New Borrower Application
567 East Snell Road Oshkosh, WI 54901
Phone: (920) 233-9096 • Fax: (920) 426-7266
1. Member Number
If you are not a member just leave this field blank.
2. Loan Purpose
New Auto Loan
Used Auto Loan
Recreational Vehicle
(Boat, Camper, ATV, Motorcyle)
Personal Loan
Mortgage
Home Equity Loan
Home Equity Line of Credit
Credit Builder Loan
3. Loan Terms
3.1
- Are you submitting individually or jointly?
Individually
Jointly
3.2
- Desired loan amount:
$
4. Primary Applicant
4.1
- Name:
First:
Middle:
Last:
Suffix:
Sr.
Jr.
I
II
III
4.2
- Social Security Number:
555-55-5555
4.3
- Date of birth:
mm/dd/yy
4.4
- What is your e-mail address?
(Re-enter your e-mail address)
4.5
- Home Phone Number:
(555) 555-5555
4.5a
- Cell Phone Number:
(555) 555-5555
4.6
- What is your home address?
Street:
City:
State:
Zip:
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
4.7
- Rent/Own/Buying:
Renting
Own
Buying
4.7a
- Monthly payment:
4.8
- Time at residence:
Months
Years
4.9
- Value of home if owned:
If Applying For An Individual Loan Click Here
5. Joint Applicant
5.1
- Joint Applicant Type:
Co-Maker
Spouse
Guarantor
5.2
- Name:
First:
Middle:
Last:
Suffix:
Sr.
Jr.
I
II
III
5.3
- Social Security Number:
555-55-5555
5.4
- Date of birth:
mm/dd/yy
5.5
- What is your e-mail address?
(Re-enter your e-mail address)
5.6
- Home Phone Number:
(555) 555-5555
5.6a
- Cell Phone Number:
(555) 555-5555
5.7
- Complete 5.7 to 5.9 only if different from applicant
Home Address
Street:
City:
State:
Zip:
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
5.8
- Rent/Own/Buying:
Renting
Own
Buying
5.8a
- Monthly payment:
5.9
- Time at residence:
Months
Years
6. Employment Information - Applicant
6.1
- Current employer:
6.2
- Employer address?
Street:
City:
State:
Zip:
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
6.3
- Title or position:
6.4
- Are you self employed?
No
Yes
6.4a
-
Type of business
6.5
- Business phone number:
(555) 555-5555
ext.
6.6
- Date started position:
mm/dd/yy
6.7
- Gross salary:
$
.00
Annually
Monthly
Semi-Monthly
Weekly
Bi-Weekly
6.8
- Other income:
$
.00
Annually
Monthly
Weekly
6.8a -
Source of other income:
(You do not need to provide information about alimony, child support, separate maintenance or other sources of income if you do not wish to have them considered as income.)
If Applying For An Individual Loan Click Here
7. Employment Information - Joint Applicant
7.1
- Current employer:
7.2
- Employer address?
Street:
City:
State:
Zip:
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
7.3
- Title or position:
7.4
- Are you self employed?
No
Yes
7.4a -
Type of Business:
7.5
- Business phone number:
(555) 555-5555
ext.
7.6
- Date started position:
mm/dd/yy
7.7
- Gross salary:
$
.00
Annually
Monthly
Semi-Monthly
Weekly
Bi-Weekly
7.8
- Other income:
$
.00
Annually
Monthly
Weekly
7.8a -
Source of other income:
(You do not need to provide information about alimony, child support, separate maintenance or other sources of income if you do not wish to have them considered as income.)
Submit Application
Home