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Overview
Marital Status

APPLICANT(S) Check one of the following boxes. You may apply for separate or joint credit.

You May Apply for Separate or Joint Credit
Applicant Information Section I

* FIELD REQUIRED

Preferred Method of Contact
Do you Own or Rent?

*You need not list income from alimony, child support or separate maintenance unless you wish it considered for the purpose of repaying this obligation.

**A married Wisconsin resident applying for credit in his/her own name must complete the required spousal information in the co-applicant section.

Co-Applicant Joint Credit Section II
Please Check One

Co-Applicant Information

*You need not list income from alimony, child support or separate maintenance unless you wish it considered for the purpose of repaying this obligation.

**A married Wisconsin resident applying for credit in his/her own name must complete the required spousal information in the co-applicant section.

Debts And Obligations

Mortgages

Auto Loans

Credit Cards & Personal Loans

Personal Information

The purpose of collecting this information is to help ensure that all applicants are treated fairly and that the housing needs of communities and neighborhoods are being fulfilled. For residential mortgage lending, Federal Law requires that we ask applicants for their demographic information (ethnicity, race, and sex) in order to monitor our compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to provide this information, but are encouraged to do so. You may select one or more designations for "Ethnicity" and one or more designations for "Race". The law provides that we may not discriminate on the basis of this information, or on whether you choose to provide it. However, if you choose not to provide the information and you have made this application in person, Federal regulations require us to note your ethnicity, race, and sex on the basis of visual observation, or surname. If you do not wish to provide some or all of this information, please check below.

Primary Applicant

Ethnicity- check one or more

For example: Argentinean, Colombian, Dominican, Nicaraguan, Salvadoran, Spaniard, and so on


Race- check one or more

Sex-
Marital Status-

Co-Applicant (if applicable)

Ethnicity- check one or more

For example: Argentinean, Colombian, Dominican, Nicaraguan, Salvadoran, Spaniard, and so on


Race- check one or more

Sex-
Marital Status-
Authorizations
Authorization to Release Information
For Married Applicant Applying for Separate Credit
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