Credit Application




Instrument Information        
Instrument / Merchandise
 
Applicant Information
If married you have the right to apply for credit separately from or jointly with your spouse. Do not furnish information concerning your spouse unless your spouse will be contractually obliged on this account or you are relying on your spouse's income as a basis for repayment of the credit requested.
Applying for
Purchaser(s)
Are you an existing Tower Loan customer?
Check to Answer Yes
First Name
MI
Last Name
Suffix
Driver's License State
Home Phone
Cell Phone
# of Dependents
       
Physical Address
Address 1
Address 2
City
State
Zip

How long have you been at your current address?

Years / Months
       
Mailing Address
Address 1
Address 2
City
State
Zip
       
Previous Address
Required if you have been at your current address for less then 3 years.
Address 1
Address 2
City
State
Zip
How long were you at your previous address?
Years / Months
       
Residence Information
Residence Status
Monthly Payment
Required if you are buying or own your residence.
Balance Owed
Estimated Market Value
       
Mortgage Holder or Landlord Information
Required if you are renting, buying, or own your residence.       
Name
Address 1
Address 2
City
State
Zip
       
Banking Relationships
Do you have a checking account?
Check to Answer Yes
Do you have a savings account?
Check to Answer Yes
       
Employment Information
Employment Status
Required if you are in the Military.
Military Pay Grade
Name of Employer/Business
Phone Number
Position
How long have you been at your current job?
Years / Months
       
Employer Address
Address 1
Address 2
City
State
Zip
       
Previous Employer Information
Required if you have been at your current job for less than 3 years.
Employer Name
How long were you at your previous job?
Years / Months
Address 1
Address 2
City
State
Zip
       
Income Information
Monthly Net Income
Income from alimony, child support or maintenance payments need not be revealed if you choose not to rely upon such income in applying for credit.
Other Income
Other Income Source
Alimony, child support or separate maintainance received under
       
Bankrupcy Information
Have you filed for bankrupcy within the last 10 years?
Check to Answer Yes
       
References
Credit References
Name and Address
Name and Address
       
Relative Not Living With You
Name
Address
City
State
Zip
Phone Number
       
Co-Applicant Information
The co-applicant section must be completed in full if you are filing for joint credit.  Please keep in mind that the co-applicant must be the spouse of the primary applicant, and that an original signature from the co-applicant will be needed on this form prior to final processing.
 
Co-Applicant Name
First Name
MI
Last Name
Suffix
Driver's License State
       
Co-Applicant Employer Information
Name of Employer/Business
Phone Number
Position
How long has the co-applicant been at this job?
Years / Months
Net Monthly Income
       
Co-Applicant Employer Address
Address 1
Address 2
City
State
Zip
       
Disclosures
Applicant authorizes dealer to gather such information as dealer may require containing statements in this application and agrees that the application shall remain the propery of the dealer whether credit is granted or not. Applicant hearby certifies that all statements in this application are true and complete in all respects and are made for the purpose of obtaining credit. Applicant authorizes dealer to share its personal financial information with Tower Loan. Applicant further understands that this is only an application and not a guarantee that credit will be granted.
 
EQUAL CREDIT OPPORTUNITY ACT 
The federal equal credit opportunity act prohibits creditors from discriminating against credit applicants on the basis of race, religion, national origin, sex, marital status, or age; the fact that all or part of the applicant's income derives from any public assistance; or the fact that the applicant has in good faith excercised any right under the Consumer Credit Protection Act. The federal agancy which administers compliance with this law concerning this type credit is the Federal Trade Commission, Washinton, D.C. 20580
 
Type "I Agree" in the box below to acknowledge these disclosures.
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