Credit Application

Please fill out all required fields and click Submit







Home Data – Please Fill In All Fields
Applicant First Name:
 Last Name:
 DOB:
Co-Applicant? (check if yes)
Joint Applicant Name:
 Last Name:
 DOB:
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):
MarriedSingle		 Joint Applicant (Married or Single):
MarriedSingle
Applicant’s Address:
 Home Phone:
 Cell Phone:
City:
 State:
 Zip:
 How Long?:
 Rent or Buy?:
RentBuy
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 Employer:
 Occupation:
 How Long:
 Phone:
Street Address:
 City:
 State:
 Zip:
 Gross Mo. Income:
Previous Employer (if less than 2 years):
 Occupation:
 How Long:
 Phone:
Street Address:
 City:
 State:
 Zip:
 Gross Mo. Income:
Joint Applicant’s Employment
Current Employer:
 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 or Savings:
CheckingSavings
Joint Applicant’s Bank References
Bank:
 Address:
 City:
 State:
 Checking or Savings:
CheckingSavings
Have you ever filed bankruptcy?
Applicant : (yes or no)
YesNo		 If yes, when:
 Joint Applicant : (yes or no)
YesNo		 If yes, when:
Digital Signature
Applicant :
 Date:
 Joint Applicant :
 Date:
By clicking submit, I authorize The Tanning Source or its assigned agents, to make credit inquiries in connection with my credit application or the course of review or collection or any credit extended in reliance on the application. I authorize and instruct any person or consumer reporting agency to complete and furnish The Tanning Source or its assigned agents, any information they may have or obtain in response to such credit inquiries.