Apply for a Loan

Thank you for choosing Farmers & Merchants Union Bank. Please complete all fields and use the "Submit" button at the bottom of the form to transmit your application. An incomplete form may delay your application. This form is secured using digital certificate encryption for your protection.

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.

Please note: Farmers & Merchants Union Bank limits its lending area to the state of Wisconsin.

Applicant(s):

You may submit information for individual or joint credit, but choose only one of the following:

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.

If applying for individual credit, please complete this application and submit it by using the "Submit" button at the bottom of this form. If applying for joint credit, please also fill out the Joint Account Information below. Thank you!

Loan:

Personal Information:

If you've lived at your current address less than 2 years, please provide your previous home address:

Marital Status:

(**includes single, widowed and divorced)

Employment Information:

Income & Asset Information:

Alimony, child support, or separate maintenance income need not be revealed if the applicant(s) does not choose to have it considered for repaying this loan.

Debt Information:

List all debts and credit accounts, replacing "Other" with description. If those listed do not apply, please say "None" for  balance & payment.

Debt Balance Monthly Payment
Rent or Mortgage
Credit Card
Auto Loan

Joint Applicant Information:

If you've lived at your current address less than 2 years, please provide your previous home address:

Marital Status:

(**includes single, widowed and divorced)

Employment Information:

Income & Asset Information:

Alimony, child support, or separate maintenance income need not be revealed if the applicant(s) does not choose to have it considered for repaying this loan.

Debt Information:

List all debts and credit accounts, replacing "Other" with description. If those listed do not apply, please say "None" for  balance & payment.

Debt Balance Monthly Payment
Rent or Mortgage
Credit Card
Auto Loan

Automatic Loan Payment Method:

You do not have to select an automatic payment method to obtain credit. This is offered to you as a service from our institution. We will contact you with full details on this method of payment if you select it as an option.

Automatic Loan Payment (Payment is transferred monthly on the due date):

Comments or Questions?

Authorization & Certification:

By submitting this application, I/We certify that this information has been supplied truthfully, accurately and voluntarily, and therefore authorize Farmers & Merchants Union Bank to investigate our creditworthiness, credit history and financial responsibility through any credit bureau or by any other reasonable means for consideration for the loan applied for, or for any other services offered. This application does not constitute a contract for the extension of credit.

Upon receipt of this application, someone at Farmers & Merchants Union Bank will review your information and contact you with next steps, or to request further information. Thank you for choosing Farmers & Merchants Union Bank as your financial partner.

Required Information

You may also print this information and mail it, or bring it to one of our locations.

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