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Bed Model
 Email
Applicant Information
Last Name
 First Name
 Initial
Primary Address
 Time at Residence
Years Months
City
 County
 State
 Zip
Montly House
 Apartment Payment
 Home Phone Number
 Date of Birth
Cell or alternate phone number (optional)
 Social Security No.
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Employment and Income
Employer
 Occupation
Time at Current Job
Years Months 		Business Telephone #
 Net Salary
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 Employer State
 Employer City
Have you ever filed for Bankruptcy?
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Joint Applicant (optional)
Last Name
 First Name
 Initial
Net Salary
 Date of Birth
 Social Security No.
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Employer
 Employer Phone #
 Time at Current Job
Years Months


I Authorize Master Tanning Inc or its assigned agents, to make whatever credit inquiries they deem necessary in connection with my credit application or the course of review or collection or any credit extended in reliance on the application. I authorize and instruct any person or consumer reporting agency to complete and furnish Master Tanning Inc or its assigned agents, any information they may have or obtain in response to such credit inquiries and agree that the same shall remain your property whether or not credit is extended.