Home
About C&S
Our Staff
Community
Mattresses
Serta Online
Online Store
Directions
Delivery
Contact Us
No Credit Check Application Form
S
erta Mattresses
We are authorized Serta dealers! CLICK HERE!
Can't Find Us?
Check Out Our Online Map, or inquire about delivery that encompasses Anderson County!
C&S Dealer Site
We have a new C & S site that's just for dealers...
Application Form
Please fill out our No Credit Check Application to finance great deals!
No Credit Check Application
ALL FIELDS MUST BE COMPLETE. ANY FIELD LEFT BLANK WILL RESULT IN A PENDING RESPONSE.
CO-APPLICANTS MUST FILL OUT SEPARATE APPLICATION
If you are the co applicant, write the Social Security # of the Main Applicant here:
MUST ANSWER ALL FOUR QUESTIONS ( mark Y or N clearly with an X)
Have you been employed with the same company at least 6 months?
Yes
No
Do you earn $1,000 per month and deposit at least $500 per month into your checking account?
Yes
No
Do you have an active checking account and has it been open three months?
Yes
No
Does your checking account have any NSFs or excessive overdrafts in the last 30 days?
Yes
No
APPLICATION INFORMATION
Full Name
Social Security #
Date of Birth
Address
City, State, Zip
Do you...
Rent?
Own?
Months at Residence
Phone #
Cell #
Email
SOURCE OF INCOME (Must be verifiable)
EMPLOYER [S.S. , DISABILITY, MILITARY]
Job Title
HIRE DATE [MM/DD/YY]
MONTHLY INCOME
EMPLOYERS CITY, STATE
SUPERVISOR
EMPLOYER PHONE#
HOW ARE YOU PAID?
WEEKLY
BI-MONTHLY
MONTHLY
NEXT PAYDAY
BANK INFORMATION (Must match information on voided check and bank statement)
BANK NAME
DATE OPENED
PERSONAL REFERENCE INFORMATION
REFERENCE NAME 1
REFERENCE ADDRESS 1
REFERENCE PHONE NUMBER 1
REFERENCE NAME 2
REFERENCE ADDRESS 2
REFERENCE PHONE NUMBER 2
REFERENCE NAME 3
REFERENCE ADDRESS 3
REFERENCE PHONE NUMBER 3
