Agriculture Loan Application

Name of Business (if applicable)
Federal Tax ID


Primary Applicant

Last Name
First Name
Middle Initial
Date of Birth
Social Security Number
Home Phone Number
Cell Phone Number
Home Street Address
City, State, Zip
Mailing Address (if different)
City, State, Zip
E-mail Address
Other sources of income outside of your farming operation (please list and provide income figure)


Secondary Applicant (if applicable)

Last Name
First Name
Middle Initial
Date of Birth
Social Security Number
Home Phone Number
Cell Phone Number
Home Street Address
City, State, Zip
Mailing Address (if different)
City, State, Zip
E-mail Address
Other sources of income outside of your farming operation (please list and provide income figure)


Loan Request and Additional Financial Information

Credit Request Loan Amount Purpose of Loan
Term Loan
Real Estate
Line of Credit
Other


Your Operation Details        
How long have you farmed?            
                   
Livestock  Yes   No If yes, # head   Crops  Yes   No If Yes, # of Rented Acres If Yes, # of Owned Acres
Cows   Corn
Market Cattle   Soybeans
Swine   Alfalfa/Hay
Other:   Wheat
      Other:


Financial Information

Gross Annual Income
Total Assets
Total Liabilities
Net Annual Income
Total Equity


Have (either of) you or any firm in which you were a major owner ever declared bankruptcy? Yes No
Are (either of) you or your business a party to a claim or lawsuit? Yes No
Are (either of) you or your business an endorser, guarantor, or co-maker on any other debt? Yes No


By signing below, the signer(s) certify that the information provided is correct to the best of their knowledge. The signer(s) authorizes Arbor Bank ("Bank") to obtain consumer and/or business reports in their names as individuals at any time and to verify all portions of this application with appropriate resources. The Bank is also authorized to provide credit information about the signer(s) to other creditors and credit reporting agencies. The signer(s) also agree to provide any further information the bank may require to process this application including financial statements and tax returns.



I am applying for individual credit in my own name and I am relying on my own income and assets and not the income or assets of another person.
I am applying for individual credit and I am relying on my income or assets, as well as income or assets from other sources.
We are applying for joint credit.


    Signature of Primary Applicant
X
Date
    Signature of Secondary Applicant
X
Date