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Spouse
Information
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If Married, Spouse
First Name
*
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Middle:
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Spouse Last Name
*
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Spouse SSN * |
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Date of Birth * |
MM/DD/YYYY |
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Is your Spouse Employed? * |
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Will your Spouse sign on Contract?
* |
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Spouse Employer Name * |
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Spouse Employer Address * |
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Spouse Employer City, St, Zip
* |
, |
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Spouse Work Phone * |
Ext
or Dept |
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Spouse Net Monthly Income * |
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CREDIT
INFORMATION
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Declared Bankruptcy? * |
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Declaring Bankruptcy? * |
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Attend Credit Counseling?
* |
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Have Credit Cards? * |
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Rent or Mortgage Per Month* |
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Utilities Per Month*
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Phone Bill Per Month*
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Credit Card Bills Per Month*
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List Current Obligations:
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Payments
Balance
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1.
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2.
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3.
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Total of All Bills*
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Where is your Pay Deposited:* |
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Is your pay on DIRECT DEPOSIT:* |
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How are you Paid?
*
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How would you like to receive
your loan application*
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Fax Number |
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Active Military
Personnel
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If
you are in the Military, complete the section below |
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Date
Entered Military
Rank ETS |
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I HAVE READ, UNDERSTAND AND AUTHORIZE THE
FOLLOWING:
By clicking the submit button, I hereby declare that I/We are applying for an installment sales contract with Federal Credit Sales/Military Financial Services, and/or their agents/associate companies. I understand that the Federal Credit Sales/Military Financial Services, and/or their agents, will order a copy of my credit history to verify all information provided as well as contact my employer to verify employment.
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*If
you have a checking or savings account, we offer guaranteed
financing for our computers or big screen tv's when you select our
partial payment financing option.
Computer
Financing For Everyone
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