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CITIFINANCIAL CREDIT APPLICATION
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Tiffin
Interiors wants to make life easier for you. Here we have provided a
form you can fill out and before you get to the store, you can find
out if you qualify for financing for the furniture/art you are looking
to buy. However,
this is only an internet interpretation of the CitiFinancial Credit
Application. Therefore, we cannot say with absolute certainty whether
you will qualify or not unless you download
the actual form, fill it out and either bring it into the store
or mail it to us. Please fill in the information below so that we may
pre-approve your financing. We keep your personal and financial information
confidential. |
NOTICE
TO BUYER: 1. SEE TOP OF AGREEMENT
FOR THE RATE, FEES AND OTHER INFORMATION APPLICABLE TO YOUR ACCOUNT.
2. DO NOT SIGN THIS APPLICATION BEFORE YOU READ THE AGREEMENT.
3.YOU ARE ENTITLED TO A COMPLETELY FILLED IN AND EXACT COPY OF THE
AGREEMENT WHEN YOU SIGN THIS APPLICATION. 4. KEEP THE
AGREEMENT TO PROTECT YOUR LEGAL RIGHTS. 5. YOU HAVE THE RIGHT
TO PAY IN ADVANCE THE FULL AMOUNT DUE. 6. SERVICE CHARGES (FINANCE
CHARGES) NOT IN EXCESS OF THOSE PERMITTED BY LAW MAY BE CHARGED ON
THE OUTSTANDING BALANCES FROM MONTH TO MONTH. 7. IF YOU DO NOT MEET
YOUR CONTRACT OBLIGATIONS, YOU MAY LOSE THE PROPERTY YOU BOUGHT UNDER
THIS CONTRACT. 8. IF YOU DESIRE TO PAY OFF IN ADVANCE THE FULL AMOUNT
DUE, THE AMOUNT THAT IS OUTSTANDING WILL BE FURNISHED UPON REQUEST.
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| 4
month no payment/same as cash
6 month no payment/same as cash
8 month no payment/same as cash
10 month no payment/same as cash
12 month no payment/same as cash |
FIELDS
MARKED WITH * MUST BE FILLED OUT - REQUIRED FIELDS. |
| *First
Name |
*Last
Name/M.I. |
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| *Social
Security Number |
*Date
of Birth |
*#
of Dependents |
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/
/
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| *Street
Number |
*Street
Name |
Apt.# |
*City |
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| *State |
*Zip
Code |
*Home
Phone |
*Years
at Residence |
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| Previous
Street Number |
Previous
Street Name |
Previous
Apt.# |
Previous
City |
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| Previous
State |
Zip
Code |
Previous
Home Phone |
Years
at Residence |
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| *Employer
Name |
*Occupation |
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| *Years
On Job |
*Phone
Number |
*Monthly
Income |
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$
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| *Previous
Employer Name |
*Occupation |
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| *Years
On Job |
*Phone
Number |
*Monthly
Income |
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$
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| Other
Income Source |
Amount
And Frequency Of Other Income |
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| Has
Applicant Ever Filed Bankruptcy? |
*Savings
Account |
*Checking
Account |
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| *Own
or Rent? |
*Landlord
or Mortgage Holder Name |
*Monthly
Payment |
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$
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| Applicant
Owns Or Is Buying |
| Current
Home Value |
Mortgage
Balance |
| $
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$
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| Co-Applicant
First Name |
Last
Name/M.I. |
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| Social
Security Number |
Date
of Birth |
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| Street
Number |
Street
Name |
Apt.# |
City |
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| State |
Zip
Code |
Home
Phone |
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| Co-Applicant
Employer Name |
Occupation |
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| Work
Phone |
Years
On Job |
Monthly
Income |
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$
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| *Nearest
Relative Not Living With You: (Relationship, Name, Address, City, State,
Zip, Phone) |
*Driver's
License Number |
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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 your 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 the report.
Subsequent consumer reports may be requested or utilized in connection
with an 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.
NOTICE TO THE
BUYER: THIS IS ONLY AN INTERNET INTERPRETATION OF THE AGREEMENT.
YOU WILL NEED TO FILL OUT BY HAND WHEN YOU GET TO THE STORE, OR YOU
COULD PRINT THIS PAGE, FILL OUT AND BRING WITH YOU OR SEND BY MAIL TO
TIFFIN INTERIORS. THIS
MUST BE FILLED OUT BY HAND AND TURNED IN TO TIFFIN INTERIORS FOR ANY
FINAL APPROVAL TO BE MADE. THIS FORM IS PURELY FOR THE PURPOSE OF
A PRELIMINARY APPROVAL. IF YOU HAVE ANY QUESTIONS, PLEASE DON'T HESITATE
TO CALL US AT (850) 670-8800. BY CLICKING ON THE AUTHORIZE VERIFICATION
OF CREDIT BUTTON BELOW, YOU ACKNOWLEDGE THAT YOU HAVE READ AND RECEIVED
A COPY OF THE AGREEMENT
BEFORE MAKING ANY PURCHASES UNDER THIS ACCOUNT AND THAT NO PERSON HAS
ASSISTED YOU IN ARRANGING THIS FINANCING. PLEASE THOROUGHLY READ THE
AGREEMENT/CONTRACT BEFORE SUBMITTING YOUR APPLICATION. |
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I Authorize the verification
of my credit. |
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