-
Please check the box for the type of credit you are asking for
OK
Please check the box for the type of credit you are asking for is required
-
OK
We intend to apply for joint credit: Applicant Name is required
-
OK
We intent to apply for a joint credit: Co-Applicant Name is required
-
OK
I intend to apply for joint credit with is required
-
OK
Applicant Signature (please type your name) is required
-
OK
Purpose of Loan is required
-
OK
Dollar Amount requested is required
-
Complete this section only if a Wisconsin resident: Applicant
OK
Complete this section only if a Wisconsin resident: Applicant is required
-
Co-Applicant
OK
Co-Applicant is required
-
Co-Applicant
OK
Co-Applicant is required
-
I am a student at an institution of higher education, and I live on campus or within 1,000
feet of a campus border.
OK
I am a student at an institution of higher education, and I live on campus or within 1,000
feet of a campus border. is required
-
OK
Choose the location you would like to complete your application is required
-
OK
Applicant Name is required
-
OK
Street Address is required
-
OK
City is required
-
OK
State is required
-
OK
Zip Code is required
-
Date of Birth
OK
Date of Birth is required
-
OK
SSN is required
-
OK
Phone is required
-
OK
E-mail is required
-
OK
Employer Name is required
-
OK
How long have you been at this employer? is required
-
OK
Monthly Gross Pay is required
-
OK
Spouse: Employer Name is required
-
OK
Spouse: How long you been at this employer? is required
-
OK
Spouse: Monthly Gross Pay is required
NOTE: Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
-
OK
Other Income Source is required
-
OK
Amount is required
-
Are you obligated to make child support payments?
OK
Are you obligated to make child support payments? is required
-
OK
Spouse: Other Income Source is required
-
OK
Spouse: Amount is required
-
Spouse: Are you obligated to make child support payments?
OK
Spouse: Are you obligated to make child support payments? is required
NOTICE TO MARRIED APPLICANT: No provision of a marital property agreement, a unilateral statement under Wis. Stats. sec. 766.59 or a court decree under Wis. Stats. sec. 766.70 adversely affects the interests of
the credit union unless prior to the time the credit is extended, the credit union is furnished with a copy of the agreement, statement or decree, or has actual knowledge of the adverse provision when the obligation to the
credit union is incurred.
This statement is submitted to obtain credit and does not constitute a contract for the extension of credit. I (We) certify that all information herein is true and complete. I (We) also authorize the credit union to verify or obtain
any additional information the credit union may deem necessary concerning my (our) credit standing from credit bureaus, collection agencies, and any other source for consideration for the loan applied for hereon or for any
other service offered at this credit union or its affiliate. The credit union may release information about its credit experience with me (us) as permitted by law. I (We) understand that it may be a Federal crime punishable by
fine or imprisonment, or both, to knowingly make any false statements concerning any of the above facts, as applicable under the provisions of Title 18, United States Code, Section 1014.
-
OK
Applicant Initials is required