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To OPEN

a Regular

Charge Account

Fill out

1

&

2

To OPEN a Time Payment

Account (if you already

have a Regular Charge Account)

Fillout 3

To OPEN a T ime Payment

Account (if you do not have

a Regular Charge Account)

Fill out

1, 2,

&

3

PENNEYS CREDIT APPLICATION

PRINT- use bal l po int pen-all information confidential

Fill out" completely below double line

NAME-Husband If Married - Leave Space Between Names

ADDRESS

CITY-STATE

ZI P

Former Address if Less than Three Years at Present Address

Wife's First Name

Husband 's A ge

Dependent Ch ildren

Owns

HomeD

Rents

Rooms

Lives W ith

Parents D

How

Long

D

I

Phone

Number

D

How Long

Previously Applied for Penneys Account?

O

No D Yes-Where?

Single Married Separated Divorced W idow(er)

Authorized Buyers

D

0

D

0

D

Employer or Firm if Self-Employed

Address

Position

Department or

Badge No. or

Service Number

Former Employer if Less than Three Years with Present Employer

Address

Wife's Employer

Other Income • Source

Nearest Relative Not at Your A ddress

Cred it References • Location • Account Number

Add ress

Amount • Month

$

Position

Bank • Branch

PENNEYS CHARGE ACCOUNT AGREEMENT

J.C. Penney Company, Inc.

With respect to my Penneys Charge Account, I agree that

1. I will pay the time sale price of each item charged

to my account, consisting of (a) the cash sale price, plus

(b) a time price differential ("service charge") computed

by applying the rate of 1.5% to the unpaid balance of

the cash sale price and any unpaid service charge on

each of my rnonthly billing dates (pursuant to your then

current billing schedule) commencing with the second

monthly billing date following the date of purchase, but

service charges shall not_ exceed the lawful maximum.

2. I will , within one month after each monthly billing

date, make an installment payment in accordance with

your then current payment schedule, your present pay–

ment schedule as shown at right.

Payments will be applied to the time sale prices of pur–

chases in order of purchase. I understand that I may

prepay my unpaid balance at any time.

3. Upon any default by me, my entire balance shall

at your option become payable. I will, to the extent per–

mitted by law, pay your attorney's fees if this agreement

is referred for collection to an attorney, plus court costs.

4. You may limit or terminate my account. I will upon

request return my accou nt identification, which shall re–

main your property.

Buyer's Signature--------------------- - ---- Dale-----------

Salary Monthly

$

Position

Salary Monthly

$

How Long

How Long

How Long

Checking

D

Saving

D

Relationship

CHARGE ACCOUNT

PAYMENT SCHEDULE

Unpaid Balance Monthly Payment

$10-100

$10

$100.01-150

$15

$150.01-200

$20

$200 .01-250

$25

$250.01-300

$30

$300.01-350

$35

$350.01-400

$40

$400.01-450

$45

$450.01-500

$50

over $500

$50 plus any

amount over $500

For all Time Payment orders, "add-on" or new, read and sign this agreement

TIME PAYMENT ACCOUNT AGREEMENT-J. C. Penney Company, Inc.

Please charge the foregoing purchases to my Time Payment Account. I agree

to pay in installments, as provided herein, the unpaid balance of the time

sale price of each item charged to my Time Payment Account. The time sale

price of each such item consists of (a) the cash sale price, plus (b) a time

price differential ("service charge") computed by applying to the unpaid

balance of the cash sale price and any unpaid service charge at the begin–

ning of each monthly billing period a service charge rate of 1.2%, unless the

highest aggregate unpaid balance under my Time Payment Account shall not

exceed $90, in which event the service charge rate sha ll be 1.5%; but service

charges shall not exceed the lawful maximum. At the close of each monthly

billing period, I will make an installment payment in the amount shown oppo–

site my highest aggregate unpaid balance in the Time Payment Schedule in

your catalog. Payments will be applied to the time sale prices of pu rchases

in the order of purchase. I may prepay my unpaid balance at any time .

Upon any default by me, my aggregate unpaid balance shall , at your option,

become immediately due and payable.

Buyer's Signature__________ ______ ________

222

Penney1

M

CHARGE ACCOUNT AND TIME PAYMENT ACCOUNT INFORMATION IS ON PAGES 216 AND 217.