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Please Verify the following information to make sure it is correct.

Name:
Address:
SSN:

You understand that by clicking on the I AGREE button immediately following this notice, you are providing 'written instructions' to Smart Sales and Lease under the Fair Credit Reporting Act authorizing Smart Sales and Lease to obtain information from your personal credit profile. You authorize Smart Sales and Lease to obtain such information solely to prequalify you for financing options.

Your application status is: for the Smart Sales & Lease program. Your prequalification code is .
Please see store associate for details or call 1-877-700-3040.

Smart Sales and Lease
We work with your local home furnishings retailer to offer you the best value in furniture, electronics, and appliances. We offer 90 day options, as well as 12 or 18 month lease to purchase options. Prequalifying for our program is EASY! Please follow the simple steps below.

Submitting your information will not affect your credit score in any way. Learn why
First Name: Middle Name: CoSigner
Last Name: DOB Cosigner First Name
Address: Apt #: Cosigner Middle Name
City: State: Cosigner Last Name
Zip: Cosigner Birthdate
Phone Number Phone Number
SSN SSN

Employment Info

Name: Name:
Length: Length:
Pay: Pay:
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