Consumer Loan Application

Required Fields

Loan Information


APPLICANT(S) Check one of the following boxes. You may apply for separate credit in your name only, joint credit in your and the name of your spouse, or joint credit in your name and the name(s) of other joint applicant(s). Note: Separate credit and joint credit may also be marital purpose debt under Wisconsin Law.

To be secured by collateral?

If yes, describe collateral.

Personal Information

Housing Information

Employment Information

Financial Information

Do you have a Checking Account?

Do you have a Savings Account?

Other Debt Information

  • Type of Debt (Car Loan, Credit Cards)

  • Balance

  • Monthly Payment

Declarations

Are you obliged to make alimony, support or maintenance payments?

Are you a co-signer, endoser or guarantor on any loan or contract?

Are there any unsatisfied judgments against you?

Have you ever declared bankruptcy?

Please Note: Alimony, child support, or maintenance income need not be revealed if you do not wish it to be considered as a basis for repaying this obligation.

Notice to married applicant: No provision of a marital property agreement, a unilateral statement under Wis. Stat. sec 766.59 or a court decree under Wis. Stat. sec 766.70 adversely affects the interests of the bank unless prior to the time the credit is extended, the bank is furnished with a copy of the agreement statement or decree, or has actual knowledge of the adverse provision when the obligation to the bank is incurred.

Submission of this form authorizes PremierBank to verify information provided herein, including but not limited to employment and credit history.

Do you need to fill out co-applicant information?

Co-Applicant Personal Information

Housing Information

Employment Information

Financial Information

Do you have a Checking Account?

Do you have a Savings Account?

Other Debt Information

  • Type of Debt (Car Loan, Credit Cards)

  • Balance

  • Monthly Payment

Declarations

Are you obliged to make alimony, support or maintenance payments?

Are you a co-signer, endoser or guarantor on any loan or contract?

Are there any unsatisfied judgments against you?

Have you ever declared bankruptcy?

Please Note: Alimony, child support, or maintenance income need not be revealed if you do not wish it to be considered as a basis for repaying this obligation.

Notice to married applicant: No provision of a marital property agreement, a unilateral statement under Wis. Stat. sec 766.59 or a court decree under Wis. Stat. sec 766.70 adversely affects the interests of the bank unless prior to the time the credit is extended, the bank is furnished with a copy of the agreement statement or decree, or has actual knowledge of the adverse provision when the obligation to the bank is incurred.

Submission of this form authorizes PremierBank to verify information provided herein, including but not limited to employment and credit history.

Important Information About Procedures for Opening a New Account

To help the government fight the funding of terrorism and money laundering activities, federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account.

What this means for you: When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.

You will be required to come into one of our locations to complete the loan process. (Sign loan papers, verify information, etc.)

Disclosure Information

Privacy Policy Information

You must choose one of the following options