Loan Application


Click Here to print loan Application

Please complete the application to the best of your ability. We may contact you for more information so please list the best way to reach you. If any other details are necessary to process this application please enter that information in the "Comments" box. If you have any questions about this process or want to know your application status, please call (920)233-1140.

Along with the application, we will need a months worth of paystubs for anyone that is going to be on the loan. You can email them to loans@healthcarecu.org or fax them to (920)-426-1151.

Applicant Information
Full Name *
Full Name
Martial Status *
Address *
Address
Contact Information
Co-Applicant Information
Name
Name
Financial Information
Other Information
Please note: Income verification and other information may be required.
*
Are you or anyone in your household in the Military? *
(If Applying for Mortgage) Property Information

Income from alimony/child or spousal support payments need not be revealed unless you want the credit union to consider them as a basis for repayment of debt.

Notice to Wisconsin Residents:

No provision of a marital property agreement, a unilateral statement under Wis. Stat. SEc. 766.59 or a court decree under Wis. Stat. 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.