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 payment protection to you. A separate member agreement which discloses the terms and conditions of the protection must be signed in order for the protection to become effective.