Below is the OCR text representation for this newspapers page.

K I.e3%SU MA | jj|B SOWN T JOMtS ■ * KL >\VWS-»i3« A married person may apply for individual credit. I am applying for I (check one box, pleaee): D JOINT CREDIT with another person, Compete entirs application. □ INDIVIDUAL CREDIT, Complete only individual section. □ INDIVIDUAL CREDIT, but relyir*) on income of another. Complete entire application « The other person should sign under section labeled ‘Other Person' below. NOTICE TO WISCONSIN APPLICANTS: YOU MUST DISCLOSE YOUR MARITAL STATUS: married; unmarried; legally separated •II you are a merited Wisconsin applicant, you mutt provideyour spouse's tnloimetion as indicated, even thouoh vout spouse may not be signing the contract For Married Wisconsin Applicant I acknowledge that the obligation described heiain is being incurred in the interest ol my marriage or Ismiiy □ Chech box , „ FIRST NAME I I I I I I 11 11 I 1 1 ! 1 11 i 111 M 1 LAST NAME i i i l I I I 1 1 1 HOME PHONE ( ) DATE OF BIRTH SOC. SEC. BB I n / / NO. MM DO YY AD 3RESS PITY STATE ZIP 1111 11 11111 11 ■i ■ iii n SINCE? MO. YR. BUY □ RENT Q OTHER Q PREVIOUS ADDRESS (STREET) ICITYI (STATE! (21P1 EMPLOYER SINCE? — / MONTHLY BUS. PHONE ( 1 . GROSS SALARY » PREV. EMPLOYER / TO / mm/yt mm/** p P r '^9y|pF P ** P - ’ "^Hjjp *( )|I <i|i|)i<)vr'tl 1 I .'(III lilt' ill mil x:i < >lint mills yon will |*ny mu I tin.* unit mill ol yom niontlily |»< lynlt *i il-. will <lt*|>t*i it I ii|>mi nr It litimuil |>tn. I him- mu I ymu Imlmi. . ♦ ) |( ,|| ,| ,|ovft I<n •( 111 ll llit'' | nil (lit it •r. | mik lin lull will mi (lit • VO, lay. no mlt -n> .1 ( it'i lot Itittll it *t I lint ii it r r lit nt ft ■ lm (lit ■|mi t lur.r will I>c wt iivim I Mniinitiiii inmillily ( m lymrnls tin•nt )t »n *.•« I .’I <*> Al ’l\ ( )() t r mi(s 11 hi mi ii mi lint ii it t*ilk in |i; Inoome from Mmony. chid eupport or taparata maaMananoa paymonts noad not be (Sactoaed if you do not wiah to have it oonaidorod aa baata for repaying thie obigation ADD’L MONTHLY INCOME t SOURCE: PLEASE TELL US IF YOU HAVE: CHECKING ACCOUNT? (Y/NI SAVINGS ACCOUNT? (Y/N) JOINT APPLICANT’S FIRST NAME | l | | [ | | J LA H A T T T I" t- —[ —r rn date of birth . I /. /. SOC. SEC. I ■ "■] wm I T | MM DD YY no. —l—J— M —— mi —l_l_i— ACCRBS ||| || | |“~j j”* 1 ~ 1 CITY STATE ZIP 11 n 111111 mi ■ 1 ■ll rn HOME PHONE ( ) DATE OF RESIDENCE MM/YY JOINT APPLICANT S EMPLOYER MONTHLY BUS. PHONE ( I GROSS SALARY » SINCE ? NAME & ADDRESS OF NEAREST RELATIVE NOT LIVING WITH YOU. RELATIONSHIP: 90^