Land O'Lakes Finance Loan Application

APPLICANT INFORMATION

Applicant's name in full:

Co-Applicant's name in full:

Will be doing business as:

Corporation

Partnership

Individual

Date:

Social Security Number or Tax ID Number (Applicant/Entity):

Social Security Number or Tax ID Number (Co-Applicant):

Address:

Phone Number:

City:

State:

Country:

Zip/Postal Code:

E-mail:

Summary of current farming operation:

Applicant's bank:

Loan Officer:

Bank Address:

Bank Phone Number:

LOAN AND PROJECT INFORMATION

Loan Request (Type):

Refinancing

New Construction

Operating

Agricultural Land

Loan Request (Dollar Amount):

Proposed Project Location:

LoanPurpose:

County:

State:

Location owned by:

Proposed Collateral:

Names and phone numbers of two credit references we may contact:

1.:

Contact Person:

Phone Number:

2.:

Contact Person:

Phone Number:

FINANCIAL INFORMATION

Balance Sheet Information

Current Assets:

Current Liabilities:

Long Term Assets:

Long Term Liabilities:

Net Worth:

A LAND O' LAKES REPRESENTATIVE WILL CONTACT YOU REGARDING YOUR APPLICATION. THE FOLLOWING INFORMATION MAY BE REQUESTED ON EACH LOAN APPLICATION

Operation information form
Three years income/expense statements and Federal tax returns
Legal entity documents, partnership agreements, Articles of Incorporation, Bylaws, etc.
Legal description for proposed collateral
Three years balance sheets
Current production records
Copies of all production and marketing contracts
Appraisal of proposed collateral, may submit later

ADDITIONAL INFORMATION FOR NEW/EXPANSION PROJECTS

Proposed Business Plan
Construction agreements, bids and contracts

I(we) understand this form is an Application to Finance only and that it is not an application for partnership or joint venture with Land O' Lakes, Inc./Land O' Lakes Finance Company. Land O' Lakes Finance Company will use the information in this application and the attached financial information as a basis for credit decisions. I(we) hereby warrant that all the information supplied is true and correct and that all assets and liabilities have been disclosed. Land O' Lakes Finance Company may make inquires regarding credit history, banking and business relationships, reference accounts, government agencies, vendors and suppliers.