Morrison's

Morrison's Furniture Store, Inc.

Online Credit Application

Please Include All Information

**Submission of this information online does not constitute an Agreement between the Applicant(s) and Morrison's Furniture Store, Inc. for the extension of credit.

SIGNATURES REQUIRED PRIOR TO SALE AND DELIVERY.

By submitting this application, you are applying for a credit account with Morrison's Furniture Store, Inc. We may obtain consumer reports on you in connection with your application and may request or use subsequent reports in connection with an update, renewal, or extension of credit for which you have applied. This application for credit may be given to an affiliate to review and an offer of credit terms may be made to you. You are in no way obligated to accept any offer of credit from us or any affiliate.

Today's Date (mm/dd/yyyy)
Amount Requested
Individual (I) or Joint (J) Account
Primary Applicant First Name
Primary Applicant Middle Initial
Primary Applicant Last Name
Primary Applicant Social Security No.
Primary Applicant Date of Birth
Primary Applicant Employer
How Long at Current Employer (P)
Primary Applicant Employer Phone	() -
Primary Applicant Driver's License No. and State
Joint Applicant First Name
Joint Applicant Middle Initial
Joint Applicant Last Name
Joint Applicant Social Security No.
Joint Applicant Date of Birth
Joint Applicant Employer
How Long at Current Employer(J)
Joint Applicant Employer Phone	() -
Joint Applicant Driver's License No. and State
Home Address
Home Address Line 2
City
State
ZIP
How Long at Current Address?
Previous Address (How Long?)
Primary Applicant Daytime Phone	() -
Joint Applicant Daytime Phone	() -
Primary Applicant Evening Phone	() -
Joint Applicant Evening Phone	() -
Email Address
Primary Applicant Monthly Gross Income
Monthly Mortgage or Rent Payment Amount
Joint Applicant Monthly Gross Income
Own (O) Rent (R) Other (X)
Landlord/Mortgage Company
Nearest Relative Information (Name, Address, Phone)
Do You Object to Morrison's Reporting Your Credit Standing (Y) or (N)
Bank Accounts (List)
Major Credit Cards and/or Charge Accounts (List)
Please tell us how you heard about Morrison's (specific advertising, etc.)

MORRISON'S FURNITURE

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