Credit Application

Applicant

Current Physical Address

Employment Information

Secured Credit

Briefly describe the item to be given as security:

Notice to married applicants: No provision of any marital property agreement, unilateral statement under Wisc. Statues §766.59 or a court decree under Wisc. Statues §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.

I certify that everything I have stated in this application and on any attachments is correct. Lender may keep this application whether or not it is approved. By checking the box below, I authorize Lender to check my credit and employment history. I understand that I must update credit information at Lender's request if my financial condition changes.