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$100 off $998 or more
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1 Step 1

CREDIT APPLICATION

Financing Application Type

APPLICANT

PERSONAL INFO

First Name
Middle Initial
Last Name
Date of Birth
Social Security #
Number of Dependents
Home Phone
Cell Phone
Street Addressyour mailing address
Street Address 2Apt or Suite #
City
Zip Code

HOUSING

Do you own or rent your home?
Landlord / Mortgage Name
Landlord / Mortgage Phone
Monthly Payment

EMPLOYMENT

Employeryour current employer
Job Title
Work Phone

Please Note:

Alimony, child support or other separate maintenance income does not need to be disclosed if you do not wish to have it considered as a basis for paying this obligation.

Income
Other Income

NEAREST RELATIVE NOT LIVING WITH YOU

Relative First Name
Relative Last Name
Relative Street Address
Relative City
Relative Cell Phone

PERSONAL REFERENCE

Reference First Name
Reference Last Name
Reference Street Addressyour mailing address
Reference City
Reference Cell Phone

PERSONAL REFERENCE #2

Reference #2 First Name
Reference #2 Last Name
Reference #2 Street Address
Reference #2 City
Reference #2 Cell Phone

CO-APPLICANT

Co-Applicant Finance Permissions

Do you want the Co-Applicant to have permission to purchase items on the fianancing account?

PERSONAL INFO

Co-Applicant First Name
Co-Applicant Middle Initial
Co-Applicant Last Name
Co-Applicant Social Security #
Co-Applicant Date of Birth
Co-Applicant # of Dependents
Co-Applicant Home Phone
Co-Applicant Cell Phone
Co-Applicant Street Address
Co-Applicant Street Address 2Apt or Suite #
Co-Applicant City
Co-Applicant Zip Code

HOUSING

Co-Applicant Do you own or rent?
Co-Applicant Landlord / Mortgage Name
Co-Applicant Landlord / Mortgage Phone #
Co-Applicant Monthly Payment

EMPLOYMENT

Co-Applicant Employeryour current employer
Co-Applicant Job Title
Co-Applicant Work Phone

Please Note:

Alimony, child support or other separate maintenance income does not need to be disclosed if you do not wish to have it considered as a basis for paying this obligation.

Co-Applicant Income
Co-Applicant Other Income

NEAREST RELATIVE NOT LIVING WITH YOU

Co-Applicant Relative First Name
Co-Applicant Relative Last Name
Co-Applicant Relative Street Addressyour mailing address
Co-Applicant Relative City
Co-Applicant Relative Cell Phone

PERSONAL REFERENCE

Co-Applicant Reference First Name
Co-Applicant Reference Last Name
Co-Applicant Reference Street Address
Co-Applicant Reference City
Co-Applicant Reference Cell Phone

PERSONAL REFERENCE #2

Co-Applicant Reference #2 First Name
Co-Applicant Reference #2 Last Name
Co-Applicant Reference #2 Street Address
Co-Applicant Reference #2 City
Co-App. Reference #2 Cell Phone

APPLICANT & CO-APPLICANT

Has the Applicant and / or Co-Applicant ever declared bankruptcy?
Has the Applicant and / or Co-Applicant ever been extended credit through any Badcock store?
If yes, which store (City, State)?
Applicant Signature
Co-Applicant Signature
Applicant Driver's License #
Co-Applicant Driver's License #
All of the information stated on this application is, to the best of your knowledge, complete and accurate. You agree that we may obtain a credit bureau report on you and we may verify any of the information provided on this application, including residency. By completing and signing this application, you request an account be established which will allow you to make purchases under this account. By signing, you agree to the terms and conditions of both the Credit Application and the Badcock's Economy Furniture Store, Inc. Easy Purchase Plan Agreement Form BE22FL REV 07-10 (which includes an arbitration provision), which form is part of this combined Credit Application and the Badcock's Economy Furniture Store, Inc. Easy Purchase Plan Agreement, and is incorporated herein by reference. You understand that if approved, you agree to the terms of the account and that you have read and received a copy of your agreement before making any purchases on this account. The terms are attached. If this is a joint credit application, you understand that each applicant has the right to use the account and both parties shall be jointly and severally liable for all purchases made under the account by any joint applicant. 

NOTICE TO BUYER: (a) Do not sign this before you read it or if it contains any blank spaces. (b) You are entitled to an exact copy of the paper you sign. (c) You have the right to pay in advance the full amount due. ANY HOLDER OF THIS CONSUMER CREDIT CONTRACT IS SUBJECT TO ALL CLAIMS AND DEFENSES WHICH THE DEBTOR COULD ASSERT AGAINST THE SELLER OF GOODS OR SERVICES OBTAINED PURSUANT HERETO OR WITH THE PROCEEDS HEREOF. RECOVERY HEREUNDER BY THE DEBTOR SHALL NOT EXCEED AMOUNTS PAID BY THE DEBTOR HEREUNDER. YOU HEREBY ACKNOWLEDGE RECEIPT OF A FULLY EXECUTED AND COMPLETE COPY OF THIS CONTRACT.
I have read and agree to the Terms and Conditions
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Click here to read Terms and Conditions