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Online Loan Application

Consumer Loan Application

Please complete the form in its entirety and a member of our team will be in touch as soon as the information has been reviewed. You will be notified of potential next steps at that point. If you have questions in the meantime, please contact us at 254.412.2000. We look forward to working with you!
* Required Fields
Type of Credit Requested *
Desired Repayment

Primary Applicant Information

Current Address

Primary Applicant Current Address Do You

Previous Address (Complete if less than 3 years at current address)

Primary Applicant Previous Address Did You

Employment

Alimony, child support, or separate maintenance income

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.

Received Under Primary Applicant
Primary Applicant Is any income listed in this section likely to be reduced before the credit requested is paid off?
Primary Applicant Have you previously received credit from us?

Nearest Living Relative

Marital Status

Complete only if: For joint or secured credit, or applicant resides in a community property state or is relying on property located in such a state as a basis for repayment of the credit requested.

Primary Applicant Marital Status

Additional Information

Notice to Married Applicants: No provision of any marital property agreement, unilateral statement under Wisc. Statutes §766.59 or a court decree under Wisc. Statutes §766.70 adversely affects the interest of the creditor unless the creditor, prior to the time the credit is granted, is furnished a copy of the agreement, statement or decree or has actual knowledge of the adverse provision when the obligation to the creditor is incurred.

Primary Applicant Are you obligated to make Alimony, Support or Maintenance Payments?
Primary Applicant Are you a co-maker, endorser, or guarantor on any loan or contract?
Primary Applicant Are there any unsatisfied judgments against you?
Primary Applicant Have you been declared bankrupt in the last 10 years?

Joint Applicant Information

Current Address

Joint Applicant Current Address Do You

Previous Address (Complete if less than 3 years at current address)

Joint Applicant Previous Address Did You

Employment

Alimony, child support, or separate maintenance income

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.

Received Under Joint Applicant
Joint Applicant Is any income listed in this section likely to be reduced before the credit requested is paid off?
Joint Applicant Have you previously received credit from us?

Nearest Living Relative

Marital Status

Complete only if: For joint or secured credit, or applicant resides in a community property state or is relying on property located in such a state as a basis for repayment of the credit requested.

Joint Applicant Marital Status

Additional Information

Notice to Married Applicants: No provision of any marital property agreement, unilateral statement under Wisc. Statutes §766.59 or a court decree under Wisc. Statutes §766.70 adversely affects the interest of the creditor unless the creditor, prior to the time the credit is granted, is furnished a copy of the agreement, statement or decree or has actual knowledge of the adverse provision when the obligation to the creditor is incurred.

Joint Applicant Are you obligated to make Alimony, Support or Maintenance Payments?
Joint Applicant Are you a co-maker, endorser, or guarantor on any loan or contract?
Joint Applicant Are there any unsatisfied judgments against you?
Joint Applicant Have you been declared bankrupt in the last 10 years?

Assets & Debt Information

This section should be completed giving information about both the Applicant and Joint Applicant or Other Person.

Please mark Applicant-related information with an "A".

Assets Owned

Checking Account(s)
Subject to Debt? Checking Account
Savings Account(s)
Subject to Debt? Savings Account
Certificate(s) of Deposit
Subject to Debt? Certificate of Deposit
Marketable Securities
Subject to Debt? Marketable Securities
Real Estate
Subject to Debt? Real Estate
Life Insurance
Subject to Debt? Life Insurance
Automobiles
Subject to Debt? Assets Automobiles
Other Assets
Subject to Debt? Other Assets

Outstanding Debts

Include charge accounts, installment contracts, credit cards, rent, mortgages and other obligations.

Residence
Residence Debt Type
Automobiles
Other
Other Debt 2
Other Debt 3
Other Debt 4
Other Debt 5
Other Debt 6
Other Debt 7
Other Debt 8
Other Debt 9
Other Debt 10
Other Debt 11
Other Debt 12
Other Debt 13
Total Debts

Secured Credit

Complete only if credit is to be secured.

Signatures

I/we certify that everything I/we have stated in this application and on any attachments is correct. Lender may keep this application whether or not it is approved. By signing below I/we authorize Lender to check my/our credit and employment history and to answer questions others may ask Lender about my/our credit record with Lender. I/we understand I/we must update credit information at Lender's request if my/our financial condition changes.

Type your name in the box below to represent your electronic signature.