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636-451-6877
3012 Old HWY 100
Villa Ridge, MO 63089
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Kelly Motors West Selling Used Cars in Villa Ridge, MO.
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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
January
February
March
April
May
June
July
August
September
October
November
December
Birth Day
Day
1
2
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31
Birth Year
Year
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
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1996
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1914
1913
1912
1911
1910
1909
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
March
April
May
June
July
August
September
October
November
December
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
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2009
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1925
1924
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
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
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
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
1925
1924
Residence Status
Rent
Own
Live with Relatives
Other
Housing Payment
$
per Month
Other
Available Down Payment
$
Select a Vehicle of Interest
14 Chevrolet Captiva Sport Fleet LT $8,299
16 Chrysler 200 C $11,750
14 Chrysler Town & Country S $11,805
13 Ford Escape SE $9,744
11 Ford F-150 4WD FX4 SuperCrew $14,899
18 Ford F-150 4WD XLT SuperCrew $28,770
10 Ford Super Duty F-250 SRW 4WD Lariat Crew Cab $18,500
18 Ford Super Duty F-350 SRW XL $26,500
21 Ford Transit Cargo Van T-350 148" EL Hi Rf 9500 GVWR RWD $37,500
17 GMC Acadia Denali $20,900
07 Honda Accord Sedan LX $7,900
16 Honda Accord Sedan Sport $16,846
10 Honda Ridgeline RTL $10,995
14 Hyundai Santa Fe Sport FWD 4dr 2.0T $12,500
12 Hyundai Tucson GLS $6,980
21 Jeep Gladiator 4WD Sport S $34,369
16 Jeep Patriot 2WD High Altitude Edition $9,930
16 Jeep Patriot 2WD Sport $9,400
16 Jeep Renegade 4WD Sport $13,499
98 Jeep Wrangler SE $10,900
18 Jeep Wrangler Sport $25,799
15 Jeep Wrangler Unlimited Sport $14,980
16 Jeep Wrangler Unlimited Sport $21,400
15 Lincoln MKC FWD 4dr $15,700
13 MINI Cooper Convertible S $8,467
13 MINI Cooper Hardtop 2dr Cpe $10,900
20 Nissan NV200 Compact Cargo SV $20,877
12 Ram 1500 Sport $21,049
19 Ram 1500 Classic 4WD SLT Crew Cab $27,995
11 Ram 2500
19 Volkswagen Tiguan SE $18,750
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.