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@AB>C>D>EFGHIJKLMNOP QRSTUVWXYZ[]@^>_`ab>c>d>emnopq>rs>tu>vwx>y z{|>}~>>>>>>>>>> *' Credit Union Loan Application "Page 1 ' Date:"' Name (first, middle, last):' Acct No:d' You may apply for individual or joint credit, but check (x) only one of the following boxes.b' Individual Credit - unmarried applicant. Complete only the left hand columns on both sides6' of this form and other sections as they apply.f' Individual Credit - married applicant. If both you and your spouse are residents of Wisconsin,e' complete both the left and right hand columns. If either you or your spouse are not Wisconsin6' residents, complete only the left hand column.g' Joint Credit - with your spouse. Complete the left and right hand columns on both sides of thisk ' 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 youu ' must complete a separate application. If both you and your spouse are Wisconsin residents include informationt ' about your spouse in the right hand column, and sign the following: I intend to apply for joint credit with:>' (name of co-applicant) _______________________________.' X ____________________________________t' No provision of a marital property agreement, a unilateral statement under Wis. Stat. Sec. 766.59 or a courts' decree under Wis. Stat. sec. 766.70 adversely affects the interests of the credit union unless prior to theu' time the credit is extended, the credit union is furnished with a copy of the agreement, statement or decree,l' or has actual knowledge of the adverse provision when the obligation to the credit union is secured.7' I/we hereby apply for (Select either #1 or #2): ' (Answer yes or no below)' 1) A direct loan of "$ /' I want disability insurance for myself.' no. of payments "no.0' I want credit life insurance for myself.' amount of payments "$ =' I want joint credit life insurance with co-applicant.' purpose$' * or 2) A credit line of "$ .' NOTE: THIS IS NOT A BINDING CONTRACTS' * If checked, see attached Addendum which is incorporated here by reference*' FOR CREDIT INSURANCE'Collateral'Title in whose name(s)?'Insured by'Collateral'Title in whose name(s)?'Insured by' first, middle, last' first, middle, last^APPLICANT ^SPOUSE "Married [year=] ? ' - If information is identical to applicant write "same"4!'Unmarried - single, divorced, widowed (yes/no)#!' - Input none if not married;"'By court order - legally separated [yr. separated=] #' present street address#"length of residence #' present street address# "length of residence %' city / state / zip%"county of residence %' city / state / zip% "county of residence #'' landlord or mortgage holder'"rent or mortgage pyt.$ #'' landlord or mortgage holder' "rent or mortgage pyt.$ +)' landlord or mortgage holder address)"landlord telephone +)' landlord or mortgage holder address) "landlord telephone ;+' your previous address (if under 2 years at present)+"length of residence ;+' your previous address (if under 2 years at present)+ "length of residence -' city / state / zip-"your birth date -' city / state / zip- "your birth date /' driver's license no./'soc. security no. /' driver's license no./ "soc. security no. 01' relationship to joint applicant (if any)1"your home telephone 01' relationship to joint applicant (if any)1 "your home telephone 3' present employer3"length of employment 3' present employer3 "length of employment 5' position5"telephone 5' position5 "telephone 7' supervisor7"employee/clock # 7' supervisor7 "employee/clock # 9' employer address9' employer address7;' previous employer (if under 2 years at present);"length of employment 7;' previous employer (if under 2 years at present); "length of employment !=' previous employer address!=' previous employer address> "Continued. 0?' present income from employment per?"ages of dependants 0?' present income from employment per? "ages of dependants  @" $  @" $ RA' Alimony, child support or separate maintenance income need not be revealedRA' Alimony, child support or separate maintenance income need not be revealed5B' if you do not wish to have it considered as aB'court order5B' if you do not wish to have it considered as aB 'court order8C' basis for repaying this obligation. If revealed,C'written agremnt.8C' basis for repaying this obligation. If revealed,C 'written agremnt.$D' it is being received under:D'oral agreement$D' it is being received under:D 'oral agreementFE' type of income (alimony,child support or separate maintenance)E"monthly amt.$ FE' type of income (alimony,child support or separate maintenance)E "monthly amt.$ G' name of payorG' name of payorI' address of payorI"phone of payor I' address of payorI "phone of payor K' other income K^perK"source K' other income K^perK "source L"$L"$XM' Is any income listed in this section likely to be reduced in the next 2 years orXM' Is any income listed in this section likely to be reduced in the next 2 years or]N' before the credit requested is repaid?(If yes,explain in detail on a separate sheet.)]N' before the credit requested is repaid?(If yes,explain in detail on a separate sheet.)O' yes or noO ' yes or no1P' institution holding your checking accountP"checking account no. 1P' institution holding your checking accountP "checking account no. /R' institution holding you savings accountR"savings account no. /R' institution holding you savings accountR "savings account no. ,T' nearest relative not living with youT"relationship ,T' nearest relative not living with youT "relationship V' addressV"telephone V' addressV "telephone *X' other relative not living with youX"relationship *X' other relative not living with youX "relationship Z' addressZ"telephone Z' addressZ "telephone \'SEE REVERSE SIDE\ ' ADDENDUM ATTACHED%]' Credit Union Loan Application] "Page 2 ^' first, middle, last^' first, middle, last_^APPLICANT _^SPOUSE?`' - If information is identical to applicant write "same"a' 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 anyb' 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, thenc' 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 thezd' account is classified under the co-applicants name only and a "J" if the account is classified as a joint account.e'A.C or Je'Creditor Account no. e^Balancee^Mo. Pyt.e'A.C or Je'Creditor Account no. e ^Balancee ^Mo. Pyt. n"Total  n"Total -o' For whom are you co-signed on a loan?o' Name of Institution-o' For whom are you co-signed on a loan?o ' Name of Institution8q' Have you had any judgement(s) filed against you?q' Amount $8q' Have you had any judgement(s) filed against you?q ' Amount $6s' Have you filed bankruptcy in the past 7 years?s' Year Filed6s' Have you filed bankruptcy in the past 7 years?s ' Year Filedt' Which county?t' Which county?0u' Are you paying alimony or child support?u' Monthly Payment $0u' Are you paying alimony or child support?u ' Monthly Payment $v' To Whom?v' To Whom? x^Marketx^Outstanding x ^Marketx ^Outstandingy'A.C or Jy'Type of Asset M.I or O y^Value y^Loan $y'A.C or Jy'Type of Asset M.I or O y ^Value y ^Loan $#z' savings & checking balances#z' 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, asV' applicable under the provisions of Title 18, United States Code, Section 1014.&' ______________________________'________&' ______________________________ '________' Applicant's Signature' (Seal) ^Date0' Spouse's Signature (if joint applicant) ' (Seal) ^Date`' 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.L' This statement is made in accordance with Wis. Stat. Sec. 766.55(1).'________________________ '________' Applicant's Signature' (Seal) ^Date' IF THIS SECTION APPLIES, WE ARE REQUIRED BY WISCONSIN LAW TO NOTIFY YOUR SPOUSE BY MAIL IF YOUR LOAN IS GRANTED.'Instructions:l' All tan shaded blanks may be edited before printing. Please be as complete and accurate as possible.s'If you need assistance in completing this form, either call 920-436-7744 or send email to info@sunrisecu.org.w'The completed loan application should be returned to Sunrise Credit Union 505 Clinton Street Green Bay, WI 54302.2'(We recommend printing on 8.5" x 14" paper.)4'DO NOT WRITE BELOW - FOR CREDIT UNION USE ONLY^Name Creditor^Date Made ^Amount^No.Months ^Payment ^Balance^Date Last Pd. ^Security ^How Paid ^A & H ^C.L.^Debt Ratio" Date Note ' Original Term of Loan^Including this loan" APR % ' Filing Fees"' No.Mos. Elapsed(remaining)^total mo. Debt %"Amount Requested' Amount of Note-' Original Premium $#'total mo. Income = debt ratio"Present Balance ' Pre-paid Finance Charge' Refund "$ "Int. Due to Date (' Finance Charge (Int.+pre-pd.F/C)*' New Premium $ "$  "** AH )' Amt. Financed (Note - pre-pd.F/C)+' Premium Difference $ "** CL ' Total of PaymentsK"Total Mo. Debt / Total Mo. Income (use gross or net) = Debt Ratio % E' ** If refinancing, add net amt to note. Otherwise use gross.('Loan Officer or Credit Committee*'Total Credit Approved $""Notice to spouse required :  ' yes/no ' Date sent ' By (Initials)''Describe Counter Offer (if any) :%'Specific Reason(s) for denial :)'Conditions for approval or comments!'Credit Committee Signatures ' Date ' 1) ' 2)'Loan Officer Signature ' 3)<'ECOA notice and reason for denial sent or delivered on' (Date) By: ' (Initials) 6Sheet1  ? @VLBLBd_ ArialArialArialArialArialArial    O 4!*d"dFM3FM3 PropertyWK3WK3 Property   g gx ߠCMHdr