List all other debts including vehicle loans, leases, all credit card accounts, installment loans, student loans, home equity loans, etc. :

NOTICE TO MARRIED APPLICANTS: No provision of any marital property agreement, unilateral statement under s766.59, Wis. Stats. or court decree under s766.70 adversely affects the interest of the creditor unless the creditor, prior to the time the credit is granted or and open-end credit plan is entered into, is furnished a copy of the agreement, statement or decree or has actual knowledge of the adverse provision.

NOTICE OF RIGHT TO RECEIVE COPY OF APPRAISAL: Under the Federal Equal Opportunity Act, if the credit being applied for will be secured by a 1-4 family dwelling, you have the right to a copy of the appraisal report used in connection with your application. If a coy was not already provided to you and you wish a copy, please write to the creditor at the address on the face page of this application. Be sure to include your name and address. The creditor must hear from you no later than ninety (90) days after it notifies you about the action taken on your application or you withdraw your application. In order to receive a copy of the appraisal report, you must also have paid for the appraisal and the costs of photocopying the report.
 
For the purpose of obtaining the credit described above, and any future credit granted to the undersigned by the creditor named above, the undersigned, jointly and severally, (1) represent that the above statements are true and complete, (2) authorize the creditor named above, or it's agents, to verify them and obtain additional information concerning our credit, employment history or any other information, including credit reports (althought creditor may rely on these statements without any further verification), to furnish such information and any other credit experience with me to others, and to answer any questions about our credit experience and other financial relationships with the creditor, and (3) agree to the provisions of any rules, regulations or agreements of the creditor named above governing such credit. This application is creditor's property. The creditor may share information bearing on my credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics or mode of living with its affiliates unless I direct the creditor at the address above that such information if unrelated to my transactions or experiences with the creditor may not be shared by the creditor with its affiliates.

NOTICE: REPORTING NEGATIVE INFORMATION TO CREDIT BUREAUS - We may report information about your account to credit bureaus. Late payments, missed payments, or other defaults on your account may be reflected in your credit report.

The undersigned 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, under the provision of Title 18, United States Code, Section 1014.

IMPORTANT INFORMATION ABOUT PROCEDURES FOR OBTAINING CREDIT
To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who obtains credit.
What this means for you: when you obtain credit, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying information.

Applicant's Name: Date:
CO-Applicant Spouse Name: Date:

For Married Wisconsin Resident:
The credit being applied for, if granted, will be incurred in the interest of my marriage or family. I understand the creditor may be required by law to give notice of this credit transaction to my spouse.

Applicant's Name: Date: