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.