INDIVIDUAL CREDIT: Complete the applicant information below with information about your spouse in the co-application/spouse section only if you are married and a Wisconsin resident.
		JOINT CREDIT WITH SPOUSE: Complete the applicant and spouse sections and both applicant and spouse must sign below.
		JOINT CREDIT WITH who is not your spouse. Each of you must complete a separate application as if applying for separate credit and submit them together, including completing the co-applicant/spouse section below if you are married and a Wisconsin resident.

Borrower Name (First M. Last):
Date of Birth (mm/dd/yyyy):
Co-Borrower Name (First M. Last):
Date of Birth (mm/dd/yyyy):
Marital Status:		Married
		Unmarried
		Separated
Address:
City, State:		,
Zip-Plus4:		-
Borrower SSN:
Co-Borrower SSN:
Home Phone Number:		( ) -
Work Phone Number:		( ) -
Fax:		( ) -
Email: