App – Financing – Scardina Home Services

1INSTITUTION

2APPLICANT(S)

3PERSONAL INFO

4EMPLOYMENT

5AGREEMENT

CHOOSE FINANCING COMPANY *

SYNCHRONY

SINGLE OR CO-APPLICANT? *

APPLICANT NAME *

First

Last

HOME PHONE *

CELL PHONE *

E-MAIL *

Confirm Email

DATE OF BIRTH *

SOCIAL SECURITY # *

PRESENT ADDRESS *

Address Line 1

City

State

Zip Code

HAVE YOU LIVED LESS THAN 3 YEARS AT THE CURRENT RESIDENCE?

PREVIOUS ADDRESS

Address Line 1

City

State

Zip Code

***PREVIOUS ADDRESS IF LESS THAN 3 YEARS AT CURRENT RESIDENCE***

RENT OR OWN? *

LENGTH OF RESIDENCY *

MONTHLY PAYMENT *

ENTER RENT OR MORTGAGE DOLLAR AMOUNT

AMOUNT REQUESTED *

PLEASE ENTER DOLLAR AMOUNT

CO-APPLICANT NAME *

First

Last

CO-APPLICANT HOME PHONE *

CO-APPLICANT CELL PHONE *

CO-APPLICANT E-MAIL *

Confirm Email

CO-APPLICANT DATE OF BIRTH *

CO-APPLICANT SOCIAL SECURITY # *

CO-APPLICANT PRESENT ADDRESS *

Address Line 1

City

State

Zip Code

HAVE YOU LIVED LESS THAN 3 YEARS AT YOUR CURRENT ADDRESS?

CO-APPLICANT PREVIOUS ADDRESS

Address Line 1

City

State

Zip Code

***PREVIOUS ADDRESS IF LESS THAN 3 YEARS AT CURRENT RESIDENCE***

CO-APPLICANT RENT OR OWN? *

CO-APPLICANT LENGTH OF RESIDENCY *

CO-APPLICANT MONTHLY PAYMENT *

ENTER RENT OR MORTGAGE DOLLAR AMOUNT

CO-APPLICANT AMOUNT REQUESTED *

PLEASE ENTER DOLLAR AMOUNT

EMPLOYMENT STATUS *

CURRENT EMPLOYER *

PLEASE STATE YOUR CURRENT EMPLOYER

PAY PERIOD *

NET TAKE HOME PAY EACH PERIOD *

PLEASE ENTER DOLLAR AMOUNT

PREVIOUS EMPLOYER

PLEASE STATE YOUR PREVIOUS EMPLOYER IF YOU HAVE LESS THAN 3 YEARS AT YOUR CURRENT POSITION

PREVIOUS TITLE OR OCCUPATION

PLEASE STATE YOUR PREVIOUS TITLE IF YOU HAVE LESS THAN 3 YEARS AT YOUR CURRENT POSITION

OTHER INCOME

ALIMONY, CHILD SUPPORT, OR SEPARATE MAINTENANCE INCOME.

CO-APPLICANT EMPLOYMENT STATUS *

CO-APPLICANT CURRENT EMPLOYER *

PLEASE STATE YOUR CURRENT EMPLOYER

CO-APPLICANT PAY PERIOD *

CO-APPLICANT NET TAKE HOME PAY EACH PERIOD *

PLEASE ENTER DOLLAR AMOUNT

CO-APPLICANT PREVIOUS EMPLOYER

PLEASE STATE YOUR PREVIOUS EMPLOYER IF YOU HAVE LESS THAN 3 YEARS AT YOUR CURRENT POSITION

CO-APPLICANT PREVIOUS TITLE OR OCCUPATION

PLEASE STATE YOUR PREVIOUS EMPLOYER IF YOU HAVE LESS THAN 3 YEARS AT YOUR CURRENT POSITION

CO-APPLICANT OTHER INCOME

ALIMONY, CHILD SUPPORT, OR SEPARATE MAINTENANCE INCOME.

PRIMARY APPLICANT AGREEMENT *

I AGREE TO THE TERMS & CONDITIONS BELOW

By clicking the "Submit" button, I am making application through Scardina Plumbing & Heating, Inc. to Synchrony Financial, ("you") to finance my purchase. I authorize you to order credit reports on me from time to time and to make whatever credit inquiries you deem necessary in connection with this credit application or in the course of review or collection of any credit extended in reliance on this application. I authorize any person to complete and furnish to you any information that you may request and agree that such information, along with this application, is your property whether or not credit is extended. I authorize you to disclose any information in or relating to this application and/or credit account (including information received from third persons) to any applicant for this credit and to any of your subsidiaries, affiliates and assigns. I promise that all information I've included in this application is true. I understand that clicking the "Submit" button is my electronic signature to this application and, if this is a joint application, the electronic signature of each of the applicants and that I am requesting Synchrony Financial, to finance the purchase described on the application.

CO-APPLICANT AGREEMENT *

I AGREE TO THE TERMS & CONDITIONS BELOW

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