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Loan Information

General Information

  • Legal Relationship *

Insurance Information

Credit References

  • Primary Lender

  • Fertilizer Dealer

  • Primary Seed Dealer

Capital Payment Information

  • Equipment Payments

  • Land Payments

  • Are you a comaker, cosigner or guarantor on any loans? *

    Applicant *
    Co-Applicant *
  • Are there any unsatisified judgments against you? *

    Applicant *
    Co-Applicant *
  • Have you declared bankruptcy in the last ten years? *

    Applicant *
    Co-Applicant *
  • Are you a defendant in any pending lawsuit(s)? *

    Applicant *
    Co-Applicant *
  • Does anyone else own an interest in the property listed? *

    Applicant *
    Co-Applicant *
  • Are any of your assets held in trust? *

    Applicant *
    Co-Applicant *
  • Have you ever applied for a loan or a lease with FSB? *

    Applicant *
    Co-Applicant *
  • Are any of your business or personal accounts past due? *

    Applicant *
    Co-Applicant *

Signatures: I certify that everything I have stated in this application and on any attachments is correct. Lender may keep this application whether or not it is approved. By typing my name below and submitting the form, I authorize Lender to check my personal and business credit and employment history and to answer any questions others may ask Lender about my credit record with Lender. I understand that I must update credit information, at Lender's request if my financial condition changes.