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Most Form Fields Are Optional, But Are Required Before Your Application Can Be Verified.
We offer no-money-down flexible payment options that put the power of buying in your hands. We have plans that fit every budget with the freedom to decide how soon you own your merchandise. All you need is a place to live, a job and few references before you can get started with the right payment option that fits your needs.

Preferred Store

Enter the zip code of the location to be serviced.
Zip Code*
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Location*
(Based on Zip Code)
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Personal Information and Interests

First Name*
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Last Name*
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Phone*
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Email*
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Gender
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Birthdate
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Interested In(check all that apply)*
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Customer Type
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Residential Information (Why do we ask this?)
This information will help us to verify and complete your rental agreement. We do not use this information to report any information to any credit agencies

Address*
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Address 2
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City*
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State
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How Long at Current Address*
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Monthly Payment ($)
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Landlord or Mortgage Holder
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Landlord/Mortgage Holder Phone Number (Include Area Code)
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Name of Person on Lease or Mortgage
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Employment Information (Why do we ask this?)
This information will help us to verify and complete your rental agreement. We do not use this information to report any information to any credit agencies

Employer/Source of Income
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Employer Phone Number (Include Area Code)
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Employer Address
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Suite #
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City
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State
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Zip code
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How Long With the Company*
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Position
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Shift Hours
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Hourly Take-Home Pay (Round to Nearest Dollar Amount)
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Monthly Take-Home Pay
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Pay Schedule
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Day/Dates Paid
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Spouse Information (Why do we ask this?)
This information will help us to verify and complete your rental agreement. We do not use this information to report any information to any credit agencies

I Live With My Spouse
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References (Why do we ask this?)
This information will help us to verify and complete your rental agreement. We do not use this information to report any information to any credit agencies

Two references will be needed to complete your request.
A reference is someone who knows you well and can speak to your character and who does not live with you.
Reference 1 (Not living with you)
Name
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Relationship
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Phone (Include Area Code)
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Address 1
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Address 2
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City
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State
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Zip Code
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Reference 2 (Not living with you)
Name
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Relationship
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Phone (Include Area Code)
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Address 1
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Address 2
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City
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State
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Zip Code
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Name brand products you love with ColorTyme's
rent-to-own flexible payment options.