Individual Credit: You must complete the Applicant section about yourself and the Other section about your spouse if:
Joint Credit: Each Applicant must individually complete the appropriate section below, If Co-Borrower is spouse of the Applicant,- mark the Co-Applicant box.
Guarantor: Complete the Other section if you are a guarantor on an account/loan.
PLEASE COMPLETE FORM IN FULL, DO
NOT LEAVE ANY AREAS BLANK!
Are you applying for individual or joint credit ?:
Refinance? (the loan amount must be for add'l $1000)
questions must be answered. If any answers are a yes, please
1. Are there any outstanding legal judgments against you?
2. Have you ever any had personal property repossessed
Have you ever filed for bankruptcy.
No If yes:
3a. Year filed?
4. Are you a party in a lawsuit?
5. Do you have other obligations such as child support, alimony,
or similar Liabilities?
6. Are you a cosigner or a guarantor on any loan not listed
State Law Notices
OHIO RESIDENTS ONLY: The Ohio laws against discrimination require that all creditors make credit equally available to all creditworthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law.
WISCONSIN RESIDENTS ONLY: (1) No provision of any marital property agreement, unilateral statement under Section 768.59, or court decree under Section 766.70 will adversely affect the rights of the Credit Union unless the Credit Union is furnished a copy of the agreement, statement or decree, or has actual knowledge of its terms, before the credit is granted or the account is opened. (2) Please sign if you are not applying for this account or loan with spouse. The credit being applied for, if granted, will be incurred in the interest of the marriage or family of the undersigned.
You agree that everything stated in this application is correct to the best of your knowledge. The Credit Union is authorized to investigate your creditworthiness, employment history, and to obtain a credit report and to answer questions about their credit experience with you. You understand that any false or misleading statement in your application may cause any loan or extension of credit to be in default.
You authorize us to accept your facsimile signatures on this application and agree that your facsimile signature will have the same legal force and effect as your original signature. You assume any risk that may be associated with permitting us to accept your facsimile signature.
By pressing the "Submit Form" button below, you agree to the above statement. You understand that we may require your signature on additional documents prior to disbursing any credit proceeds.