Agdirect Application Form PDF Details

Agdirect is an agricultural cooperative that provides products and services to its members. If you are interested in becoming a member, you can apply online using the Agdirect application form. The form asks for your contact information, as well as information about your farm or business. Once you have submitted the form, a representative from Agdirect will contact you to discuss membership.

QuestionAnswer
Form NameAgdirect Application Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesag direct finance interst, form 8437, agdirect form, ag direct app

Form Preview Example

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FORM 8437 (9-2013)

 

 

Financing Application (choose one):

Purchase

Lease

Refinance

 

 

Fax Application to:

(402) 661-3399

www.agdirect.com

 

 

 

 

Processing Center: (888) 525-9805

 

 

 

 

 

 

 

 

Please indicate your application intentions by checking the appropriate box:

 

 

 

Individual Credit

 

 

Joint Credit

 

 

 

 

*Dealer Name:

 

 

City/State:

 

 

 

 

 

 

Salesperson/Contact

 

 

*Entity Applicant (If no Entity involved proceed to Individual Applicant #1 Box)

Entity Structure

 

 

Limited Liability Company

 

 

Corporation

 

General Partnership

 

LLP

 

 

Trust

 

 

Other:_________

ID Number (TIN):

 

 

 

 

Headquarter State/County: ____________________

 

 

 

 

 

 

 

Entity Name:

___________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signer First Name:

__________________

 

Middle: ___________

Last:

______________________

 

 

Title:

_____________

Address:

 

 

 

 

 

City:

 

 

 

 

 

 

 

State:

 

 

 

 

 

Zip Code:

_____________

County:

 

 

 

Home Ph:

 

 

 

 

 

 

 

 

 

 

 

Business Ph:

 

 

 

 

Year Began Farming:

_______

Primary Ag Product: ______________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Is applicant a U.S. Citizen, foreign national with E2 Visa, or U.S. formed legal entity?

Yes

No

 

 

 

 

 

 

 

Eligibility of Applicant (choose one):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Farmer/Rancher

 

 

 

 

 

 

Farm Related Service Business

 

 

 

 

 

 

Other

 

 

 

What is the range of Gross Farm Income?

 

 

 

 

Does at least 50% of the business income originate from

Is Applicant associated with Ag in some capacity?

$1 – $10,000

 

 

 

 

 

 

 

 

 

 

 

 

farm service?

 

 

 

 

 

 

 

 

 

 

Yes

No

 

$10,001 – $25,000

$25,001 – $50,000

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$50,001 – $100,000

$100,001 – $250,000

 

 

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$250,001 – $500,000

$500,001 – 1,000,000

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

> $1,000,000

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

What is the range of Net Non-Farm Income?

 

 

Does asset being financed support the farm service

 

 

 

 

 

 

 

$1 – $10,000

 

 

 

 

 

 

income?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$10,001 – $25,000

$25,001 – $50,000

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$50,001 – $100,000

$100,001 – $250,000

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$250,001 – $500,000

$500,001 –$1,000,000

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

> $1,000,000

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Individual Applicant #1

ID Number (SSN): __________________ **Applicant’s first, middle & last name MUST match the name shown on his/her current driver’s license**

First: __________________

Middle:

______

Last: __________________________

 

 

Address:

________________________________

City:

______________________________ State:

_____

Zip Code:

_______

County:

____________________

Home Ph:

_____________________

Cell Ph:

_____________________

 

Date of Birth: _________________

 

Year Began Farming: _______

Primary Ag Product:

_______________

 

Is applicant a U.S. Citizen, foreign national with E2 Visa, or U.S. formed legal entity?

Yes

No

 

 

 

Eligibility of Applicant (choose one):

Farmer/Rancher

What is the range of Gross Farm Income?

$1 – $10,000

 

 

$10,001 – $25,000

$25,001 – $50,000

$50,001 – $100,000

$100,001

– $250,000

$250,001 – $500,000

$500,001

– $1,000,000

> $1,000,000

 

 

What is the range of Net Non-Farm Income?

$1 – $10,000

 

$10,001 – $25,000

$25,001 – $50,000

$50,001 – $100,000

$100,001 – $250,000

$250,001 – $500,000

$500,001 – $1,000,000

> $1,000,000

 

Farm Related Service Business

Does at least 50% of the business income originate from farm service?

Yes No

Does asset being financed support the farm service income?

Yes No

Other

Is Applicant associated with Ag in some capacity?

Yes No

*Individual Applicant #2

ID Number (SSN): __________________ **Applicant’s first, middle & last name MUST match the name shown on his/her current driver’s license**

First: __________________

Middle:

______

Last:

__________________________

 

 

Address:

 

________________________________

City:

 

______________________________

State:

_____

Zip Code:

_______

County:

____________________

Home Ph:

 

_____________________

Cell Ph:

_____________________

 

Date of Birth: _________________

 

Year Began Farming: _______

Primary Ag Product:

_______________

 

Is applicant a U.S. Citizen, foreign national with E2 Visa, or U.S. formed legal entity?

Yes

No

 

 

 

 

Eligibility of Applicant (choose one):

 

 

 

 

 

 

 

 

 

 

 

Farmer/Rancher

 

Farm Related Service Business

 

 

Other

 

 

 

What is the range of Gross Farm Income?

 

 

 

 

 

 

Does at least 50% of the business income originate from

Is Applicant associated with Ag in some capacity?

 

$1 – $10,000

 

 

 

$10,001 – $25,000

$25,001 – $50,000

farm service?

 

 

 

 

Yes No

 

 

 

$50,001 – $100,000

$100,001 – $250,000

 

Yes

No

 

 

 

 

 

 

 

 

$250,001 – $500,000

$500,001 – 1,000,000

 

 

 

 

 

 

 

 

 

> $1,000,000

 

 

 

 

 

 

 

 

 

 

 

 

 

What is the range of Net Non-Farm Income?

$1 – $10,000

 

 

Does asset being financed support the farm service

$10,001 – $25,000

$25,001 – $50,000

income?

 

 

$50,001 – $100,000

$100,001

– $250,000

 

 

$250,001 – $500,000

$500,001

–$1,000,000

 

 

Yes

 

No

> $1,000,000

 

 

 

 

 

1

FORM 8437 (9-2013)

*Asset Description

Machinery/Equipment

Irrigation

Titled Equipment

Year

Equipment/Make

Type

Model

Serial #

$ Price

*Enter address of where equipment will be located.

Legal Description (Only required for Pivot Irrigation)

Qtr:___________ Sec:_____________ Twp:________________ Rg:__________________ County:_________________ State:______________

Real Estate Owner:__________________________ Lienholder Name:____________________

*Terms

Credit Purpose

Interest Rate____%

Term ____(months)

Total Sales Price

Soft Costs (Irrigation Only)

Trade Allowance

 

Trade In Payoff

AgDirect

Cash Down Payment

Total Amount Financed

Agricultural

Commercial/Business

Fixed

Variable

Special Program

$__________________

$__________________

$__________________

Other $__________________

$__________________

$___________________

Payment Frequency

Monthly

Quarterly

Desired 1st Payment Date______/01/______

Semi Annual

Annual

Harvest Pay

Lease Only

Requested Residual %______ Hour Limits_______

Equipment Location ___________________________

Is additional applicant:

Co-Lessee

Guarantor

Comments/Other Assets:

Signature________________________________

Dealer has provided the Applicant Disclosure and Authorization (Form 8412) to Applicant(s).

If this application is approved and financing is provided by Dealer pursuant to a retail installment contract acceptable to Farm Credit Services of America, PCA, Dealer hereby offers the retail installment contract for participation under the Master Participation Agreement between Dealer and Farm Credit Services of America, PCA.

AgDirect is an equipment financing program offered by Farm Credit Services of America and the partners of AgDirect, LLP

NOTE: All faxed applications and all Lease applications must be accompanied by a photocopy of each individual Applicant’s driver’s license or state issued ID.

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