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Chapter 18 • Credit and Insurance
FIGURE 18-2 To apply for credit, you must complete an application form.
DAWN’S DEPARTMENT STORE CREDIT APPLICATION
APPLICANT INFORMATION
A married applicant may apply for a separate account. PLEASE PRINT IN BLUE OR BLACK INK
Your First Name Middle Initial Last Name Social Security Number
Laura B. Cooper 000-00-000
Street Address City State ZIP
1400 Walnut Street Philadelphia PA 17054
Years at Address Number of Dependent Children Home Phone with Area Code Business Phone with Area Code Date/Birth
Yrs. 2 Mos. 3 2 215-555-2337 215-555-6870 5/8/72
Do You Own Rent Own Mobile Home Live with Parents Other Monthly Rent/Mortgage
$850.00
Monthly Income – Total from All Sources * Employer Years on Job Occupation
$4,200 Wanamaker’s Yrs. 2 Mos. 6 Assistant Buyer
*You need not furnish alimony, child support, or separate maintenance income information if you do not want us to
consider it in evaluating your application. Include co-applicant income if applicable.
CREDIT INFORMATION
Checking/Savings Checking Savings Bank Loan MasterCard/Visa Discover AMX/Diners Dept. Store Other
CO-APPLICANT Also Responsible AUTHORIZED BUYER Allows Person to SPOUSE Yes No
For Account Purchase on Account
Name (First, Middle Initial, last) Occupation Business Phone With Area Code Years on Job
Yrs. Mos.
NOTICE TO APPLICANT(S): A) Do not sign before you read the agreement or if the agreement contains any blank spaces.
B) You are entitled to a completely filled in copy of the agreement. C) You may at any time pay off the full unpaid balance
under the agreement without incurring any additional charge.
SIGNATURE Date CO-APPLICANT SIGNATURE Date of Birth (Co-App)
Laura B. Cooper 11/17/00
CREDIT INSURANCE ENROLLMENT AREA – OPTIONAL
YES I wish to protect my Dawn’s Department Store APPLICANT (SIGN TO ENROLL) Date of Birth
Account with Credit Insurance for the cost as
Described on the enclosed insert. I understand _______________________ _____________
the insurance is not required.
SPOUSE‘S NAME Date of Birth
NO Do not enroll me for Credit Insurance at this
time. __________________________ __________
In signing the enrollment form above, I authorize that the premiums due for the insurance coverage enrolled for be changed
to my Dawn’s Department Store credit card account. I agree to pay such amounts in full when billed.
For Store Use:
Picture I.D. Type (Store Call-In Apps Only) Account Number Date Approved/ Disapproved
FEDERAL AND STATE CREDIT LAWS
Credit is governed to a great extent by state and federal laws. The main provisions
of four federal laws that relate directly to credit appear in Figure 18-3 (see p. 484).
All 50 states also have laws that regulate credit transactions. The legal pro-
fession created the Uniform Commercial Code and the Uniform Commercial
Credit Code to deal with matters not covered by federal legislation. Both na-
tional codes have been adopted by most states. These model laws cover credit
conditions relating to credit terms and installment sales contracts. Because of
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