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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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
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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
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1995
1994
1993
1992
1991
1990
1989
1988
1987
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1985
1984
1983
1982
1981
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1971
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1963
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1951
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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
16 Buick Encore Base $7,964
20 Buick Encore GX Preferred $17,097
21 Chevrolet Equinox LT $16,995
24 Chrysler Pacifica Touring L $28,379
24 Ford Bronco Badlands $48,959
23 Ford Bronco Big Bend $34,989
23 Ford Bronco Sport Badlands $26,897
21 Ford Bronco Sport Big Bend $23,633
19 Ford Expedition Max XLT $14,914
21 Ford Expedition Max XLT $30,859
22 Ford Explorer Limited $31,792
23 Ford Explorer ST $38,698
13 Ford F-150 FX4 $14,995
00 Ford F-150 Harley-Davidson $15,987
15 Ford F-250SD Lariat $28,643
21 Ford Mustang GT $34,898
19 Ford Ranger Lariat $28,963
16 Ford Taurus SE $9,598
21 GMC Terrain SLT $15,759
22 Honda HR-V EX $20,989
22 Jeep Gladiator Rubicon $32,359
23 Jeep Grand Cherokee Limited $28,605
22 Jeep Grand Cherokee L Limited $27,167
17 Jeep Wrangler Unlimited Sahara $20,529
24 Kia Forte
23 Mazda CX-5 2.5 S Premium Package $26,739
17 Mazda CX-5 Touring $14,989
21 MINI Cooper S Signature $21,963
23 Nissan Murano SL $22,622
23 Nissan Rogue SV $23,182
15 Nissan Sentra SR
22 Ram 3500 Tradesman $27,609
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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