Financing | Ford's Furniture

This Agreement will be assigned to either Wells Fargo, Lendmark, Synchrony Finance, or Heights Finance Company. Completing all appropriate sections will enable us to process your application as quickly as possible.

Are you interested in applying for Financing? Fill out this form today, and we can send your application through right away! It's fast, easy, and free!

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Applicant Information

Sales Person

First Name*

Middle Name*

Last Name*

Email*

Phone*

Date of Birth*

Social Security No.*

Address*

City*

State*

Zip Code*

Government Issued ID Type*

Driver's License ID Number

Government Issued Experation

Government Issued ID State*

Housing Status*

Rent or Mortgage Amount*

Time at Address*

If your time at address is less than 3 years, please list at least 3 previous resident addresses

Past Address 1

Past Address 2

Past Address 3

Employment Information

Current Employer*

Years At Employer*

Income Type*

Yearly Income Amount*

Job Title*

Work Phone*

If your time employed is less than 3 years, please list at least 3 previous employers information

Previous Employer Name 1

Address

Income

Previous Employer Name 2

Address

Income

Previous Employer Name 3

Address

Income

Add A Co-Applicant

Co-Applicant Information

First Name*

Middle Name*

Last Name*

Date of Birth*

Social Security No.*

Address*

City*

State*

Zip Code*

Housing Status*

Time At Address (Years)*

Time At Address (Months)*

Phone*

Phone Type*

Email*

Goverment Issued ID Type*

Driver's License Number

Government Issued Experation

Government Issued ID State*

Employment Information

Employer*

Length of Employment (Years)*

Length of Employment (Months)*

Salary*

Salary Amount*

Job Title*

Work Phone*

You must agree to the terms and conditions below:

INCOME NOTICE: Income can include all sources. You need not disclose alimony, child support, or separate maintenance income if you do not wish to have it considered in determining creditworthiness.

To help the government fight the funding of terrorism and money laundering activities, U.S. Federal Law requires financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means to you: When you open an account we will ask for your name, address, date of birth and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.

Signature: By typing in your full name below you agree that you are providing accurate information and understand you will be provided and agree to the terms of our Credit Card Account Agreement and our Arbitration Agreement. You also understand you will be provided a copy of our Credit Card Account Agreement and our Privacy Policy. You also agree to provide us and we will retain a purchase-money security interest in goods purchased under this Agreement. You also agree that you understand this is only an application and does not create a financial agreement until approved by the financial institution.

Do you agree to these terms?

Yes, I agree to the terms

No, I do not agree

Signature*

By typing in my name, I understand that this constitutes my agreement with the assigned finance provider. I also agree that I have provided accurate information and understand I will be provided and agree to the terms of the assigned Credit Card Account Agreement or Contract. I also agree with any and all Arbitration Agreement(s). I understand that I will be provided a copy of my Credit Card Account Agreement and the Privacy Policy. I understand that this is an application to obtain purchase-money security in goods. I agree that I understand that this is only an application and does not create, nor guarantee, a financial agreement until approved by the assigned financial institution.

Thank you. Your application has been sent!

Financing Application

Applicant Information

Employment Information

Add A Co-Applicant

Co-Applicant Information

Employment Information