Mon ‐ Fri | 9am ‐ 6pm
Sat | 9am ‐ 5pm
3700 Johnston Street
Lafayette, LA

Mon ‐ Fri | 9am ‐ 6pm
Sat | 9am ‐ 5pm
337-984-3700

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



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.




Yes
No









Physical Address







Mailing Address





Previous Address

Required if you have been at your current address for less then 3 years.


Previous
Previous State
Previous

Residence Information



Required if you are buying or own your residence.



Mortgage Holder or Landlord Information

Required if you are renting, buying, or own your residence.






Banking Relationships


Yes
No

Yes
No

Employment Information




Employer Phone Number *


Employer Address


Work


Work

Previous Employer Information

Required if you have been at your current job for less than 3 years.







Income Information


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.




Yes
No

References







Code

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  

Co-Applicant Employer Information





Co-Applicant

Co-Applicant Employer Address



Code

Disclosures

Applicant(s) 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 whether credit is granted or not. Applicant hereby certifies that all statements in this application are true, correct and complete in all respects and are made for the purpose of obtaining credit. Applicant authorizes Dealer to share applicant(s) personal financial information with Tower Loan. You agree and hereby authorize Dealer and/or Tower Loan to obtain credit reports on you, both now and at any time any portion of a debt remains owed to us. Applicant(s) 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 of credit is the Federal Trade Commission, Washington, D.C. 20580