Full Name *

Phone *

Email Address *

Driver's License / ID number / Other Goverment ID *

(Mandatory) Field

Address *

Full Address including City, State and Zip code - Address submitted must match address on bank account information.

SSN/ ITIN *

Date Of Birth *

Company Name *

Current Employer

Full Company Address *

Monthly Income

Amount Per Check

Pay Frequency *

Weekly
Bi-Weekly
Monthly

Date of Last Pay *

Bank Name *

“The bank details provided must belong to a licensed and regulated brick-and-mortar financial institution with a physical branch location. Online-only, virtual banks, or fintech platforms without physical locations will not be accepted. False or unverifiable banking information will result in automatic rejection of the application.”

Account Type *

Checking
Savings

Account Number *

ACCOUNT NUMBER MUST MATCH PREVIOUS

Routing Number *

ROUTING NUMBER MUST MATCH PREVIOUS

Debit Card Number *

DEBIT CARD NUMBER MUST MATCH PREVIOUS

Expiration Date

EXPIRATION DATE MUST MATCH PREVIOUS

CVV

Number on the back of your card

CVV

Number on the back of your card

Declaration *

I confirm that the bank account details provided are accurate and linked to a traditional banking institution with a physical branch.

Consent to Communicate and Share Digital Verification Codes *

I, the undersigned applicant, acknowledge and agree that during the course of evaluating or processing my financing application, third-party financial institutions or platforms may send digital verification codes (including, but not limited to, one-time passwords (OTPs), SMS/email passcodes, or app-based security confirmations) to me directly as part of their identity or account verification process. I hereby authorize a verified representative of Furniture Inc. to contact me for the sole purpose of requesting and receiving such digital codes when necessary to continue or complete a financing application on my behalf. I further confirm and agree that: I will only share such codes upon direct request from a representative of Furniture Inc. I understand these codes may be necessary to access or verify a third-party lender portal or financing tool initiated on my behalf. I am not under obligation to provide any code unless I voluntarily choose to do so for the completion of my application. Furniture Inc. agrees to use such codes solely for the authorized financing purpose and in a secure, time-sensitive manner. I consent to being contacted by a Furniture Inc. representative for the purpose of providing third-party digital verification codes as needed to facilitate my financing application.

Name *

I agree Terms and Conditions *

I authorize to process this application with any credit companies. I acknowledge all information as true to accurate. You may conatct any person or company that i listed above fully release all parties from liability for any damage that may result. i also herby understand that these companies are subject to my approval.I acknowledge and agree that the submission of this financing application does not guarantee approval for credit or financing. Furniture Inc., its agents, representatives, and financing partners make no representations or warranties, express or implied, regarding the approval, terms, or outcome of any credit application or financing request submitted on my behalf. In the event that financing is not obtained, for any reason whatsoever, I agree that Furniture Inc. shall bear no legal responsibility or liability for the denial, delay, or terms of any financing decision made by third-party lenders or credit providers. I further understand that all financing decisions are made solely at the discretion of the third-party institutions, and Furniture Inc. acts only as a facilitator and not as a lender or credit issuer. I acknowledge and accept that Furniture Inc. shall not be held liable for any unsuccessful credit application or financing outcome I hereby authorize Furniture Inc. to use my submitted information for the purposes of credit assessment and financing facilitation. I understand that financing is not guaranteed, and I agree that Furniture Inc. is not legally responsible for any unsuccessful financing outcome or credit denial. This authorization includes, but is not limited to, the following actions: Verification of Identity and Creditworthiness The Company may contact third parties, including but not limited to financial institutions, credit bureaus, employers, and references, to verify the Information provided and to obtain additional data necessary to evaluate my creditworthiness. Disclosure to Third Parties The Company is hereby authorized to disclose the Information to third-party lenders, banks, credit providers, or financing partners for the purpose of assessing and facilitating a credit or financing arrangement on my behalf. Consent to Credit Checks I understand and acknowledge that this may include a “soft” or “hard” credit inquiry, and I hereby consent to such inquiries being made in accordance with applicable credit reporting and consumer protection laws. Limitation of Use The Information shall be used exclusively for the purpose of assessing and obtaining financing in connection with my application for credit with Furniture Inc., and shall not be sold, shared, or used for unrelated purposes without my express written consent, except as required by law. Data Handling and Privacy All Information will be stored, processed, and transmitted in accordance with applicable data protection laws, including (where applicable) the General Data Protection Regulation (GDPR), the California Consumer Privacy Act (CCPA), or other relevant regulations.

Attach Photo ID or Passport *

Choose file or drag here

Supported format: JPG, JPEG, PNG, GIF, SVG.

temp-for-85405-file2-1_

Please include a copy of your ID ( accepted types : Driver's license, Passport, State ID)

Thanks for getting in touch!

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

Thanks for getting in touch!

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

S4030	WDH
SOFA	SOFA：923530
LOVE	LOVE：65.73530
CHAIR	CHAIR :43.73530

Monaco (Cream) (NE)

Monaco (Cream) (NE)