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  Tate's Furniture
150 Feather Lane
Canton, MS 39046


Phone:

(601) 859-2047

Fax:
(601) 859-4822

E-mail:
info@tatesfurniture.com
 

Financing Application

Please fill out the Financial Application and submit it online, or you can download the .PDF version by clicking here.

Amount Requested:
Personal Information:
Full Name:
Social Security #:
Date of Birth:
# of Dependents:
Address:
City:
State:     Zip:
Phone:
Time At Address: Years:   Months:
Previous Address: (if less than 2 years at current address)
Address:
City:
State:     Zip:
Phone:
Time At Address: Years:   Months:
Employer:
Employer Name:
Position: (Title, or Rank)
Employment Duration: Years:   Months:
Work Phone:
Salary:     Per:
Previous Employer: (if less than 2 years at currnet employer)
Employer Name:
Position: (Title, or Rank)
Employment Duration:

Years:   Months:

Work Phone:
Salary:     Per:
Other Income: Income from alimony, child support, or separate maintenance payments need not be disclosed if you do not wish to have it considered as a basis for repaying this obligation.
Amount     Per:
Source:
Other Information:
Have you ever declared Bankruptcy: Yes No

Do you have: (Check all that apply)
Checking Account(s)
Savings Account(s)

Do you: Rent Own/Buying
Landlord/Mortgage Holder:
Monthly Payment:
If you Own or are Buying:
Current Home Value:
Mortgage Balance:
Co-Applicant Information:
Complete co-applicant information if you are a MARRIED WISCOUNSIN RESIDENT or INDIVIDUAL CREDIT (but relying on income of another)
Co-Applicant's Full Name:
Social Security #:
Date of Birth:
Address:
City:
State:     Zip:
Phone:
Employer Name:
Position: (Title, or Rank)
Employment Duration: Years:   Months:
Work Phone:
Salary:     Per:
Nearest Relative not living with you:
Relative's Address:
Relative's City:
Relative's State:     Zip:

FAIR CREDIT REPORTING ACT NOTICE TO CUSTOMER: Buyer's credit application will be submitted for consideration to CitiFinancial Retail Services Division of Travelers Bank & Trust, fsb or one of its affiliates, Home Office, 300 St. Paul Place, Baltimore, MD 21202.

Notice to Applicant: A consumer report may be requested with the processing of you credit. Upon request, you will be informed whether or not a consumer report was requested and, if such report was requested, informed of the name and address of the consumer reporting agency that furnished this report. Subsequent consumer reports may be requested or utilized in connection with and update, renewal, or extension of credit or collection.
I/We authorize you to investigate credit and employment history and understand that if I/we do not qualify for the requested amount, you may consider me for a lesser amount.


If this application is approved you agree to all the terms and conditions of the attached Agreement (Form 25596-F (04/01)), which are incorporated herein by reference.


BUYER'S RIGHT TO CANCEL: IF THIS BOX IS CHECKED, YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THE TRANSACTION.


CAUTION: IT IS IMPORTANT THAT YOU THOROUGHLY READ THE CONTRACT BEFORE YOU SIGN IT.


Signature:
Date:
Drivers License #:
 
Co-Signature:
Date:
Drivers License #:
 

 

 

 

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