Credit Application

Financing is provided through Tower Loan

Fill out the credit application below to make monthly payments for your purchase. Please note that original signatures from the applicant and any co-applicant will be required, in person, prior to final processing.

Other financing may be available, please speak to your salesperson for more information.

* Required

Instrument Information

Instrument / Merchandise *

Salesperson *

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 and existing Tower Loan customer? *
Yes
No

Title

First Name *

Last Name *

Suffix

Drivers License State *

Home Phone Number *

Cell Phone Number

# of Dependents

Email Address *

Physical Address

Home Address *

City *

State *

Zipcode/Postcode *

How long have you been at your current address? (Years/Months)

Years *

Months? *

Mailing Address

Same as Physical Address?
Yes

Mailing Address *

Mailing City *

Mailing State *

Mailing Zip *

Previous Address

Previous Address*

City*

State*

Zipcode*

How long were you at your previous address? (Years/Months)

Years?*

Months?*

Residence Information

Residence Status *

Monthly Payments

Balance Owed*

Estimated Market Value

Mortgage Holder or Landlord Information

Mortgage Holder or Landlord Name*

Mortgage Holder or Landlord Address

Mortgage Holder or Landlord City

Mortgage Holder or Landlord State

Mortgage Holder or Landlord Zipcode

Employment and Income

Banking Relationships

Do you have a checking account?
Yes
No

Do you have a savings account?
Yes
No

Employment Information

Employment Status *

Military Pay Grade *

Name of Employer/Business *

Phone Number *

Position

How long have you been at your current job? (Years/Month) *

Years *

Months *

Job Start Date

Employer Address

Work Address

City

State

Zipcode/Postcode

Previous Employer Information

Previous Employer Name *

How long were you at your previous job? (Years/Months)*

Previous Employer Address

Previous Employer City

Previous Employer State

Previous Employer Zipcode

Income Information

Monthly Net Income *

Other Income

Other Income Source

Alimony, child support or separate maintainance received under

Have you filed for bankruptcy within the last 10 years?*
Yes
No

Date of Bankruptcy

References

Credit Reference 1 Name and Address *

Credit Reference 2 Name and Address

Relative Not Living With You Name*

Relative Not Living With You Address

Relative Not Living With You City

Relative Not Living With You State

Relative Not Living With You Zip

Relative Not Living With You 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 First name*

Co-Applicant Last name*

Suffix

Driver's License State*

Co-Applicant Employer Information

Name of Co-Applicant Employer/Business*

Co-Applicant Employer Phone Number*

Co-Applicant Employer Position

How long has the co-applicant been at this job? (Years/Months)

Years?*

Months?*

Net Monthly Income*

Co-Applicant Employer Address

Co-Applicant Employer City

Co-Applicant Employer 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 exercised any right under the Consumer Credit Protection Act. The federal agency which administers compliance with this law concerning this type credit is the Federal Trade Commission, Washington, D.C. 20580

Type "I Agree" in the box below to acknowledge these disclosures. *

Prove you're not a robot *