Loan Application

* Indicates required field.

Loan Information

Applicant Information

Debts

References & Agreement

Membership is not required to apply, but is required at closing if loan is approved. Membership is open to persons that live or work in Marathon, Lincoln, Portage, Clark, Taylor, Wood, Waupaca, or Shawano counties, and is established by depositing and maintaining $5 in a savings account at BCU.

Download a Printable Loan Application
Loan Information
- Loan Type *
- Loan Amount *
- Application Type *
  
  Individual Credit - unmarried applicant Individual Credit - married applicant. If both you and your spouse are residents of Wisconsin, complete all applicant/joint applicant information. Joint Credit - with your spouse, complete all applicant/joint applicant information. Joint Credit - with another applicant or co-signer who is not your spouse. Online application not available, please contact a BCU lender at 715-359-7012.
Applicant Information
- First Name *
- Last Name *
- Date of Birth *
- Account Number
- Social Security Number *
- Driver's License Number *
- Driver's License State
- Driver's License Issue Date *
- Driver's License Expiration Date *
- Primary Phone *
- Phone Type *
  
  Home Cell
- Work Phone *
- Email *
- Preferred Contact Method *
- Address *
- Address
- City *
- State *
- Zip *
- Years at Address *
- Months at Address *
- Monthly Housing Payment
- Payment Type
  
  Mortgage Rent
- Taxes & Insurance Amount (If not included in Monthly Housing Payment)
- Previous Address
- Previous City
- Previous State
- Previous Zip
- Self Employed *
  
  Yes No
  Last 2 years' tax returns may be required
- Job Title
- Employer Name *
- Employer Address *
- Employer City *
- Employer State *
- Employer Zip
- Years at job *
- Months at job *
- Gross salary per pay period
- Pay frequency *
- Previous Job Title
- Previous Employer Name
- Previous Employer Address
- Previous Employer City
- Previous Employer State
- Previous Employer Zip
- Previous Years at job
- Previous Months at job
Other Income
- Other Income Source
- Please Specify
- Gross Per Pay Period Amount
- Pay frequency
Other Income #2

Other Income Source

Please Specify

Gross Per Pay Period Amount

Pay frequency
Other Income #3

Other Income Source

Please Specify

Gross Per Pay Period Amount

Pay frequency
Remove Income Add Income
Spouse Information
- Name *
- Social Security Number *
- Date of Birth *
- Address
- City
- State
- Zip
- Employer
- Income
- Pay frequency
Other Income

Other Income Source

Please Specify

Gross Per Pay Period Amount

Pay frequency

Other Income #2

Other Income Source

Please Specify

Gross Per Pay Period Amount

Pay frequency

Other Income #3

Other Income Source

Please Specify

Gross Per Pay Period Amount

Pay frequency

Remove Income Add Income
Joint Applicant Information
- First Name *
- Last Name *
- Date of Birth *
- Account Number
- Social Security Number *
- Driver's License Number
- Driver's License State
- Driver's License Issue Date *
- Driver's License Expiration Date *
- Primary Phone *
- Phone Type *
  
  Home Cell
- Work Phone *
- Preferred Contact Method *
- Email *
- Address *
- Address
- City *
- State *
- Zip *
- Years at Address
- Months at Address
- Taxes & Insurance Amount (If not included in Monthly Housing Payment)
- Is housing different from spouse?
  
  Yes No
- Monthly Housing Payment
- Payment Type
  
  Mortgage Rent
- Previous Address
- Previous State
- Previous Zip
- Self Employed *
  
  Yes No
  Last 2 years' tax returns may be required
- Job Title
- Employer Name *
- Employer Address *
- Employer City *
- Employer State *
- Employer Zip *
- Years at job
- Months at job
- Gross salary per pay period
- Pay frequency*
- Previous Job Title
- Previous Employer Name
- Previous Employer Address
- Previous Employer City
- Previous Employer State
- Previous Employer Zip
- Previous Years at job
- Previous Months at job
Other Income

Other Income Source

Please Specify

Gross Per Pay Period Amount

Pay frequency

Other Income #2

Other Income Source

Please Specify

Gross Per Pay Period Amount

Pay frequency

Other Income #3

Other Income Source

Please Specify

Gross Per Pay Period Amount

Pay frequency

Remove Income Add Income
Debts
- Creditor Name
- Liability Type
- Account Number
- Loan Balance
- Monthly Payment
Debt #2

Creditor Name

Liability Type

Account Number

Loan Balance

Monthly Payment
Debt #3

Creditor Name

Liability Type

Account Number

Loan Balance

Monthly Payment
Debt #4

Creditor Name

Liability Type

Account Number

Loan Balance

Monthly Payment
Debt #5

Creditor Name

Liability Type

Account Number

Loan Balance

Monthly Payment
Remove Debt Add Debt
- Relationship of Reference *
- Reference Name *
- Reference Address *
- Reference City *
- Reference State *
- Reference Zip *
- Reference Phone *
- Do you have any outstanding judgments? *
  
  Yes No
- Have you ever filed for bankruptcy or had a debt adjustment plan confirmed under Chapter 13?*
  
  Yes No
- Have you had property foreclosed upon or repossessed in the last 7 years?*
  
  Yes No
- Are you other than a U.S. Citizen or permanent resident alien? *
  
  Yes No
- Is your income likely to decline in the next two years? *
  
  Yes No
- Are you a co-maker, co-signer or guarantor on any loan not listed above? *
  
  Yes No
- What is the monthly payment *
- Are you liable for alimony, child support or maintenance programs? *
  
  Yes No
- What is the monthly payment *
NOTICE TO MARRIED APPLICANT: No provision of a marital property agreement, a unilateral statement under Wis. Stats. sec 766.59 or a court decree under Wis. Stats. sec 766.70 adversely affects the interests of the credit union unless prior to the time the credit is extended, the credit union is furnished with a copy of the agreement, statement or decree, or has actual knowledge of the adverse provision when the obligation to the credit union is incurred. This statement is submitted to obtain credit and does not constitute a contract for the extension of credit. I (We) certify that all information herein is true and complete. I (We) also authorize the credit union to verify or obtain any additional information the credit union may deem necessary concerning my (our) credit standing from the credit bureaus, collection agencies, and any other source for consideration for the loan applied for here or for any other service offered at this credit union or its affiliate. The credit union may release information about its credit experience with me (us). I (We) 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, as applicable under the provisions of Title 18, United States Code, section 1014. WISCONSIN RESIDENT MUST COMPLETE ONLY IF YOU HAVE A SPOUSE WHO IS NOT A CO-APPLICANT.

I certify that credit being applied for, if granted, will be incurred or obtained during marriage and will be in the best interest of the marriage or family. This statement is being made in accordance with Wis. Stat. Sec. 766.55(1). If this section applies, we are required by Wisconsin law to notify your spouse if your loan is granted.
- Primary Applicant Date *
- Joint Applicant Date *

ONLINE BANKING

Loan Application

Loan Information

Applicant Information

If less than 2 years at current address:

Employment Information

If employed for less than 2 years at your current job:

Other Income

Other Income #2

Other Income #3

Spouse Information

Other Income

Other Income #2

Other Income #3

Joint Applicant Information

If less than 2 years at current address:

Employment Information

If employed for less than 2 years at your current job:

Other Income

Other Income #2

Other Income #3

Debts

Debt #2

Debt #3

Debt #4

Debt #5

References & Agreement