You may apply for individual or joint credit, but check only one of the following boxes.
Complete only the left hand columns on both sides of this form and other sections as they apply.
If both you and your spouse are residents of Wisconsin, complete both the left and right hand columns. If either you or your spouse are not Wisconsin residents, complete only the left hand column.
Complete the left and right hand columns on both sides of this form and other sections as they apply.
Each of you must complete a separate application. If both you and your spouse are Wisconsin residents include information about your spouse in the right hand column.
I/We Hereby apply for: