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Home Equity Loan Application

*FIELD REQUIRED

Purpose of Loan
$
Marital Status
APPLICANT(S) Check one of the following boxes. You may apply for separate or joint credit.



(For secured credit or Wisconsin residents only)

(For secured credit or Wisconsin residents only)
Applicant
Applicant Information Section I
Preferred method of contact:*
Do you own or rent:
Co-Applicant
Co-Applicant Joint Credit Section II
Please check one:  
* You need not list income from alimony, child support or separate maintenance unless you wish it considered for the purpose of repaying this obligation.
** A married Wisconsin resident applying for credit in his / her own name must complete the required spousal information in the co-applicant section.
Mortgage Information
Debts And Obligation
 
 

Credit Cards / Personal Loans

   
   
Government Use
 

The purpose of collecting this information is to help ensure that all applicants are treated fairly and that the housing needs of communities and neighborhoods are being fulfilled. For residential mortgage lending, Federal Law requires that we ask applicants for their demographic information (ethnicity, race, and sex) in order to monitor our compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to provide this information, but are encouraged to do so. You may select one or more designations for "Ethnicity" and one or more designations for "Race". The law provides that we may not discriminate on the basis of this information, or on whether you choose to provide it. However, if you choose not to provide the information and you have made this application in person, Federal regulations require us to note your ethnicity, race, and sex on the basis of visual observation, or surname. If you do not wish to provide some or all of this information, please check below.

Primary Applicant

Primary Applicant
Ethnicity Check one or more
 


For example: Argentinean, Columbian, Dominican, Nicaraguan, Salvadoran, Spaniard, and so on.

   
Race Check one or more
 



-
For example: Hmong, Laotian, Thai, Pakistani, Cambodian, and so on.


-
For example: Fijian, Tongan, and so on.

Sex  
 
Marital
Status
 
 

Age

Co-Applicant (if applicable)

Co-Applicant
Ethnicity Check one or more
 


For example: Argentinean, Columbian, Dominican, Nicaraguan, Salvadoran, Spaniard, and so on.

   
Race Check one or more
 



-
For example: Hmong, Laotian, Thai, Pakistani, Cambodian, and so on.


-
For example: Fijian, Tongan, and so on.

Sex  
 
Marital
Status
 
 

Age
For Married Applicant Applying For Separate Credit
NOTICE TO MARRIED APPLICANTS: No provision of any marital property agreement, unilateral statement under s788.58, Wis Stats, or court decree under s788.70 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.