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The Ho-Chunk Nation Per Capita Advance Application is a critical document for members of the Ho-Chunk Nation seeking financial advances against their quarterly Per Capita distributions. The form is straightforward and requires applicants to provide personal details such as their name, enrollment address, state, zip code, day time phone number, date of birth, the amount requested (up to a maximum of $1,000), and the last four digits of their Social Security number. Preferences for the method of contact and a specific box for elders to check highlight the application's inclusiveness and attention to detail. It also stipulates that disbursements will be made in the same way the tribal member receives their regular Per Capita distributions, either by manual check or direct deposit, underscoring the importance of consistency in financial transactions. Importantly, the form clarifies that submission of the application does not alter the member's address with the Enrollment Office nor fulfills the requirement for annual address verification for receiving quarterly distributions, emphasizing the member's responsibility in maintaining up-to-date records. Additionally, the application contains a waiver granting the Ho-Chunk Nation permission to verify the information provided, with a stern reminder of the consequences of submitting false information. Applicants are prompted to sign the document, signifying they understand and agree to the terms of the Tribal Advance Policy. For added security and formalization, a Per Capita Pledge Agreement section is included, requiring notarization, in which the member pledges future Per-Capita Distributions as collateral in case of delinquency, illustrating the seriousness and legal binding of the agreement.

Ho Chunk Per Cap Loan Example

HO-CHUNK NATION

PER CAPITA ADVANCE APPLICATION

PLEASE PRINT CLEARLY **ELDERS PLEASE CHECK THIS BOX

APPLICANTS NAME

CURRENT ENROLLMENT ADDRESS

CITY

STATE

ZIP

HO-CHUNK ENROLLMENT NUMBER (Last 4 Digits)

(Area Code) DAY TIME PHONE NUMBER

DATE of BIRTH

$

 

 

 

 

 

AMOUNT REQUESTING (MAXIMUM $1,000)

SOCIAL SECURITY NUMBER (Last 4 digits)

 

 

 

EMAIL ADDRESS

PREFERRED CONTACT METHOD (PHONE or E-Mail)

PLEASE NOTE: All Per Capita Advances will be disbursed in the same manner that the Tribal member receives their quarterly Per Capita distribution (i.e., manual check or direct deposit).

***Pursuant to Section 7 of the Ho-Chunk Nation amended and restated PER CAPITA DISTRIBUTION ORDINANCE, this application DOES NOT change your Address with Enrollment nor does it satisfy your Annual Address Verification with Enrollment for your quarterly Per Capita disbursements. Members shall be responsible for providing address changes to the Enrollment Office as they occur.

HO-CHUNK NATION WAIVER

The undersigned hereby gives the Ho-Chunk Nation permission to verify the information on this application. Upon signing, I certify that I have read and understand the terms of the Tribal Advance Policy. I understand that any false information or dishonesty may result in ineligibility to receive a Tribal Advance now and in the future.

SIGNATURE OF MEMBER

 

DATE

 

 

 

 

***Applications can be faxed to (715)284-7887, mailed to the address listed below, dropped off at the HCN Department of Treasury or e-mailed to: TOB.Loans@Ho-Chunk.com

*********************************** For Office Use Only ***********************************

Date Received in Treasury:

P O Box 640 Black River Falls WI 54615(715) 284-1778 ~ Fax (715) 284-7887

Per Capita Advance Policy & Application

Page 5 of 6

HO-CHUNK NATION

PER CAPITA PLEDGE

AGREEMENT

I,

 

upon receipt of an advance from the Ho-

 

(Please print First, MI, Last Name)

Chunk Nation, do hereby pledge as collateral any and all future Per-Capita Distributions should

this advance or any prior tribal advances become delinquent. I understand that by signing this Agreement I am giving permission to the Ho-Chunk Nation to withhold any and all amounts due to them. Any amount of the Per-Capita Distribution, which exceeds the balance, will be returned to

me.

 

 

Signed this

_ day of

,

MEMBER SIGNATURE

State of: ________________________________________ County of: ________________________________________

Signed or attested before me on this _______ day of _____________________, 20 _____.

NOTARIZED BY

COMMISSION EXPIRATION

Per Capita Advance Policy & Application

Page 6 of 6

Document Specifics

Fact Detail
1. Form Purpose Application for Ho-Chunk Nation per capita advance.
2. Maximum Request Amount $1,000
3. Special Note for Elders A checkbox is provided specifically for elders.
4. Disbursement Method Advances are disbursed the same way the Tribal member receives their quarterly Per Capita distribution.
5. Address Verification Clause Filling the application does not change the address with Enrollment nor does it fulfill the Annual Address Verification requirement.
6. Verification and Declaration Applicants must allow the Ho-Chunk Nation to verify the information and declare understanding of the Tribal Advance Policy.
7. Collateral Agreement Future Per-Capita Distributions are pledged as collateral for the advance.

Guide to Writing Ho Chunk Per Cap Loan

Filling out the Ho-Chunk Nation Per Capita Advance Application is a vital step for members seeking an advance on their per capita distributions. This straightforward process allows members to request up to a $1,000 advance, subject to approval and conditions outlined by the Ho-Chunk Nation. It's crucial for applicants to provide accurate and comprehensive information to facilitate a smooth verification and approval process. After completing the application, it undergoes a review process to ensure all criteria are met before the advance is disbursed in the method the member receives their quarterly distributions.

  1. Print the application form clearly to prevent any misunderstandings or processing delays.
  2. If you are an elder, ensure to check the designated box at the top of the application form to indicate your status.
  3. Enter your full name as it appears in your official documents in the "APPLICANT'S NAME" field.
  4. Provide your current enrollment address, including the city, state, and zip code in the respective fields.
  5. Fill in the last four digits of your Ho-Chunk Enrollment Number.
  6. Include your day-time phone number, complete with the area code, to facilitate easy contact.
  7. Specify your date of birth accurately.
  8. Indicate the amount you are requesting in the "$ AMOUNT REQUESTING" field, ensuring it does not exceed the $1,000 maximum.
  9. Enter the last four digits of your Social Security Number.
  10. Provide your email address for communication purposes.
  11. Select your preferred contact method by circling either PHONE or E-Mail.
  12. Read the waiver section carefully, understanding that by signing, you permit the Ho-Chunk Nation to verify the details of your application.
  13. Sign the form to certify that you have read, understood, and agreed to the terms of the Tribal Advance Policy. An unsigned form will not be processed.
  14. Include the current date next to your signature.
  15. For the Per Capita Pledge Agreement, print your full name clearly as instructed.
  16. Sign and date the Pledge Agreement in the presence of a notary to make your commitment official. The notary will then fill in the state and county, sign, and denote their commission expiration.
  17. After completing the form, choose your submission method: fax it to (715)284-7887, mail it to the listed address, drop it off at the HCN Department of Treasury, or email it to TOB.Loans@Ho-Chunk.com.

By carefully following these steps, you will have successfully submitted your application for a Per Capita Advance. It is now in the hands of the Ho-Chunk Nation's administrators to review and process your request. Ensure to keep a copy of your submitted form and any correspondence for your records. Timely submission and accurate completion of your application expedite the review process, bringing you a step closer to receiving your advance.

Understanding Ho Chunk Per Cap Loan

  1. What is the Ho-Chunk Nation Per Capita Advance Application?

    This application form is used by enrolled members of the Ho-Chunk Nation to request an advance on their future per capita distributions. A per capita distribution is a payment made to members of the tribe from the revenue generated by the tribe’s enterprises. The application allows members to request up to a maximum of $1,000. This form not only facilitates the advance request but also outlines the terms and conditions involved in the advance process.

  2. Who is eligible to use this form?

    To be eligible, applicants must be enrolled members of the Ho-Chunk Nation. They must provide their enrollment number, current contact information, and agree to the terms of the Tribal Advance Policy by signing the application. Additionally, special consideration is noted for elders, indicating a possibly streamlined or prioritized process for those individuals.

  3. How are the advance funds disbursed?

    Advance funds are disbursed in the same manner that the tribal member receives their quarterly Per Capita distribution. This means if a member typically receives their distribution through a manual check or direct deposit, the advance will be processed the same way. This ensures a seamless transfer of funds based on the member’s established preferences.

  4. Does filling out this application change my address with the Enrollment Office or count as my Annual Address Verification?

    No, completing this application does not update your address with the Enrollment Office nor does it fulfill the requirement for Annual Address Verification for quarterly Per Capita disbursements. Tribal members must separately inform the Enrollment Office of any address changes to ensure accurate and timely distribution of both regular and advance per capita payments.

  5. Where can I submit the completed application?

    Completed applications can be submitted in several ways for convenience. They can be faxed, mailed, dropped off at the HCN Department of Treasury, or emailed to the specified address and email given on the form. This variety of submission methods ensures that members can choose the method that is most accessible and convenient for them.

  6. What is the Per Capita Pledge Agreement?

    This agreement is a part of the application process where the member pledges future Per Capita distributions as collateral for the advance. By signing this agreement, members give the Ho-Chunk Nation permission to withhold any parts of future distributions necessary to cover the amount of the advance, including any amounts from past advances that have become delinquent. This ensures that the nation can recover the advanced funds in case of non-payment.

  7. Are there any penalties for providing false information on the application?

    Yes, the form explicitly states that providing false information or dishonesty on the application may result in the applicant’s ineligibility to receive a tribal advance both now and in the future. This clause emphasizes the importance of accuracy and honesty in the application process, highlighting the tribe’s efforts to maintain a fair and transparent system for distributing advances.

Common mistakes

    When filling out the Ho Chunk Per Cap Loan form, here are seven common mistakes to avoid:

  1. Failing to print legibly can lead to misunderstandings or processing delays. Each field requires clear, easy-to-read handwriting to ensure accurate recording and verification of information.
  2. Not checking the box for elders, if applicable, can result in not receiving the appropriate considerations or benefits designed for elder members of the community.
  3. Entering incorrect information for the current enrollment address, city, state, and zip can cause significant delays. This information is critical for accurate and timely processing.
  4. Omitting or inaccurately providing the Ho-Chunk enrollment number—even just the last four digits—can halt the application process. This number is key for identifying the applicant within the community.
  5. Requesting an amount over the $1,000 maximum limit disregards the stipulated guidelines and may lead to the application being rejected or returned for correction.
  6. Forgetting to indicate the preferred contact method (phone or e-mail) might slow down communication regarding the application status or any issues that need resolution.
  7. Signing the waiver without thorough understanding or acknowledgment of the terms in the Tribal Advance Policy can lead to future disputes or misunderstandings. It's crucial to read and comprehend all the conditions before signing.

Documents used along the form

When applying for a Ho-Chunk Nation Per Capita Loan, it's not just about completing the application form. There are several other documents and forms that applicants might need to complete or provide to ensure a smooth process. These documents help verify the applicant's identity, ensure compliance with tribal policies, and secure the loan properly.

  • Proof of Enrollment in the Ho-Chunk Nation: A document confirming the applicant's enrollment with the Ho-Chunk Nation. This could be a tribal identification card or an official letter from the Enrollment Office. It's crucial for verifying the applicant's eligibility for the Per Capita Loan.
  • Annual Address Verification Form: While the Per Capita Loan application does not change the applicant's address with the Enrollment Office nor satisfies the annual address verification requirement for per capita disbursements, a current address verification form might be required to ensure the loan disbursements reach the correct individual.
  • Bank Statements or Direct Deposit Confirmation: Since the disbursement of Per Capita Advances is made in the same manner as the quarterly Per Capita distribution (manual check or direct deposit), providing recent bank statements or direct deposit confirmation can expedite the verification process.
  • Income Verification Documents: Depending on the specific requirements by the Ho-Chunk Nation's financial services, applicants might need to provide proof of income. This could include recent pay stubs, tax returns, or other formal documents that show the applicant's ability to repay the advance.
  • Tribal Advance Policy Acknowledgment Form: A document where the applicant acknowledges they have read, understood and agreed to the tribal advance policies. This form is essential for ensuring that all parties are aware of the terms and conditions associated with the Per Capita Loan.
  • Letter of Intent to Repay: While not always mandatory, a written statement or letter indicating the borrower's intention to repay the loan might be requested. It emphasizes the applicant's commitment to fulfilling their repayment obligations.

Collecting and submitting these documents alongside the Ho Chunk Per Capita Loan form can streamline the application process. It ensures that all aspects of the applicant's financial and tribal status are accurately represented and verified, leading to a quicker and more efficient loan approval process. Moreover, understanding and adhering to the requirements laid out by the Ho-Chunk Nation's financial services minimizes delays and increases the likelihood of a favorable outcome for the applicant.

Similar forms

The Ho-Chunk Per Cap Loan form shares similarities with a personal loan application typically encountered in financial institutions. Like the Ho-Chunk document, personal loan applications require applicants to provide personal details, financial information, and the loan amount they are requesting. Both forms also include a section where the borrower agrees to the terms of the loan, which often calls for verification of the information provided, similar to the permission granted to the Ho-Chunk Nation to verify application details. The primary distinction lies in the collateral; traditional loans may require physical assets, whereas the Ho-Chunk form pledges future per capita distributions as collateral.

Another document bearing resemblance to the Ho-Chunk Per Cap Loan form is the Employment Verification Form used by employers to confirm an employee's status and salary. This form requires employees to authorize the release of their employment information, akin to the waiver section in the Ho-Chunk document where applicants allow verification of their information. Both forms serve a protective function: the former for third-party entities needing employment verification and the latter for the Ho-Chunk Nation to ensure the accuracy of the application data.

The Student Financial Aid Application is also similar to the Ho-Chunk form in that it requests detailed personal and financial information from the applicant to process a request for financial assistance. Much like the per capita advance application, the financial aid form sometimes necessitates permission to authenticate provided information and to access records that support the applicant's financial need. The aim is to establish eligibility for aid, paralleling the Ho-Chunk form's goal of validating eligibility for an advance.

A Mortgage Application form mirrors the Ho-Chunk Per Cap Loan form in structure and intent. Applicants must disclose personal information, financial status, and details about the property. Similar to the pledge agreement in the Ho-Chunk document, mortgage applications also include a section where the applicant must agree to terms, including allowing the lender to verify the provided information. However, a mortgage application secures a loan against real property, while the Ho-Chunk form uses future distributions as collateral.

The Rental Application form is another document that aligns with the Ho-Chunk Per Cap Loan form. It collects applicant information to assess eligibility for tenancy, much like the Ho-Chunk form's collection of information to assess eligibility for a loan. Also, both forms typically require consent to perform background checks, which in the case of the rental application includes credit and rental history, paralleling the Ho-Chunk Nation's permission to verify application details.

The Credit Card Application process shares similarities with the Ho-Chunk advance application as well. Applicants must provide personal and financial information and consent to a credit check, echoing the Ho-Chunk form's requirement for application verification. Additionally, both processes involve an agreement to certain terms and conditions related to financial transactions. While the credit card application might lead to an open line of credit, the Ho-Chunk application specifically requests an advance against future distributions.

Lastly, the Social Security Benefits Application can be likened to the Ho-Chunk Per Cap Loan form. This form requires detailed personal information, and applicants must similarly authorize the Social Security Administration to verify pertinent data, ensuring the information's accuracy and authenticity. Both forms are integral to obtaining financial benefits, with the Social Security application focusing on federal assistance and the Ho-Chunk form on tribal advances against per capita distributions.

Dos and Don'ts

When filling out the Ho-Chunk Per Cap Loan form, it is essential to approach the task with attention to detail and an understanding of the procedure. Below are nine dos and don'ts to help guide you through the process:

  • Do print clearly to ensure all information is legible, which will prevent any unnecessary delays in the processing of your application.
  • Do not leave any required fields blank. Incomplete applications may be rejected or returned, causing delays in receiving your advance.
  • Do check the box if you are an elder, as this may influence the processing of your application.
  • Do not forget to include the last four digits of your Social Security number and your Ho-Chunk enrollment number, as these are crucial for verifying your identity and membership.
  • Do specify your preferred contact method by clearly indicating whether you wish to be contacted by phone or email. This helps ensure that any communications regarding your application reach you.
  • Do not attempt to use this form to update your address with the Enrollment Office or as your Annual Address Verification. The form explicitly states it does not serve these purposes.
  • Do sign the waiver and understand the commitment you're making. Your signature attests that you understand the terms of the Tribal Advance Policy and agree to them.
  • Do not provide false information or withhold details. Dishonesty can disqualify you from current and future advances.
  • Do consider the submission options carefully and choose the one that is most convenient for you, whether it's by fax, mail, email, or dropping it off in person at the designated address.

By following these guidelines, you can complete the Ho-Chunk Per Cap Loan form accurately and efficiently, improving your chances of a swift and favorable review of your application.

Misconceptions

There are several misconceptions regarding the Ho-Chunk Nation Per Capita Advance Application that need to be clarified to ensure tribal members are fully informed about the process and its implications. Addressing these misconceptions can help streamline the application process and set appropriate expectations for applicants.

  • Misconception 1: The application changes your address with the Enrollment Office.

    It's a common misunderstanding that filling out a Per Capita Advance Application will update your address with the Enrollment Office. However, this application explicitly states that completing it does not satisfy the requirement for Annual Address Verification or change your address with the Enrollment Office. Members remain responsible for notifying the Enrollment Office of any address changes.

  • Misconception 2: You can request any amount of advance.

    Some applicants believe they can request any amount of money as an advance. The form clearly outlines that there is a maximum amount of $1,000 that can be requested. This cap is set to ensure the fair distribution of advances among tribal members and manage the financial resources of the Ho-Chunk Nation responsibly.

  • Misconception 3: The preferred contact method is only a formality.

    Applicants might think that marking a preferred contact method on the application form is not significant. In truth, the preferred contact method, whether phone or email, is crucial for efficient communication regarding the application. It informs the Department of Treasury about the best way to reach applicants for any questions or updates about their loan status.

  • Misconception 4: The advance does not require repayment.

    There is a misunderstanding that the advance operates more like a grant, which does not require repayment. However, by signing the Per Capita Pledge Agreement, recipients agree that any and all future Per Capita Distributions can be withheld as collateral if the advance becomes delinquent. This means the advance does effectively require repayment through future distributions.

  • Misconception 5: The waiver section is just a formal requirement.

    Lastly, applicants might underestimate the importance of the waiver that grants the Ho-Chunk Nation permission to verify the information provided on the application. This is not a mere formality but a crucial step that allows the Nation to ensure the integrity of the advance process. By signing, members acknowledge they understand the Tribal Advance Policy and agree to its terms, including the potential consequences of providing false information.

Clarifying these misconceptions can help ensure a smoother process for both applicants and the Ho-Chunk Nation, fostering a better understanding of the Per Capita Advance Application's requirements and implications.

Key takeaways

  • Applicants must print clearly on the Ho-Chunk Nation Per Capita Advance Application to ensure that all the information provided is legible and accurate.
  • Elders filling out the application have a specific box to check, highlighting considerations that may be unique to their demographic group.
  • The form requires personal and contact information, including the applicant's name, current enrollment address, Ho-Chunk enrollment number, day time phone number, date of birth, the amount requested (up to a maximum of $1,000), social security number (last 4 digits), and email address. Additionally, applicants must select their preferred method of contact, either phone or email.
  • Disbursement of Per Capita Advances will be facilitated in the same manner as the applicant's regular quarterly Per Capita distributions, either via manual check or direct deposit, emphasizing the need for consistency in the disbursement process.
  • It is important to note that filling out this application does not update the applicant's address with the Enrollment Office nor does it fulfill the requirement for Annual Address Verification necessary for receiving quarterly distributions. Applicants are responsible for reporting any address changes to the Enrollment Office promptly.
  • By signing the Ho-Chunk Nation Waiver within the application, the applicant grants permission for their information to be verified and certifies their understanding and agreement with the terms of the Tribal Advance Policy. This includes acknowledging that providing false information may lead to ineligibility for future advances.
  • The application process includes the possibility of faxing, mailing, dropping off, or emailing the completed form, offering multiple convenience options for applicants.
  • In addition to the application, there is a Per Capita Pledge Agreement section where the applicant pledges future Per Capita Distributions as collateral should the advance become delinquent, indicating the seriousness of the commitment and the potential consequences of failing to repay the advance.
  • The pledge agreement must be signed and notarized, highlighting the legal acknowledgment and validation of the agreement between the applicant and the Ho-Chunk Nation.
  • Strict attention should be paid to the completion and submission of the application and pledge agreement due to their legal and financial implications, underscoring the importance of accuracy, honesty, and understanding of all conditions stipulated.
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