Tower Loan: Apply | The Appliance Care Company LLC

Apply With Tower Loan

Finance your New Appliance!

To begin your application with Tower Loan, please provide the following information.

"*" indicates required fields

Step 1 of 6

Primary Applicant Information

Purchaser(s)*

Married

Unmarried

Separated

Number of Dependents*

Primary Applicant Name*

First Middle Last

Primary Applicant Date of Birth*

Primary Applicant SSN #*

Primary Applicant Driver's License #*

DL State*

Applicant's Phone Number*

Applicant's Cell Phone*

Applicant's Email*

Home Status

Home Status*

Own

Rent

Buying

Living with Relatives

Home Address*

Street Address City State ZIP Code

How Long at This Address?*

Home: Monthly Payment*

Home: Balance Owed

Home: Estimated Market Value

Landlord or Mortgage Holder's Name (if any)

Landlord or Mortgage Holder's Address (if any)

Street Address City State ZIP Code

Previous Address

Previous Address*

Street Address City State Zip Code

Loan Applicants*

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.

Joint Credit

Individual Credit (in my name only)

Co-Applicant

Co-Applicant Information

First Middle Last

Co-Applicant's Date of Birth

Co-Applicant's SSN #

Co-Applicant's DL #

Co-Applicant's DL State

State

Co-Applicant: Employer's Name

Co-Applicant: Position or Military Pay Grade

Co-Applicant: Employer's Address

Street Address City State ZIP Code

Co-Applicant: Employer's Phone #

Co-Applicant: Monthly Net Income

Co-Applicant: How Long Employed by Employer?

Credit

Banking Relationships*

Check one

Checking

Savings

Checking & Savings

Credit Reference Name*

First name Last

Credit Reference Phone Number*

Credit Reference Information*

Street Address City State Zip

Information of a Relative Not Living with You

First & Last Name*

First name Last name

Phone Number*

Address of a Relative Not Living with You*

Street Address City State Zip

Information of Friend Not Living with You

First & Last Name*

First name Last name

Phone Number*

Address*

Street Address City State Zip

Credit History

Have You Filed for Bankruptcy Within the Last 10 Years?*

Yes

If you have filed bankruptcy within the last 10 years, please provide the month and year:

Are You an Existing Tower Customer?*

Yes

Agreement

Primary Applicant Digital Signature*

First Last

Date*

Co-Applicant Digital Signature

First Last

Date

Equal Credit Opprotunity 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.

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The Appliance Care Company

706 N Scott Ave.
Belton, MO 64012
(816) 331-1515

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Apply With Tower Loan

Finance your New Appliance!

Primary Applicant Information

Home Status

Previous Address

Primary Applicant Employment & Income

Previous Employer

Other Income

Co-Applicant

Credit

Information of a Relative Not Living with You

Information of Friend Not Living with You

Credit History

Agreement

The Appliance Care Company

Apply With Tower Loan

Finance your New Appliance!

Primary Applicant Information

Home Status

Previous Address

Primary Applicant Employment & Income

Previous Employer

Other Income

Co-Applicant

Credit

Information of a Relative Not Living with You

Information of Friend Not Living with You

Credit History

Agreement

The Appliance Care Company

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