SEARS REVOLVING CHARGE ACCOUNT
-f AGREEMENT
l
SEARS, ROEBUCK AND CO.
In consid eration of you r se llin g m ercha ndise to m e on Sears Revolving
CHARGE ACCOUNT, I agree to the fo llow ing regarding a ll p urchases m ad e
by m e on my Sears Revolving CHARGE ACCOUNT Id entification:
1.
I l1ave th e privilege of a 30-d ay charge account, in w hic h case I w ill
pay the full amount for a ll m erch andise purch ased w ithi n 30 days
from th e date of each billing stat em ent.
2. If I do not pay the full am ount for a ll merchan dise p urchased w ith in
30 days from the d ate of each billing statem ent, t he fo llow in g t erms
shall be in effect : .
(A) I wi ll pay th e time sale p rice for each it em purchased consisting
of:
(1)
The cas h sa le price, a nd
(2)
An amount of time price differentia l computed at
1
1/2%
of th e
ba lance at th e beginning of each monthly billing period , un til
th e ful l amount of a ll purchases and time price differentia ls
thereon are pa id in full.
(B)
I wi ll pay forthe m erchand ise purchased in monthly insta llments
wh ich sha ll be computed according to the following schedule:
If the unpaid
balance is:
The
schodulecl
monthly payment
wi ll be:
$
.01 - $ 10.00
BALANCE
10.01- 100.00 .... $10.00
100.01- 150.00.
15 .00
150.01 - 20.0.00 .... 20.00
It
the urwaid
balance is:
The sched11kcl
monthly payment
will be:
$200.0 1- $250 .00. . $25 .00
250.01 - 300.00 .... 30 .00
300.01- 350.00.
35.00
Over
$350.00. . .. 1/10
of
acco u nt ba la n ce
I wi ll pay each mon thly insta llment comp uted ac–
cordin g to the schedu le at left upon the receipt
of eac l1 statem ent. If I fail to pay any in sta llment
in full w hen due, at yo ur option th e full ba lance
sha ll become immed iate ly due.
(C) You are to send m e a statem ent each m onth
wh ic h will show the unpa id bala nce for m ercha n–
dise purchased, you r time price differential com–
puted on t he ba la nce at t l1e beginning of each
m onth ly billin g period, a nd the am ount of the
mon th ly insta !lment coming due.
(D) I have the ri ght to pay in adva nce.
(C USTOM ER 'S SIGNATUR E)
N
ACCEPTED,
SEARS, ROEB UCK AND CO.
By _
Date___
c------- ----- - - - - -
- - - - - --- - ----- -------- - _,.. .- ----- - - - - - - - - - - - - - - - - - --- - - - - --- - - - - --- - - - - - - - -- - - - - - - - - - - - --- - - --- - - - - - --- - - - - - - - - - - ----- - - - - - - - - - - - - - ----- - - - --- - - -·
(PLEASE SIGN AGREEMENT ON CUSTOMER'S SIGNATU RE LIN E)
MR.
MRS.
rp'i_~fsE ~~f~T~)--==
(FIRST NAME)
MARRIED D
HOW LONG AT
PRESENT ADDRESS·------·
(MIDDLE INITIAL)
STATE
SINGLE
D WIFE'S
WIDOWED D FIRST NAME
BOARD D
OWN D
REN T D
(LAST NAME)
ZIP
_CODE
Print nam es of other m embers of fa mily
a uthorized to buy on yo ur account.
Dupli cat e identification wi ll be issued.
NUMBER OF
___________DEPENDENTS____________
MONTHLY RENT OR
MORTGAGE l' AYMENTS
$
_______PHONE NO._____________
FORMER ADDRESS (IF LESS THAN
HOW
2
YEARS AT PRESENT ADDRESSl------------------------------LONG________________
EMPLOYER____________________ (STREET
ADDRESS)---------------~(C~l=TY~A~N~D~S~T~A~T=E~)-------
WEEK LY
HOW LONG_________OCCUPATION_________________________EARNINGS
$-------------
FORMER EMPLOYER
HOW
(IF LESS THAN l YR. WITH PRESENT EMPLOYER)_______________________________LONG_________
NAME OF
ADDRESS OF
WIFE'S
WIFE'S EMPLOYER________________WIFE'S EMPLOYER_
_________________ WEEKLY INCOME$____
SAVINGS D
NAME OF
CHECKING D
YOUR BANK__________________
(STREET°ADDRE~-- ---------(-c-1=TY~A-N_D_s=T~A=T=E-)
_____ __LOAN
D
IF A FARMER, HOW LARGE IS YOUR FARM___________ ACRES.
HOW MANY ACRES UNDER CULTIVATION______
(LOAN ACCT. NO.)
EXPLAIN OTHER INCOME, IF ANY------------------------------------------------
AT WHAT
ACCOUNT
IS ACCOUNT D YES
DATE FINAL
PREVIOUS
D YES
SEARS ACCOUNT D NO
SEARS STORE__________
NO.__________PAID IN FULL D NO
PAYMENT MADE_______
ACCOUNTS AT
!
OTHERO~TORES
l _____
~(~N~A~M=E-O~F~F~l=R~M~)-----~(s=T=R=E~E=T~A=D=D~R=Es~S
7
)-----,(=c·~1T=Y~A~N=D~s=T~A=T=E)
_____
(~A=c~c=o~U~N=T~N=o~.)-
BANK LOANS,
FIN ANCE. ETC.
2
------=~=c-==~~~------==o="~~o-==-=·,.-------=o-=~7""c-=~=c-----,~""""~=-o-=,.,.--
(N AME OF FIRM)
(STREET ADDRESS)
(CITY AND STATE)
(ACCOUNT NO.)
RELATIVE OR
OPEN i
-CLOSED__ _
OPEN
l l
CLOSED [-
PERSONAL
REFERENCE------------~-~-------------------~---~~-------------
(STREET ADDRESS)
(CITY AND STATE)
The inform ation above will be kept strictly confidential . . . See Charge Acco unt information on other side.
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