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The Furniture Company
610 Commerce Street
Shreveport, Louisiana 71101
Phone: 318.425.3000
Fax: 318.227.8867
mailto:tfc@thefurnco.com
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The Furniture Company APPLICATION Name___________________________________________ Social Security #_______________________ Present Address__________________________________________ Date of Birth__________________ Buy__________ Rent__________ How Long___________ Phone Number________________________ Previous Address_______________________________________________________________________ Buy__________ Rent__________ How Long___________ Phone Number________________________ Marital Status_____________ Age_________ Driver's License # __________________ State________ Employer________________________________________ Phone Number________________________ Employer Address______________________________________________________________________ Position________________________ How Long_______________ Monthly Salary_________________ Spouse/Room mate's Name (Circle One)___________________ Social Security #__________________ Spouse/Room mate's Employer______________________ Phone Number________________________ Position________________________ How Long_______________ Monthly Salary_________________ REFERENCES (bank and retail)
Bank_________________________________________________ Account No._____________________ Address_______________________________________________________________________________ Retail________________________________________________ Account No.______________________ Address_______________________________________________________________________________ Retail________________________________________________ Account No.______________________ Address_______________________________________________________________________________
In Case of Emergency Notify_____________________________ Phone No._______________________ Address_______________________________________________________________________________ Applicant represents that all of the above statements are true and correct and hereby authorizes verification of above information, references and credit references. Applicant acknowledges that false information herein may constitute grounds for rejection of this application. This application shall become part of the Lease Agreement upon acceptance by Lessor.
Deposit Received__________________________ ____________________________________ Applicant Accepted By______________________________ ____________________________________ Spouse/Roommate Rejected_________________________________ ____________________________________ Date |
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