Appliances, Appliance Service in Sierra Vista, Hereford and Huachuca City AZ

Do not fill

Personal Information

Email*

First Name*

Last Name*

Date of Birth*

SSN*

Phone*

Current Address*

City*

State*

Zip Code*

Housing Status*

Monthly Payment*

Time At Address (Years)*

Time At Address (Months)*

Employment Information

Current Employer*

City*

State*

Zip Code*

Time Employed (Years)*

Time Employed (Months)*

Position*

Pay*

Annual Income*

Personal References

Reference One

Reference Name*

Phone Number*

Address*

Relationship*

City*

State*

Zip Code*

Reference Two

Reference Name*

Phone Number*

Address*

Relationship*

City*

State*

Zip Code*

Vehicle(s)

Vehicle One

Make*

Model*

Year*

Vehicle Two

Make

Model

Year

IMPORTANT INFORMATION

Normal monthly payments will begin on date and in amount stated in agreement. Normal monthly payments depend on merchandise selected. Other restrictions apply.

Ownership of leased/rental purchase merchandise not acquired until all required payments are made. Set-up does not include connection of gas or water. Merchandise advertised is new, unless marked pre-leased. Must come in to store to purchase. Limited quantities available of some merchandise. No rain checks on special promotional offers. Not responsible for typographical errors, or computer error, electronic or technical malfunctions or failures of any kind.

No Credit Needed*: Does not mean or imply that no inquiry will be made of credit history or creditworthiness.

KG’s Appliance may check credit history and creditworthiness. KG’s Appliance minimum lease requirements include, but are not limited to, a verified source of income, residence, copy of latest utility bill in your name, current drivers license, and 2 references.

Save time fill out application on line before you come in.

Rent To Own allows you to purchase appliances without having a big upfront cost
No credit needed*
Service & Repairs included
Low monthly payments

Authorization

I authorize KG's TV & Appliance to verify the information provided on this form as to my credit and employment history.

Name*

Date*

Thank you. Your application has been sent!

Credit Application

Personal Information

Employment Information

Personal References

Reference One

Reference Two

Vehicle(s)

Vehicle One

Vehicle Two

IMPORTANT INFORMATION

Authorization