Required Fields are Highlighted in Red.
FOR MARRIED WISCONSIN RESIDENTS APPLYING FOR INDIVIDUAL CREDIT: By submitting this application, I agree and
understand that the loan being applied for, if granted, will be incurred in the interest of my marriage or family. I understand
the lender may be required by law to give notice of this transaction to my spouse. This statement is made in accordance with
Wis. Statute Section 766.55(1).
The credit union will disclose the cost of this voluntary insurance to you. A separate insurance election which discloses the terms and conditions of the credit insurance must be signed in order for the coverage to become effective.