Sunrise Credit Union Secure On-line Loan Application	SSL

You must be a member to proceed with this application for credit. Non members should visit our membership form first. Please be as accurate and complete as possible. If any of the questions do not apply, enter "x" or "none" in the spaces provided below. All fields must be filled in to submit this form. Press TAB to move down and SHIFT TAB to move up through the fields. SSL encryption method is in place to secure your information. For SSL encryption, this page must match the web address listed below. Thank you!
For SSL encrypted transmissions, use https://www.sunrisecu.org/services/loanapp.shtml.

Date (mm/dd/yr)

You may apply for individual or joint credit, but check (x) only one of the following boxes.

Individual Credit - unmarried applicant. Complete only the left hand columns on both sides of this form and other sections as they apply.

Individual Credit - married applicant. If both you and your spouse are residents of Wisconsin, complete both the left and right hand columns. If either you or your spouse are not Wisconsin residents, complete only the left hand column.

Joint Credit - with your spouse. Complete the left and right hand columns on both sides of this form and other sections as they apply, and sign the following:
We intend to apply for joint credit:
X ______________________________________ X ______________________________________

Joint Credit - with another applicant or cosigner who is not your spouse. Each of you must complete a separate application. If both you and your spouse are Wisconsin residents include information about your spouse in the right hand column, and sign the following:
I intend to apply for joint credit with .
X ______________________________________

No provision of a marital property agreement, a unilateral statement under Wis. Stat. Sec. 766.59 or a court decree under Wis. Stat. 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 secured.

I/we hereby apply for (check #1 or 2):

1) A direct loan of $    

number of payments   

amount of payments $
Check Our Loan Calculator if you want an estimate of pmts.

purpose

* or 2) A credit line of $

* If checked, see attached Addendum which is incorporated here by reference

Collateral                     
Title in whose name(s)?

Collateral                      
Title in whose name(s)?

APPLICANT

Select applicant's marital status below
Married (year: )
Unmarried - single, divorced, widowed
By court order - legally separated (year: )

present street address

length of residence

length of residence

city / state / zip

county of residence

landlord or mortgage holder

rent/mortgage pmt.$

landlord or mortgage holder address

landlord telephone

your previous address (if under 2 years at present)

length of residence      

city / state / zip

your birth date

driver's license no.

soc. security no.

relationship to joint applicant (if any)

your home telephone

present employer

length of employment

position

telephone

supervisor

employee/clock #

employer address

previous employer (if < 2 years at present)

length of employment    

previous employer address

present income from employment
  $       
  per   

Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation. If revealed, it is being received under:

court order
written agremnt.
oral agreement
does not apply

type of income (alimony,child support or separate maintenance)

 
monthly amt.$

name/address/phone of payor
name
address
phone

other income
$        
source

per

Is any income listed in this section likely to be reduced in the next 2 years or before the credit requested is repaid? (If yes,explain in detail on a separate sheet.)
yes  no

institution holding your checking account

checking account no.

institution holding your savings account

savings account no.

nearest relative not living with you

address

other relative not living with you

address

SEE REVERSE SIDE (on printed form)

Credit Union Loan Application (Start: Reverse side on printed form)                                  Page 2

APPLICANT

List all debts (for example, medical bills, auto loans, repairs, charge accounts, credit cards, etc.) Show them even thought the balance may be zero. Include any disputed debts and also any loans or contracts on which you are a co-maker, co-signer or guarantor. If any account listed below is not carried in your name, then state the name under which it's carried. Use a separate sheet if necessary. Place an "A" if the account is classified under the Applicants name only. A "C" if the account is classified under the co-applicants name only and a "J" if the account is classified as a joint account.

A.C or J - Creditor Name - Acct.No. - Balance - Mo. Pmt.

A.C or J - Creditor Name - Acct.No. - Balance - Mo. Pmt.

Total Debt    Total Mo. Pmts.

Total Debt    Total Mo. Pmts.

For whom are you co-signed on a loan?

Have you had any judgement(s) filed against you?

Have you filed bankruptcy in the past 7 years?  Which county?

Are you paying alimony or child support?   To Whom?

A.C or J - M.I or O - Type of Asset - Market - Outstanding
                                                         Value        Loan $

savings & checking balances

savings & checking balances

real estate (location, date acquired)

real estate (location, date acquired)

automobile (year, make, model)

automobile (year, make, model)

other (describe)

other (describe)

other (describe)

other (describe)

other (describe)

other (describe)

The undersigned certify that the foregoing information including that on the reverse side has been supplied truthfully, accurately and voluntarily, and therefore authorize this credit union to investigate our creditworthiness, credit history and financial responsibility through any credit bureau or by any other reasonable means. If this application is for the purpose of encumbering real property, the undersigned agrees to pay all allowable expenses incurred in processing this application whether or not the loan is approved. This application does not constitute a contract for the extension of credit. The undersigned understands 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 States Code, Section 1014.

X ________________________________________________________              ____________
Applicant's Signature - Please print this form before submitting and sign here                         (Seal)        Date

X ________________________________________________________              ____________
Spouse's Signature - Please print this form before submitting and sign here                            (Seal)       Date
(if joint applicant)

COMPLETE THIS SECTION ONLY IF YOU ARE MARRIED AND YOU ARE APPLYING FOR INDIVIDUAL CREDIT

I certify that the credit being applied for, if granted, will be incurred or obtained during marriage and will be in the interest of the marriage or family. This statement is made in accordance with Wis. Stat. Sec. 766.55(1).

X _________________________________________________________             ____________
Applicant's Signature - Please print this form before submitting and sign here                         (Seal)        Date

IF THIS SECTION APPLIES, WE ARE REQUIRED BY WISCONSIN LAW TO NOTIFY YOUR SPOUSE BY MAIL IF YOUR LOAN IS GRANTED.