Energy Efficiency Loan Program Borrower Authorization

Please read, then agree to these provisions by clicking CONTINUE at the bottom of the page.

Borrower Certifications

The undersigned Borrower(s) hereby certify the following:

A. I am applying for a loan for energy efficiency products, services or renovations as part of the Energy Efficiency Loan Program through Summit Credit Union.

B. As part of the application process for the loan, I will complete a loan application containing information regarding the purpose of the loan, the amount and source of any down payment, my employment record, information regarding my assets and liabilities and tax information.

C. I certify that all the information I will provide to Summit Credit Union is accurate and complete and that I will not made any misrepresentations in the information provided with the loan application. I further understand that it is a Federal crime to knowingly make any false statements when applying for this loan under Title 18, Section 1014 of the United States Code.

D. I acknowledge and agree that Summit Credit Union may use the information I provide to verify the information provided with the loan application.

E. I acknowledge that the Energy Efficiency Loan Program is supported in part by a federal grant program administered by the Wisconsin Energy Conservation Corporation ("WECC") in partnership with Summit Credit Union. I further acknowledge and agree that Summit Credit Union may share the information I provide to program partners including but not limited to: the WECC, the City of Madison, the City of Milwaukee, the United States Department of Energy and other program consultants and contractors.

Borrower Authorization to Release Information

A. I hereby authorize Summit Credit Union to verify information contained in my loan application and other documents I provide in connection with the loan prior to closing, and as part of any quality control program.

B. I hereby authorize any entity contracted by Summit Credit Union in connection with my loan to provide any and all information and documentation that Summit Credit Union requests. Such information may include, but is not limited to: credit histories, employment history, income history, bank and investment account balances, and income tax returns.

C. I hereby authorize Summit Credit Union to provide any of my information collected by Summit Credit Union to other Energy Efficiency Loan Program partners to verify my eligibility and maintain program-reporting requirements.

D. I hereby authorize Summit Credit Union to present an electronic or paper copy of this Borrower Authorization for the purposes of obtaining or providing my information as in the manner described above.

By submitting the online application to Summit Credit Union, any Co-borrowers and I hereby certify that we have read and agree to the provisions of the Energy Efficiency Loan Program Borrower's Authorization stated above.

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to the online application. (Use the Personal Loan option for energy efficiency loans.)

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and return to the previous page.