Important Applicant Information: Federal law requires
financial institutions to obtain sufficient information to verify your identity.
You may be asked several questions and to provide one or more forms of identification
to fulfill this requirement. In some instances we may use outside
sources to confirm the information. The information you provide is
Indicates Required Field
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.
Complete only if: for joint credit, for individual
credit relying on income or assets from other sources, or
applicant is married and resides in a community property state.
Complete only if: for joint or secured credit, or
applicant resides in a community property state or is relying on
property located in such a state as a basis for repayment of the
If Section B has been completed, this section should
be completed giving information about both the Applicant and
Joint Applicant or Other Person.
Please mark Applicant-related information with an "A". If
Section B was not completed, only give information about the
Applicant in this section.
(Use a separate sheet if necessary.)
(Include charge accounts, installment contracts,
credit cards, rent, mortgages and other obligations. Use
separate sheet if necessary.)
Complete the following information about both the Applicant and Joint Applicant or Other Person (if applicable):
Notice to Married Applicants:
No provision of any marital property agreement,
unilateral statement under Wisc. Statutes §766.59 or a
court decree under Wisc. Statutes §766.70 adversely
affects the interest of the creditor unless the
creditor, prior to the time the credit is granted, is
furnished a copy of the agreement, statement or decree
or has actual knowledge of the adverse provision when
the obligation to the creditor is incurred.
Complete only if credit is to be secured. Briefly describe the property to be given as security:
I certify that everything I have stated in this application and on any attachments is correct. Lender may keep this application whether or not it is approved. By signing below I authorize Lender to check my credit and employment history and to answer questions others may ask Lender about my credit record with Lender. I understand I must update credit information at Lender's request if my financial condition changes.