AGCO Finance Application Form • Rons Equipment Company

GENERAL

Applicant's Name (Last, First, Middle)*

Social Security Number*

Date of Birth*

Your Physical Address (No PO Box)*

Street Address City State ZIP Code

Email*

Cell Phone*

County (Required)*

US Citizen?*

Yes
No

Used AGCO Finance Before?*

Yes
No

Home Phone (If Different Than Cell)

Work Phone (If Different Than Cell)

County & State In Which Equipment Will Be Kept)*

Business Entity (Choose One Only)

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

AG

Do You Farm?

Yes, Part Time
Yes, Full Time
No

# Acres Owned

# Acres Rented

Years In Farming

Kind of Crop / Livestock

Number of Acres

Income Year

2016
2017

Farm Income

Any Non-Farm Income?

Yes
No

Non-Farm Income Amount

BUSINESS (If Applicable)

Legal Name of Business

Years In Business

Fed Tax ID #

State of Organization

State

Financial References

First Reference - Bank / Loan / Lease

Bank/Lender*

Contact

Phone Number*

Account Number*

Second Reference - Bank / Loan / Lease

Bank/Lender/Lessor

Contact

Phone Number

Account Number

Third Reference - Bank / Loan / Lease

Bank/Lender/Lessor

Contact

Phone Number

Account Number

*

I have read and agree to the terms

Signature

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