Loan Application | Brokaw Credit Union
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Loan Application

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Loan Information
Applicant Information
Debts
References & Agreement

  • Membership is required for loan eligibility. Membership is open to persons that live or work in the counties listed: Marathon, Lincoln, Portage, Clark, Waupaca, and Shawano.

    Download a Printable Loan Application

    Loan Information

    • Application Type *

  • Applicant Information

    • Phone Type *
    • Payment Type

      • If less than 2 years at current address:

      • Employment Information

    • Self Employed *

      Last 2 years' tax returns may be required

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

    Other Income

    Other Income #2

    Other Income #3

    Remove Income Add Income

    Spouse Information

    Other Income

    Other Income #2

    Other Income #3

    Remove Income Add Income

    Joint Applicant Information

    • Phone Type *
    • Is housing different from spouse?
    • Payment Type

      • If less than 2 years at current address:

      • Employment Information

    • Self Employed *
      Last 2 years' tax returns may be required

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

    Other Income

    Other Income #2

    Other Income #3

    Remove Income Add Income

  • Debts

    Debt #2

    Debt #3

    Debt #4

    Debt #5

    Remove Debt Add Debt

    • References & Agreement

    • Do you have any outstanding judgments? *
    • Have you ever filed for bankruptcy or had a debt adjustment plan confirmed under Chapter 13?*
    • Have you had property foreclosed upon or repossessed in the last 7 years?*
    • Are you other than a U.S. Citizen or permanent resident alien? *
    • Is your income likely to decline in the next two years? *
    • Are you a co-maker, co-signer or guarantor on any loan not listed above? *
    • Are you liable for alimony, child support or maintenance programs? *

    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.