3401 Clear Lake Ave
Springfield, IL 62702
217-528-0770
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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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Social Security Number
-
-
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
November
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
Kansas
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
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
1966
1965
1964
1963
1962
1961
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1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
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
19 Audi Q7 Premium $18,995
19 Audi Q7 Premium Plus $17,995
25 Buick Enclave Preferred $35,995
24 Buick Envision Preferred $25,990
18 Buick Regal Sportback Preferred
19 Cadillac CT6 Sport AWD $26,990
25 Chevrolet Express Cargo Van RWD 2500 155" $43,995
25 Chevrolet Express Cargo Van RWD 2500 155" $43,995
22 Chevrolet Malibu RS $18,499
14 Chevrolet Silverado 1500 2WD LT w/1LT Double Cab
20 Chevrolet Silverado 1500 Custom $27,990
24 Chevrolet Silverado 1500 Work Truck $28,990
24 Chevrolet Silverado 1500 Work Truck $27,815
22 Chevrolet Silverado 1500 LTD 4WD RST Crew Cab $31,995
22 Chevrolet Silverado 2500HD 4WD Work Truck Crew Cab $39,999
24 Chevrolet Silverado 3500HD High Country $71,990
15 Chevrolet Suburban LTZ $15,990
25 Chrysler Pacifica Limited
25 Chrysler Pacifica Limited
26 Chrysler Pacifica Select $36,990
24 Chrysler Pacifica Touring L
23 Chrysler Voyager LX
19 Dodge Journey SE Value Pkg $13,990
23 Ford Bronco Big Bend $35,990
23 Ford Bronco Outer Banks $37,845
21 Ford Bronco Sport Big Bend $17,990
21 Ford Bronco Sport Outer Banks $23,888
18 Ford EcoSport SE $14,995
24 Ford Edge SEL $26,990
24 Ford Escape PHEV $27,995
23 Ford Expedition Limited $39,990
24 Ford Expedition Limited $45,990
26 Ford Expedition Platinum $81,363
25 Ford Explorer ST-Line $41,990
18 Ford Explorer XLT $18,400
18 Ford F-150 4WD Lariat SuperCrew $21,367
17 Ford F-150 4WD XL SuperCrew $12,990
23 Ford F-150 4WD XLT SuperCrew $36,995
23 Ford F-150 4WD XLT SuperCrew $35,990
23 Ford F-150 4WD XLT SuperCrew $36,872
24 Ford F-150 XL $40,990
02 Ford F-150 XLT
20 Ford F-150 XLT $25,990
25 Ford Maverick XL $32,225
25 Ford Maverick XLT $32,995
25 Ford Maverick XLT $32,995
08 Ford Ranger $7,990
22 Ford Ranger 4WD XLT SuperCrew $27,990
19 Ford Super Duty F-250 SRW 4WD XLT Crew Cab $31,249
14 Ford Super Duty F-250 SRW 4WD XLT SuperCab $6,999
23 Ford Super Duty F-250 SRW XL $49,990
23 Ford Super Duty F-250 SRW XL $52,995
23 Ford Super Duty F-250 SRW XL $51,995
99 Ford Super Duty F-350 SRW
23 Ford Super Duty F-550 DRW XL $73,993
23 Ford Super Duty F-550 DRW XL DRW $105,990
24 Ford Transit Cargo Van T-150 130" Low Rf 8670 GVWR RWD $37,149
22 Ford Transit Passenger Wagon XLT $36,995
22 GMC Sierra 2500HD 4WD AT4 Crew Cab
19 GMC Sierra 3500HD 4WD Denali Crew Cab $42,990
08 GMC TC8500 Regular Cab $13,995
18 GMC Yukon SLE $18,682
25 Honda
19 Honda Accord Sedan Sport 1.5T $19,999
24 Honda Civic Sedan Sport $24,995
24 Hyundai Elantra SEL $20,995
22 Hyundai Santa Cruz SEL $19,999
22 Hyundai Santa Fe Limited $24,995
12 International $10,990
23 Jeep Grand Cherokee 4WD Altitude $30,250
21 Jeep Wrangler Rubicon
18 Jeep Wrangler JK Unlimited Rubicon Recon $20,229
18 Jeep Wrangler JK Unlimited Unlimited Rubicon
19 Jeep Wrangler Unlimited Sahara $21,990
24 Kia Forte LX $19,900
25 Lincoln Aviator Reserve
25 Mazda CX-5 2.5 S Preferred Package $27,990
24 Mazda CX-90 3.3 Turbo Select $26,990
24 Nissan Altima 2.5 S $18,601
23 Ram 1500 Lone Star $24,966
24 Ram 3500 Chassis Cab Tradesman $42,990
22 Ram ProMaster City Wagon Base $16,990
08 Toyota Avalon Limited
15 Toyota Camry LE $13,990
15 Toyota Camry SE $13,990
25 Toyota Tundra 4WD CrewMax 5.5’ Bed (Natl) $49,100
20 Volkswagen Jetta GLI Autobahn $14,995
22 Volkswagen Tiguan SE $21,122
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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