Installment Loan Application

*FIELD REQUIRED

Purpose of Loan
If Requesting Auto 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
Authorization To Release Information
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.