Lot Loan Application

Lot Loan Application
Marital Status
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.
Applicant
Applicant Information
Do you own or rent:
Co-Applicant
Co-Applicant Information
* 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
 

If the credit line or loan is for home purchase, refinance, construction-to-perm, repair or maintenance , the following information is requested by the Federal government to monitor this lender's compliance with the Equal Credit Opportunity and Fair Housing Laws. The law provides that a lender may neither discriminate on the basis of this information nor on whether or not it is furnished. If you do not wish to furnish this information please indicate below.

The creditor shall also inform the applicant(s) that if the applicant(s) chooses not to provide the information, the creditor is required to note the race or national origin and sex on the basis of visual observation or surname.

If your request is not for the purpose of home purchase, refinance, construction-to-perm, repair or maintenance, do not fill in this section.

Applicant:
Co-Applicant:
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.