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General
Purpose
Who is applying for this loan?
Are you interested in having your loan protected?

If you answer "yes", the Credit Union will disclose the cost of this voluntary payment protection to you. A separate election which discloses the terms and conditions must be signed for protection to be effective.

Personal
Current Residence
Marital Status
Best time to call
Employment
Self Employed
Co-Applicant (CA)
Marital Status
Best time to call
CA Employment
Self Employed
Assets and Liabilities
Child Support Payments
Co-Applicant Child Support Payments
Statement of Understanding

NOTICE TO MARRIED APPLICANT: No provision of a marital property agreement, a unilateral statement under Sis. Stats. sec 766.59 or a court decree under Wis. Stats sec. 766.70 adversely affects the interests of the credit union unless prior to the time the credit is extended. The credit union is furnished with a copy of the agreement, statement or decree, or has actual knowledge of the adverse provision when the obligation to the credit union is incurred.

This statement is submitted to obtain credit and does not constitute a contract for the extension of credit. I (We) Certify that all the information herein is true and complete. I (We) also authorize the credit union to verify or obtain any additional information the credit union may deem necessary concerning my (our) credit standing with credit bureaus, collection agencies, and any other source for consideration for the loan applied for hereon or for any other service offered as this credit union or its affiliate. The credit union may release information about its credit experience with me (us) as permitted by law. I (We) understand that it may be a Federal crime punishable by fine or imprisonment, or both, to knowingly make any false statements concerning any of the above facts, as applicable under the provisions of Title 18, United Sates Code, Section 1014.

I have read the statement (above)
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