kia Telluride SX
20 Lexus ES ES 300h Luxury
15 Mercedes-Benz M-Class ML 350 $16,289
24 MINI Convertible Cooper S $26,700
24 MINI Convertible Cooper S $24,990
20 Nissan Altima 2.5 SL $19,299
18 Nissan Altima 2.5 SV $15,395
22 Nissan Altima 2.5 SV $17,999
17 Nissan Armada Platinum $18,900
20 Nissan Kicks SR $14,500
21 Subaru Ascent Premium $22,960
20 Subaru Crosstrek Limited $24,795
20 Toyota Corolla LE $19,995
17 Toyota Prius Prime Advanced
20 Volkswagen Atlas 3.6L V6 SEL Premium $21,495
13 Volkswagen Beetle Convertible 2.5L w/Sound/Nav $7,995
17 Volkswagen Touareg Wolfsburg Edition $12,895
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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