Credit application

* How did you hear about us?

* How would you like to be contacted regarding this application?

* Which store are you seeking credit for?

Applicant information

* First name

Middle initial

* Last name

* Address

Address 2

* City

* State

* Zip code

* Social Security number

* Date of birth

* Phone number

* Email address

Financial information

* Residence type

* Residence date

* Mortgate/rent amount

* Occupation status

* Employer name

* Date employed

* Position

Work phone

* Gross yearly income

Other income source

Other gross yearly income

Note: You do not need to disclose alimony, child support or separate maintenance income if you do not want us to consider it as a source for payment of this obligation.

* Requested credit amount

* Down payment amount

Identification

We only accept Texas ID or Driver's License for Quality Credit at this time.

* ID type

* ID number

* ID state

* ID expires

* ID issued

References (not living with you)

* Reference's name

* Reference's phone number

* Relationship

* Reference's name

* Reference's phone number

* Relationship

* Reference's name

* Reference's phone number

* Relationship

* Reference's name

* Reference's phone number

* Relationship

* I agree to receive email/text communication regarding my account, approval status, & current credit limit. We will also occasionally send you marketing/solicitation information. We do not sell your data to third party marketing companies.

By clicking 'Apply' I authorize Quality Furniture and its assignee to make whatever inquiries it deems necessary in connection with this credit application and in the course of review or collection of any credit extended in reliance on this application. I further authorize any person, lending agency, or consumer reporting agency to complete and furnish to the creditor and its assignee any information that it may have or obtain, in response to such inquiries, and agree that such information, along with the application, shall remain the creditor's and asignee's property, whether or not credit is extended. All information stated in this application is declared to be a true representation of the facts and made for the purpose of obtaining the credit requested.

Credit application

Applicant information

Financial information

Identification

References (not living with you)

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