Financing Application   * Indicates Response Required If you have a Promo Code Please Enter Here: *Select Employer or Service Select One Active Military Retired Military Federal Federal GS DC Government USPS State Fire Police Civilian Product Type Select One Computer Electronics Appliances Travel TV Mower Treadmill Rims Item # or description of product request  * Last Name * First Name M.I. * Email Address * Social Security # ...  * Date of Birth * Present Home Address Apt./Suite * City * State Please select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming * Zip What is the best phone number where we can reach you? * Main Contact Phone * Phone Type Please select Home Work Cell * Alternate Phone * Alternate Phone Type Please select Home Work Cell Living Situation Select Rent Own Home Quarters Barracks Parents Amount Car Payment 1 Car Payment 2 *Monthly Income (Gross) Marital Status Select Married Divorced Single Separated Widowed Retired? Select No Yes Number of Children Ever filed for bankruptcy? Was bankruptcy discharged? Select No Yes Select No Yes **** Select Military, Federal, or Civilian to proceed **** *Military Click if you are active or career retired military *Federal Click if you are a Federal employee *Civilian Click if you are a civilian or other Military: Is this an individual or joint application?  Select One Individual Joint *Base or Installation *Rank ....  *Branch *Permanent Home of Record City, State, Zip *Date Entered *Pay Grade   *ETS/EOAS/EAS/ Please list all allotments * * * Co-Applicant Information * * * * * Complete spaces below if this is a joint application * *      Co-Applicant Last Name First Name M.I. Birth Date Social Security # .....  Monthly Income (Gross) Employer Address (City, State, Zip) Yrs. Employed Federal: *Employer *Yrs. Employed *Employers Address *City *State *Zip Please select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming *Job Description Pay step Civilian: *Employer *Yrs. Employed *Employers Address *City *State *Zip Please select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming *Job Description I hereby declare I am applying for a sales contract with US Credit Sales Inc. and/or one of it’s partners, affiliates, or brokers/dealers under the provision of Section 552a(b) Public Law 93-579, commonly known as the Privacy Act, Dept. of Defense 5400.11 enc 5 Par3 - 2 apr 340 - 21 Dept. of the Army, 27 August 1975 Section C, Par 24 AFR 12-35, Dept. of the Air Force Par 7a(1), SECNABINST 5211.5 Dept. of the Navy 14 August 1975. I understand that my application may be submitted to one or more lenders, partners, affiliates, or brokers/dealers to obtain suitable financing for said contract. I further understand that the Lender will not contact my Commanding Officer in connection with this debt unless I specifically give the Lender prior consent to make such contact. With full knowledge and understanding of this right, I hereby consent to contacting my Commanding Officer/Personnel Officer and/or Custodian of my official records to obtain my current military and /or civilian address even though I may be discharged and/or retired from military service. I also consent to you contacting my Commanding Officer in connection with the collection of the debt made hereby at any time when it is in default and until such time as the debt has been paid in full.  I have read the above terms and I agree to them   The above statements are true, and I further consent to the release of the pertinent information. If you are printing this, please sign below. Applicant Signature_____________________________ Date _________ Co-Applicant Signature_____________________________ Date _________   Attention!   In order to complete the Application Process you must fax a copy of the following documents to the number below. Military: LES Federal:  Earning Statement Civilians:  Pay Stub FAX:  (770) 640-6752   [http://militarycreditstore.com/app-footer.html]   [http://militarycreditstore.com/footer.html]