141 Commercial Dr
Fredericktown, MO 63645
573-783-6432
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Pettus Ford Fredericktown Finance Application
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Applicant / Cosigner Information
*First Name, Middle Initial
*Last Name
*Email Address
*Day Phone Number
Evening Phone Number
Date of Birth
Jan
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1911
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
2025
2024
2023
2022
2021
2020
2019
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1930
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1926
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
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
Residence Status
Rent
Own
Military Housing
Live with Parents
Other
Housing Payment
$
per month
Other
Available Down Payment
$
Select Vehicle(s) of Interest
20
19 Buick Enclave Essence $16,878
23 Buick Encore GX Select $22,234
23 Buick Envision Essence
23 Chevrolet Equinox RS $25,766
23 Chevrolet Malibu LT 1LT $18,807
24 Chrysler Pacifica Touring L $26,877
22 Ford Bronco Badlands $42,987
24 Ford Bronco Badlands Soft Top $47,959
23 Ford Bronco Big Bend $34,989
23 Ford Bronco Sport Badlands $26,897
22 Ford Bronco Sport Big Bend $24,714
24 Ford Escape ST-Line $26,373
11 Ford Escape XLT
19 Ford Expedition Max XLT $14,914
22 Ford Explorer Limited $31,792
23 Ford Explorer ST $38,698
00 Ford F-150 Harley-Davidson $15,987
21 Ford F-150 Lariat $35,580
21 Ford F-150 Platinum
18 Ford F-150 XLT $25,987
21 Ford F-150 XLT $27,775
15 Ford F-250SD Lariat $27,987
24 Ford Mustang EcoBoost Premium $29,496
19 Ford Ranger Lariat $28,963
21 GMC Canyon AT4 w/Leather
19 GMC Sierra 1500 4WD AT4 Crew Cab
21 GMC Terrain SLT $15,759
20 Jeep Compass Trailhawk $18,265
22 Jeep Gladiator Rubicon $30,998
20 Jeep Gladiator Sport $22,450
22 Jeep Wrangler Unlimited Rubicon $39,987
17 Jeep Wrangler Unlimited Sahara $20,529
23 Kia Sorento S $25,782
24 Kia Sportage LX $24,574
20 Lincoln Corsair Reserve $25,442
17 Mazda CX-5 Touring $14,989
21 MINI Cooper S Signature $21,963
23 Nissan Rogue SV $23,182
24 Nissan Rogue SV $21,870
18 Ram 1500 Big Horn
21 Ram 1500 Big Horn/Lone Star $32,322
22 Ram 3500 Chassis Cab
18 Toyota 4Runner Limited $26,592
24 Volkswagen Tiguan 2.0T Wolfsburg Edition $23,714
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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