PROUD RETAILER OF   TANNING BEDS 888-884-2174  
 
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 Online Credit Application

The Tanning Source
409 Perkins Street
Union City, TN 38261
Phone: 888-884-2174
Email: tanningsourceinc@bellsouth.net
 Submit Your Online Credit Application
Home Data - Please Fill In All Fields
Applicant Name:
 Last Name:
 Driver's Lic.:
 DOB:
 Soc. Sec.:
Co-Applicant? (check if yes)
Joint Applicant Name:
 Last Name:
 Driver's Lic.:
 DOB:
 Soc. Sec.:
Applicant's Email Address:
 Joint Applicant's Email Address:
Which model are you applying for?:
 How much down payment do you offer?:
Applicant (Married or Single):
 Joint Applicant (Married or Single):
Applicant's Address:
 Home Phone:
 Cell Phone:
City:
 State:
 Zip:
 How Long?:
 Rent or Buy?:
Previous Address (if less than 2 years):
 City:
 State:
 Zip:
Landlord or Mortgage Co:
 Monthly Payment:
 Home Value:
 Balance:
City (Mortage Company or Landlord):
 State:
 Phone:
Applicant's Employment
Current Employeer:
 Occupation:
 How Long:
 Phone:
Street Address:
 City:
 State:
 Zip:
 Gross Mo. Income:
Previous Employeer: (if less than 2 yrs)
 Occupation:
 How Long:
 Phone:
Street Address:
 City:
 State:
 Zip:
 Gross Mo. Income:
Joint Applicant's Employment
Current Employeer:
 Occupation:
 How Long:
 Phone:
Street Address:
 City:
 State:
 Zip:
 Gross Mo. Income:
Applicant's Personel References (not living in the same household)
1. Name:
 Address:
 City:
 State:
 Phone:
2. Name:
 Address:
 City:
 State:
 Phone:
Joint Applicant's Personel References (not living in the same household)
1. Name:
 Address:
 City:
 State:
 Phone:
2. Name:
 Address:
 City:
 State:
 Phone:
Applicant's Bank References
Bank:
 Address:
 City:
 State:
 Checking/Savings:
Joint Applicant's Bank References
Bank:
 Address:
 City:
 State:
 Checking/Savings:
Have you ever filed bankruptcy?
Applicant : (yes or no)
 If yes, when:
 Joint Applicant : (yes or no)
 If yes, when:
Digital Signature
Applicant :
 Date:
 Joint Applicant :
 Date: