Loan Information

• Application Type *
  Individual Credit (If married, please fill out spousal info.) Joint Credit with Spouse (We intend to apply for joint credit.) Joint Credit with another applicant other than spouse. (If either is married, please fill out spousal info below)
• Amount Requested *
• Purpose *
• If this is an auto loan, please include: Year, Make, Mileage, and VIN.

Applicant

• First Name *
• Middle Name *
• Last Name *
• Marital Status * If married, please complete spouse section
  Single Married
• Account Number
• Present Street Address *
• City *
• State *
  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
• Zip Code *
• Address Type *
  Own Rent
• Years at Address *
• Monthly Mortgage/Rent Amount
• Previous Address Street Address If less than 2 years at present address
• City
• State
  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
• Zip Code
• Address Type
  Own Rent
• Years at Address
• Social Security Number *
• Date of Birth *
• Email Address *
• Home Phone
• Work Phone
• Cell Phone *
• Best Time & Phone Number to Call *
• Name of Employer *
• Employer Street Address *
• City *
• State *
  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
• Zip Code *
• Years of Employment at Current Employer *
• Employment Income *
• Income Type *
  Hourly Weekly Bi-weekly Monthly Annually
• Income Amount Type
  Net Gross
• Other Income
• First Mortgage Lender
• Second Mortgage Lender
• How did you hear about AppleTree CU?
  Newspaper Internet Search Facebook Internet Ad Direct Mail Email Family or Friend Past Member Current Member

Spouse/Joint Applicant

• First Name
• Middle Name
• Last Name
• Marital Status If married, please complete spouse section
  Single Married
• Account Number
• Present Street Address
• City
• State
  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
• Zip Code
• Address Type
  Own Rent
• Years at Address
• Monthly Mortgage/Rent Amount
• Previous Address Street Address If less than 2 years at present address
• City
• State
  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
• Zip Code
• Address Type
  Own Rent
• Years at Address
• Social Security Number
• Date of Birth
• Email Address
• Home Phone
• Work Phone
• Cell Phone
• Best Time & Phone Number to Call
• Name of Employer
• Employer Street Address
• City
• State
  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
• Zip Code
• Years of Employment at Current Employer
• Employment Income
• Income Type
  Hourly Weekly Bi-weekly Monthly Annually
• Income Amount Type
  Net Gross

• Additional Comments
• Where would you like to close the loan? *
  West Allis Waukesha

By completing this application, I/we certify that this information has been supplied truthfully, accurately, and voluntarily, and therefore authorize AppleTree Credit Union to investigate our creditworthiness, credit history, and financial responsibility through any credit bureau, or by any other reasonable means. The credit union may release information about its credit experience with me/us. If this application is for the purpose of encumbering real property, I/we agree to pay all allowable expenses incurred in processing this application whether or not the loan is approved. This application does not constitute a contract for the extension of credit. 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.

As required by the USA PATRIOT Act, AppleTree Credit Union will verify, to a reasonable extent, the identity of any person seeking to open an account or loan with AppleTree Credit Union. It is the credit union's policy to deny service to any person for which his/her identity cannot be proved and documented.

• Individual Applicant's Initials
• Joint Applicant's Initials (If this is Individual, type Individual)