Credit application

Applicant information

Financial information

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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.
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Identification

References (not living with you)

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.