Madison VA Employees' Credit Union
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To Apply for a loan with Madison VA Employees Credit Union, you must already be a member of the Credit Union. To be elligible for membership, you must either be an employee of the William S. Middleton VA Memorial Hospital, or a direct relative of a current member. If you have any questions, please call the Credit Union at 608-257-3274.

Below is a brief on-line LOAN APPLICATION for your convenience. Please complete and submit the information and we will contact you for more specific information where needed. Income information should be entered using your annual or hourly rate from your latest WAGE/LEAVE statement. Your spouse's income should also be from their recent payroll check copy. We will also need a copy of these statements when we finalize the request and have the loan signed. By submitting this information, you understand that we will use the information you have given us and information about you and your spouse (if applicable) and information currently in our files to obtain a credit report about you and your spouse (if applicable) to complete this application and that you agree to these terms and authorize us to do so. You and your spouse (if required) will need to sign an actual loan application prior to signing your loan documents. The non-applicant spouse will only be required to sign the loan application and loan documents when required to perfect a security interest in any collateral offered. If you are a married Wisconsin resident, you MUST include the information for your spouse even if your spouse is not going to be signing on the loan documents. Failure to include your spouse's information will require you to resubmit the application or could cause the application to be rejected. After you complete the form, you must activate the "SUBMIT" button to send your on-line loan application.

The fields marked with (*) are required fields.

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By checking the box you state that you have read and do understand the above statement. Without completing the acceptance, the application will not be submitted.
I agree:

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Your Name:
 * required

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Please check the loan purpose.
Signature Loan-Monthly Payment
Signature Loan-One Payment 6 months
KwikCash Credit Line
New Vehicle Loan
Used Vehicle Loan
Motorcycle Loan
Home Equity Line of Credit
Regular Home Equity Loan
Other

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Enter a brief specific purpose for the loan.

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Enter the Dollar amount of your loan request
 * required

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Employer and  department.
 * required

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Your Annual or Hourly Income(From latest WAGE/LEAVE Statement-We will need a copy to finalize the loan closing)
 * required

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Spouse's Name (If Married)Spousal information is required as Wisconsin is a marital property state. Not entering the spouses information may not allow us to approve the request due to debt ratio factors.
 * required

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Where does your spouse work? If unmarried-enter NA
 * required

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What is your spouse's Annual income or hourly rate? (We will need a copy of your spouse's recent pay statement to include the income for credit analysis.) If unmarried-enter NA
 * required

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Please enter the amount and source of any additional income you have.(We will need a copy of a recent pay-stub to include the income.) If none, please state "NONE".
 * required
   
Enter mortgage/rent payment:
   

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Please enter a telephone number or e-mail address where we can reach you easily.
   
 * required
 

Madison V.A. Employee’s Credit Union



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