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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February
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Gross Salary before taxes
$
per
Year
Month
Week
Housing Information
Address
City, State Zip
state
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Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
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Hawaii
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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
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2018
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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
18 Audi A4 Premium Plus $22,495
18 Buick Encore Preferred $15,295
20 Chevrolet Silverado 1500 4WD Custom Crew Cab $29,500
18 Chevrolet Traverse RS $18,495
17 Chrysler Pacifica Touring L
22 Chrysler Pacifica Touring L $21,495
22 Chrysler Pacifica Touring L $21,495
20 Dodge Charger Scat Pack Widebody $41,900
22 Ford F-150 2WD XL Reg Cab $22,900
20 Ford F-150 4WD XLT SuperCrew $19,999
19 Ford Ranger 4WD LARIAT SuperCrew $26,999
24 Genesis GV80 3.5T AWD $55,000
16 GMC Yukon SLE $21,587
20 Honda Fit LX $15,163
17 Hyundai Sonata SE $14,562
22 Hyundai Sonata SEL $20,495
17 Jeep Compass 4WD Trailhawk $17,800
17 Jeep Grand Cherokee 4WD Overland $17,950
21 Jeep Wrangler Willys $25,900
19 Jeep Wrangler Unlimited Sahara Altitude $29,726
17 Jeep Wrangler Unlimited Sport $15,979
23 Kia Carnival LX $25,999
22 Kia Carnival LXS $24,999
24 Kia EV6 Light Long Range $34,999
23 Kia Forte GT $22,587
20 Kia Forte LX $14,990
21 Kia K5 EX $25,250
23 Kia K5 GT-Line $25,999
24 Kia Niro EX Touring $26,500
24 Kia Niro EX Touring $26,999
17 Kia Niro LX $8,999
22 Kia Niro EV EX Premium $19,250
20 Kia Optima LX $15,999
16 Kia Sorento EX $13,700
21 Kia Sorento S $23,159
23 Kia Sorento S $26,990
23 Kia Sorento Hybrid EX $30,000
24 Kia Sorento Hybrid EX $31,500
19 Kia Soul + $8,500
22 Kia Soul LX $18,948
21 Kia Sportage LX $14,750
21 Kia Sportage LX $18,999
21 Kia Sportage S $13,999
22 Kia Sportage SX Turbo $24,999
23 Kia Sportage SX-Prestige $21,999
25 Kia Sportage SX-Prestige $31,713
25 Kia Sportage SX-Prestige $32,713
23 Kia Sportage X-Pro Prestige $29,800
22 Kia Telluride S $29,999
20 Kia Telluride SX $26,987
24 Mazda CX-5 2.5 S Premium Plus Package $31,495
21 Mazda CX-9 Touring $19,990
24 MINI Convertible Cooper S $28,495
24 MINI Convertible Cooper S $27,495
20 Nissan Altima 2.5 SL $19,900
18 Nissan Altima 2.5 SV $16,299
22 Nissan Altima 2.5 SV $18,389
17 Nissan Armada Platinum $18,900
20 Nissan Armada SL $20,995
16 Nissan Rogue SV $12,999
20 Toyota Corolla LE $20,900
21 Toyota RAV4 XLE Premium $32,000
20 Volkswagen Atlas 3.6L V6 SEL Premium $21,495
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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