Secure Server - Your Personal Information Is Safe AGCO Finance Application GENERALApplicant's Name (Last, First, Middle)*US Citizen?*YesNoIf Not Citizen, Permanent Resident?YesNoSocial Security Number*Date of Birth* Date Format: MM slash DD slash YYYY Used AGCO Finance Before?*YesNoMailing Address* Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Physical Address (If Different Than Mailing Address) Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code County (Required)*Email* Cell Phone*Home Phone (If Different Than Cell)Work Phone (If Different Than Cell)County & State In Which Equipment Will Be Kept)*Marital Status* Married Unmarried Separated Domestic Partnership Type of Business Corporation Sub S Partnership LLC Proprietorship Govt / Muni None Equipment Use (Choose All That Applies)* Farm Forestry Construction / Commercial Industrial Rental Yard Personal / Household Family / Household Use AGDo You Farm?*Yes, Part TimeYes, Full TimeNo# Acres Owned# Acres RentedYears In FarmingSeasonal Income From AgKind of Crop / Livestock (Please List All)Number of Acres For EachIncome Year20172018Farm IncomeAny Non-Farm Income?YesNoNon-Farm Income AmountBUSINESS (If Applicable)Legal Name of BusinessYears In BusinessFed Tax ID #State of Organization AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Co-Applicant Financial ReferencesIf Business Type is Partnership, LLC, or Corporation, Please Provide Information For ALL Partners, Managers, or Officers, Each of Whom Must Sign And Date Application or Co-Applicant Information.NAME - Partner/Manager/Officer/Co-Applicant #1Co-Applicant #1 Social Security NumberCo-Applicant #1 Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Co-Applicant #1 Date of Birth Date Format: MM slash DD slash YYYY Co-Applicant #1 PhoneCo-Applicant #1 Percent OwnershipCo-Applicant #1 Job Title (If Relevant)First Bank or Lender ReferenceLender Name*Lender Address* City State / Province / Region Year of Most Recent Loan*Lender Phone Number*Lender Contact NameSecond Bank or Lender ReferenceLender NameLender Address City State / Province / Region Year of Most Recent LoanLender PhoneContactIncome InfoAnnual Gross Income*Occupation/Position*Other Income(Alimony, Child Support, or Maintenance Need Not Be Revealed if You Do Not Wish it To Be Considered In Determining Your Credit Worthiness)USA PATRIOT Act – Customer Identification Program – Enacted to help the government fight the funding of terrorism and money laundering activities. Federal law requires all financial institutions to obtain, verify and record information that identifies each person who applies for a loan. When you apply for a loan we will ask you for your name, address, date of birth and other information that will allow us to identify you. We may also ask to see your driver’s license or other identifying documents. By signing below, I, whether signing individually as an Applicant, Co-Applicant or guarantor or as officer, partner or manager of the Applicant or Co-Applicant and whether or not I am personally liable for any credit: (1) affirm that the information provided in this application is true and correct and given for the purpose of obtaining credit; (2) instruct and authorize AGCO Finance LLC and/or its affiliates and related parties ("AFC") to check credit, contact references, and verify listed employment history and answer questions about AFC’s credit experience with Applicant, Co-Applicant and me; and authorize and instruct my references and current and former employers to release such information to AFC; (3) instruct and authorize AFC to obtain consumer reports on me, in AFC’s sole discretion, as part of this application and while any credit granted as a result of this application remains unpaid; (4) authorize and direct AFC to share the results of any credit report, credit investigation or employment investigation (including the information contained in this application) with any dealer, manufacturer or other person assisting me in attempting to obtain an extension of credit (a “Dealer”); (5) authorize and direct AFC to use any such results to determine if I qualify for an offer of credit; (6) authorize and direct AFC to notify a Dealer about whether I qualify for any offers and the details of any such offers; (7) acknowledge that AFC may retain any information obtained as part of the application process whether or not the requested credit is granted; (8) authorize AFC to prepare and file against Applicant, Co-Applicant and/or me, a financing statement in form and substance acceptable to AFC sufficient to perfect a security interest in collateral arising in connection with financing applied for herein; (9) authorize AFC to provide information about this transaction to others for the purpose of initiating, monitoring and servicing my account, and for other legally permissible purposes; and (10) authorize AFC to give a copy of this application to anyone who has agreed to pay debts incurred on the basis of this application. If AFC extends credit as a result of this application, I agree that (a) AFC may monitor and record telephone calls regarding the account created to assure the quality of services or for other reasons; (b) AFC may use automatic dialing equipment while servicing or collecting the account, as allowed by law; and (c) AFC may contact me using any telephone number or email address I provide to AFC or using any telephone number or email address AFC obtains from another source, even if the number is for a mobile telephone.. If this application is primarily for personal, family or household purposes, I acknowledge having read the additional disclosures included on this application. I consent to AFC sharing with others information concerning me and AFC’s decision whether or not to extend credit, if any, in accordance with applicable law. I have read and agree to the terms SignatureCAPTCHAIf this application amount is $250,000 or more, or if this application amount PLUS all existing debt payable to AGCO Finance LLC, its agents, servicers, affiliates and assigns are $500,000, please provide fiscal year end income statement and balance sheet (personal and business).
