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Loan Application - APPLY FILL OUT FORM SUBMIT

DEALER INFO
Dealer Name *
Phone *
LOAN INFO
Merchandise you want to purchase (brief description*
Down Payment Minimum $50 for best rates*
APPLICANT INFO
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)
 Existing Tower Loan Customer
First Name *
MI
Last Name *
Suffix
Home Phone *
Cell Phone
# of Dependents
EMAIL ADDRESS
Even though the email field is not required, it is HIGHLY recommended that you fill it out. For example, if the status of your loan changes you will be informed with the email address you provided. Please remember to check your junk or spam email folders for our email.
Email Address
PHYSICAL ADDRESS
Address 1 *
Address 2
City *
State *
Zip *
How long at current address? *
Years
MAILING ADDRESS
 Same as physical address
Address 1 *
Address 2
City *
State *
Zip *
PREVIOUS ADDRESS
Address 1 *
Address 2
City *
State *
Zip *
How long at previous address? *
Years
SECURITY INFO
Social Security # *
Date of Birth *
Driver’s License ID
State
RESIDENCE INFO
Residence Status *
Monthly Payment
BANKING RELATIONSHIP
 Checking
 Savings
EMPLOYMENT AND INCOME
EMPLOYER
Employment Status *
Name of Employer/Business *
Phone *
Position
How long? *
Years
Job Start Date
EMPLOYER ADDRESS
Address 1
Address 2
City
State
Zip
PREVIOUS EMPLOYER
Name of Employer/Business *
How long? *
Years
PREVIOUS EMPLOYER ADDRESS
Address 1
Address 2
City
State
Zip
INCOME
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 maintenance received under
BANKRUPTCY
 Prior Bankruptcy?
REFERENCES
RELATIVE NOT LIVING WITH YOU
First Name
Last Name
Address 1
Address 2
City
State
Zip
Phone
Phone
CO-APPLICANT INFO
First Name *
MI
Last Name *
Suffix
SECURITY INFO
Social Security # *
Date of Birth *
Cell Phone
Driver’s License ID
State
EMPLOYER
Name of Employer/Business
Phone
Position
How long?
Years
Monthly Net Income *
EMPLOYER ADDRESS
Address 1
Address 2
City
State
Zip
DISCLOSURES
By submitting this Application, Applicant authorizes dealer to gather such 
information as dealer may require containing statements in this application and 
agrees that the application shall remain the property of the dealer and / or lender
 whether credit is granted or not. Applicant agrees and authorizes dealer and
Tower Loan to obtain credit reports on Applicant. Applicant hereby certifies that 
all statements in this application are true and complete and are made for the 
purpose of obtaining credit. Applicant acknowledges receipt of the Equal Credit 
Opportunity Act notice.

EQUAL CREDIT OPPORTUNITY ACT  The federal equal credit opportunity act prohibits 
creditors from discriminating against creditor applicants on the basis of sex or 
marital status. The federal agency which administers compliance with this law 
concerning this type of credit is the Federal Trade 
Commission, Washington, D.C. 20680
Submit: We will review application and contact you with approval, invoice the sale to you along with contract to sign. The we'll setup delivery at your convenience.
  • Questions Text Us (256) 400-4242 or
  • Call Us Direct (256) 638-1555
  • Print and Fax to (256) 638-1556
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