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Page 3 · column 2 of 3 · from the scan, no model involved

Pebbles
Royal Plaza Shopping Center
Front Royal
You Deserve A Lot of Credit
Peebles CHARGE CARD
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12 34-5b1 8 MRS JANE DOE
Open Mon.-Frl. 10-9;
Sat. 10-6;
Sun. 12-5
Charge It At Peebles store No si Employee No First Name (please pnnt) M.ddie initio,
charge
llcation Home Address City State Zip Code Name of Mortgoge Co or Landlord Address of Mortgage Co or Landlord Date of Birth How Long'7 Yrs Mos Soooi Security No Home Phone Live with Parents Previous Address Rent or Pa\ 5 ON State Zip Code Present Employer Business Address Week Month Tofce Home Pav J Previous Employer
How Paid □□ s Supervisor s Name How Long1’ Yrs Mos How long0 Vrs Mos Telephone No Business Address Nearest Relative not living with you Relationship
Type of Account -Joint (it (0l0f accoonf complete Requesting _individual information below for co applicant) How Long0 Vrs Mos Telephone No Requested $110 00 StSO'OO SWGOO
putchase limn urcie one (t) 525000 5300 00 Olt^ei 5
ft Co Applicants full Name Present Employer Business Address Supervisor s Name Date of Brrth How Long0 Yrs Mos Social Security No Telephone No How Paid Month Take Home pay Previous Employer Business Address How Long0 Yrs Mos Bank Reference Bonk City Oedrt References (Stores Banks finance Co Bonk Cards) Name Address Chocking Account No Account No Savings Account No balance Due Monthly FayntentT S $ Otter Pertont Authorized To Uie The Account. •etoMno a ahana oeoounl i/W* octnowtodg* racatpr at *»•
o-rrussieii reee^eensoMnaeNiriwoowiem Co-Apptoenrt Dale . (»»oW
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