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Page 1FOR MAILING REQUIREMENTS FLAP MUST FOLD ON DOTTED LINEMULTI-USEACCOUNTAGRICULTURAL,COMMERCIAL& L,COMMERCIAL& GOVERNMENTALAPPLICATIONyour applicationis completedDeereMerchantFinancial Merchantcan1-800-732-0251.fax it to 1-800-732-0251.hen yourWhenapplicationis completedyour John yourDeereJohnFinancialcan fax it toCR3910313 Litho in U.S.A. (19-02)PLEASETELL USABOUTYOUR BUSINESS.Fieldsanmarkedan asteriskby law ACT).(USA PATRIOTACT). Yourapplicationcannotwithoutbe processedwithout this information.EASE TELLUS ABOUTYOURBUSINESS.Fields marked withasteriskwith(*) arerequired(*)byarelawrequired(USA PATRIOTYour applicationcannotbe processedthis information.YourBusiness Structurer bilityCompany,Non-Profit, Government)(Sole rcialCommercial(Non-Ag) (Non-Ag) Governmentalr PrimaryUsePrimary UseEstimatedAnnualPartsExpenses:Parts & Service Seed mated AnnualExpenses:& ServiceSeed OtherCrop Protection Crop Protection *OrganizationName(Do not abbreviate)ganizationLegal NameLegal(Do notabbreviate)Middle InitialMiddle Initial(Or) *Individual’sLegal First Name*Individual’sLegal First Namest Name*Last NameSuffixSuffix*Socialcial Security# Security #*Date of Birth*Date of Birth*Tax ID # *Tax ID #plicant’sApplicant’sPhone # Phone #AlternateAlternate Phone# Phone #Email Addressail Address*Applicant’sPhysicalStreet Addressplicant’sPhysical treetthan PhysicalMailing #or(ifP.O.Box# (if Physicaldifferent thanAddress)Street Address)Mailing or P.O.Box*ZIP*ZIPPRIMARYOWNER INFORMATIONFOR PARTNERSHIPS,LLCS AND CORPORATIONS(Requiredfor allapplicationssubmittedbehalf of anIforganization.If applicable,signaturerequired below.)IMARY OWNERINFORMATIONREQUIRED REQUIREDFOR PARTNERSHIPS,LLCS AND CORPORATIONS(Required for allapplicationssubmittedon behalfof anonorganization.applicable, signaturerequiredbelow.)Middle Initial *Last Name*Last NameMiddle Initialst Name*First Name*PhysicalStreet Addressysical StreetAddressty*City*State*State*ZIP*ZIP*Date of Birth*Date of Birth*Socialcial Security# Security #(Requiredif spousepersonotherOwnerthan PrimaryOwneridentifiedabove hasan interestin farmingoperationlistedpage2 and is also a co-applicant.(Required if spouseor personotherorthanPrimaryidentifiedabovehas an interestin farmingoperationor assetslistedoronassetspage 2and onis alsoa CANT/SPOUSEINFORMATIONIf applicable, signature required below.)If applicable, signature required below.)st Name*First NameMiddle Initial *Last Name*Last NameMiddle Initial*PhysicalStreet Addressysical StreetAddressty*City*State*State*Socialcial Security# Security #*ZIP*ZIP*Date of Birth*Date of LINFORMATIONetsAssets(assets - liabilities)Worth(assets- liabilities)Net Worth NetLiabilities Liabilitiesss SalesGross SalesNetBusiness IncomeNet BusinessIncomeYears In BusinessYears In BusinessPrimaryInstitutionFinancial Institutionmary FinancialPhone Numberne NumberCityCityStateStatePrimary LenderOperating LenderPrimary OperatingContact Name:tact Name:Phone NumberPhone NumberNotice toor Representativesof Applicant(s):(1) Yourepresentthat the giveninformationgiven inthe entire includingapplication,applicantnamesandany other providedinformationprovidedon any attachedce to applicantorapplicantRepresentativesof Applicant(s):(1) You representthatthe informationin the entireapplication,all includingapplicant allnamesand anyotherinformationon anyattachedpage(s) andis completeaccurate,foris providedfor thepurpose ofobtainingcredit insetan byamountset bythe creditpolicies andpracticesofFinancial,John DeereFinancial,and, ifDeereapplicable,Deere(“JDF”,& Company (“JDF”,e(s) is completeaccurate,andis providedthe purposeof obtainingcreditin an amountthe creditpoliciesand practicesof JohnDeeref.s.b.and, if f.s.b.applicable,& ,inreviewingortakingcollectionactionon the account,”, “us” and “our”). You authorize us to check with reporting agencies, credit references, and any other sources in investigating the information given, in reviewing or taking collection action on the account,or for otherlegitimatepurposes,andeach issuchsource istoauthorizedprovidewith such information.You furtherusinformationto share all obtainedinformationobtainedwith ourand otherwhichcompanies whichor other legitimatepurposes,andeach suchsourceauthorizedprovide ustowithsuch usinformation.You further authorizeus authorizeto share allwithour affiliatesandaffiliatesother companiesofferor provideservicesto grantyou. (2)grant ustopermissionto obtaina creditreportyou for alllegitimatepurposesincludingassistingin makinga creditdecision,reviewingyouroffer or mayprovideservicesto you.(2) YouusYoupermissionobtain a creditreporton youfor allonlegitimatepurposesincludingassistingin makinga istingand assistingin takingcollectionactivity. (3) requestsApplicant(s)requestscredita revolvingcreditaccountupon ourapprovalof the Youapplication.Youaccountcertify thewillagricultural,be used for agricultural,commercialor governmentaluse only.king collectionactivity.(3) Applicant(s)a revolvingaccountuponour approvalof theapplication.certify thewill accountbe used forcommercial orgovernmentaluse only.(4) Youthatunderstandthat anydecisionto grantorwilldenybeinmadeby us in(5)Wisconsin.Youanyagreethatandany disclosuresnotices andcan,disclosurescan, atbeouroption, electronicallybe provided electronicallyto thelast email addressou understandany decisionto grantor denycreditbecreditmadewillby usWisconsin.You agree(5)thatnoticesat our option,providedto the last umber,we,andanythirdpartyweretain toyou provided us. (6) Married applicants can apply for an individual account. (7) You agree that, by providing us any telephone number, including mobile phone number, we, and any third party we retain toprovideservicesto us,youcanusingcontactyouusing thatnumber.(8) Youconsentto therecordingandofmonitoringof yourtelephone conversationsus andany thirdparties whoprovideservicesus. (9) You authorizeide servicesto us,can contactthatnumber.(8) Youconsentto therecordingandmonitoringyour telephoneconversationsby us and anybythirdpartieswho provideservicesto us.(9) Youtoauthorizeus and ouraffiliatessend you informationon ourservices facsimileby internet,facsimile transmissionsand otherelectronic(10)grantauthorizationall lenders authorizationprovidea copy of yournd our affiliatesto sendyou toinformationon our productsandproductsservices andby internet,transmissionsand other electronicmeans.(10) means.You grantallYoulendersto provide a tocopyof yourfinancial includingstatements,buttonotlimitedto yourbalancesheet,cash flowandstatement,and incometo JDF.You alsoto disclosefinancial aboutinformationyou asin thencial statements,butincludingnot limitedyourbalancesheet,cash flowstatement,income statementtostatementJDF. (11) Youalso(11)authorizeus authorizeto discloseusfinancialinformationyou asaboutdescribedin describedthecreditandagreementand futurenoticesmaysendyou. YOUCERTIFYTHATYOUANDHAVEACKNOWLEDGEREAD AND ACKNOWLEDGEOF AOFTRUECOPYOF THIS AGREEMENTWHICHCONTAINSTHE CONDITIONSTERMS AND CONDITIONSit agreementfuture noticeswe maysendweyou.YOUCERTIFYTHATYOU HAVEREADRECEIPT OF ARECEIPTTRUE COPYTHISAGREEMENTWHICH CONTAINSTHETERMS ANDTO THE CREDITREVOLVINGCREDITACCOUNT,AND TOYOUAGREETO THOSEAND CONDITIONS.LICABLE APPLICABLETO THE REVOLVINGACCOUNT,ANDYOU AGREETHOSETERMSAND TERMSCONDITIONS.N HERESIGN HEREXXApplicant’s(required)Signature (required)Applicant’s SignatureXXTitleTitlePrint Name Print Name, Individually, Individually- Requiredfor Corporation,LLC & inPartnershipadditionto theof the OrganizationalApplicantabovesuch(by signing, suchPrimary OwnerSignatureIndividuallyRequired forCorporation,LLC & Partnershipaddition tointhesignatureonsignaturebehalf of onthebehalfOrganizationalApplicant above(by signing,PrimaryOwnershall bepersonallyliable for all John DeereFinancialthat may beby JDFpursuantto this Application).Primary Ownershall bepersonallyliablefor all transactionsand obligationsunderarisingany JohnDeereaccountthataccountmay be approvedby approvedJDF pursuantto sSignature SignaturePrint Name Print NameDateDateFebruary 2019FOR MERCHANTUSE ONLY:R MERCHANTUSE ONLY:Merchant Name:hant Name:Merchant Number:hant Number:*John Deere Financial reserves the right to request additional information if needed.CR3910313 Litho in U.S.A. (19-02)Contact Name:Contact Name:CustomerAccount Number:Customer AccountNumber:Phone Number:Phone Number:Patron Number:Patron Number:For a total credit limit greater than 50,000* continue to Page 2.
Page 2For a total credit limit 50,000* complete this top balance sheet section or attach a lender-prepared balance sheet to your application.If mailing, detach this portion.Multi-Use Account Application - Page 2Balance Sheet DateCash, Checking, SavingsSecuritiesAccounts ReceivableInvestment in Growing CropFeed & Grain InventoryMarket LivestockGovernment Payments ReceivableOther Current AssetsSpecifyTotal Current AssetsBreeding LivestockMachinery & EquipmentVehiclesOther Intermediate AssetsSpecify Real Estate ValueBuildingsOther Long-Term AssetsSpecifyASSETSCCC LoansOperating PrincipalAccounts PayableIntermediate Debt Due in Next 12 MonthsLong-Term Debt Due in Next 12 MonthsLeasesMisc. Current LiabilitiesSpecify0 Total Intermediate AssetsApplicant NameTotal Current LiabilitiesNotes Payable – SpecifyMachinery & Equipment LoansVehicle LoansOther Intermediate DebtSpecify0 Total Intermediate Liabilities Total Long-Term AssetsToTal asseTs Mortgage LoansOther Long-Term DebtSpecify00Total Long-Term LiabilitiesToTal liabiliTies LIABILITIES0 0 00Continue for a total credit limit request over 120,000*. In addition, please attach two most recent years’ lender-prepared balance sheetsand supporting schedules. If a Partnership, Corporation or LLC, include for both the entity and the general partners, president, owner ormanaging member(s). Include any interest held by a co-applicant, including spouse, if applicable.For a credit limit over 300,000*, in addition to the above-listed documents, also attach the the two most recent years’ tax returns. If aPartnership, Corporation or LLC, include the two most recent years’ personal tax returns of the general partners, president, owner or managingmember(s).Crop Production Information1. Owned Acres:3. Total Share Rent Acres:5. Total Cash Rent Dollars Paid Per Year: 2. Owned Tillable Acres:4. Your Share Rent Acres:6. Total Cash Rent Tillable Acres:Your Share of Total Crop Production (2 4 Peanuts%%%%%%First Y/NY/NY/NY/NY/NY/NY/NY/N 0 SecondCropCrop Insurance CoverageType & %Contracted CropsPrice%Y/NCAT/YP/RP/RPE/GRIP/GRP % %Y/NY/NY/NY/NY/NY/NCAT/YP/RP/RPE/GRIP/GRP %CAT/YP/RP/RPE/GRIP/GRP %CAT/YP/RP/RPE/GRIP/GRP %CAT/YP/RP/RPE/GRIP/GRP %CAT/YP/RP/RPE/GRIP/GRP %CAT/YP/RP/RPE/GRIP/GRP % %%%%%%Crop Insurance Agent InformationAgent Name Phone: ( )Other Crop Production Funding Sources (e.g., trade suppliers)Name of Provider Credit Limit Current Balance Repayment TermsName of Provider Credit Limit Current Balance Repayment TermsName of Provider Credit Limit Current Balance Repayment TermsLivestock Production InformationHerd SizeSowsBeef CattleDairy CattlePoultryOther(specify)Annual Production#of market sold annually #of feeder sold annually#of market sold annually #of feeder sold annuallylbs. of milk sold annually#sold annually#sold annuallyEstimated Annual Revenue February 2019
Page 3Beneficial Owner InformationFor legal entities, continue and complete this page if you intend to fax or mail the application directly to John Deere Financial or if yourrequest is to receive a credit limit over 50,000*.For the purposes of this beneficial owner(s) form, a legal entity includes a corporation, limited liability company, or other entity that is created by a filing of a public documentwith a Secretary of State or similar office, a general partnership, and any similar business entity formed in the United States or a foreign country. Legal entity does not include soleproprietorships, unincorporated associations, or natural persons opening accounts on their own behalf.If mailing, detach this portion.a. Name and Title of Natural Person Opening AccountNAME OF PERSON OPENINGTITLEb. Name and Address of Legal Entity for Which the Account is Being Opened:LEGAL ENTITY NAMEPHYSICAL ADDRESSCITYSTZIP 4BUSINESS PHONE NUMBERc. The following information for each individual, if any, who, directly or indirectly, through any contract, arrangement, understanding, relationshipor otherwise owns 25 percent or more of the equity interests of the legal entity listed above:(If no individual meets this definition, please write “Not Applicable.”)OWNER NAME #1PHYSICAL ADDRESSCITYSTZIP 4STZIP 4STZIP 4STZIP 41//OWNER #1 DATE OF BIRTHOWNER NAME #2//ORCOUNTRYSOCIAL SECURITY # (U.S. PERSONS) PASSPORT # AND COUNTRY OF ISSUANCE (NON-U.S. PERSONS)1PHYSICAL ADDRESSCITY2//OWNER #2 DATE OF BIRTHOWNER NAME #3//ORCOUNTRYSOCIAL SECURITY # (U.S. PERSONS) PASSPORT # AND COUNTRY OF ISSUANCE (NON-U.S. PERSONS)1PHYSICAL ADDRESSCITY3//OWNER #3 DATE OF BIRTHOWNER NAME #4//ORCOUNTRYSOCIAL SECURITY # (U.S. PERSONS) PASSPORT # AND COUNTRY OF ISSUANCE (NON-U.S. PERSONS)1PHYSICAL ADDRESSCITY4//OWNER #4 DATE OF BIRTH//ORCOUNTRYSOCIAL SECURITY # (U.S. PERSONS) PASSPORT # AND COUNTRY OF ISSUANCE (NON-U.S. PERSONS)1d. The following information for one individual with significant responsibility for managing the legal entity listed above, such as:An executive officer or senior manager (e.g., Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, Managing Member, General Partner,President, Vice President, Treasurer); orAny other individual who regularly performs similar functions.(If appropriate, an individual listed under section “c” above may also be listed in this section “d.”)NAME/TITLE//DATE OF BIRTHPHYSICAL ADDRESSCITYSTZIP 4//ORCOUNTRYSOCIAL SECURITY # (U.S. PERSONS) PASSPORT # AND COUNTRY OF ISSUANCE (NON-U.S. PERSONS)1I, (name of natural person opening the Account), hereby certify, to the best of my knowledge, that the information provided above iscomplete and correct.Signature: Date:Legal Entity Identifier (Optional)1In lieu of a passport number, Non-U.S. Persons may also provide a Social Security Number, an alien identification card number, or number and country of issuance of any other government-issued documentevidencing nationality or residence and bearing a photograph or similar safeguard. A service of John Deere Financial, f.s.b.Please see the backside of this form for complete instructions.
MULTI-USE AGRICULTURAL/COMMERCIALOR GOVERNMENTAL USE CREDIT AGREEMENTon deposit in the United States. Payments must be sent to John Deere Financial, at the address designated onyour monthly payment stub or to any other payment address JDF later designates on your monthly statementpayment stub.TERMINOLOGY. In this Agreement the words you, your, and yours mean each person and/or businessentity who applies for and is granted a Multi-Use Account, including any co-applicant identified on theapplication, as well as any person permitted to use the Account. JDF means John Deere Financial, f.s.b., orany subsequent holder of the Account or any balances arising under the Account. When the terms “financecharge” and “interest charge” are used in this agreement and on other documents related to your account,they have the same meaning.FINANCE CHARGE RATES. Finance Charges on your Multi-Use Account may be calculated using variablerates that will be determined by reference to a “Base Rate.” The Base Rate from which your variable rateswill be determined is the annual percentage rate of interest announced publicly from time to time byCitibank, N.A., in New York, New York, as the base rate it uses for interest rate determinations, which was ineffect at the close of business on the fifteenth (15th) calendar day of each month, or the next succeedingbusiness day if the fifteenth is not a business day (“Reference Day”).MULTI-USE ACCOUNT. You request a Multi-Use Account from JDF, and further authorize JDF to issue aMulti-Use Account card to each merchant from whom you may make a purchase. By applying for a PreferredAccount, or by using a Merchant Authorized Account to make a purchase from a merchant who requestsJDF to open one for you, you agree that this Credit Agreement will apply to all purchases made throughyour Multi-Use Account by you or any person you authorize. You authorize JDF to honor any purchases youmake by mail, telephone, Internet, facsimile transmission (fax) or other electronic means on your Account.You agree that a signature is not necessary as identification in such cases. You agree that any authorizeduse of your Account constitutes your acceptance of all the terms and conditions of this Agreement, as itmay be amended from time to time. If you submit your application to JDF by Internet, facsimile transmission(fax) or other electronic means, you agree that the application will have the same effect as a signed original.You agree that you will promptly notify JDF in writing of any suspected loss, theft, or unauthorized use ofthe Account. You may be liable for the unauthorized use of your Multi-Use Account before you notify JDFin writing at John Deere Financial, P.O. Box 5328, Madison, Wisconsin 53705-0328 of the unauthorizeduse. In any case, your liability will not exceed 50. You agree to give JDF prompt notice of any changein your name, mailing address, or place of employment. You agree that until JDF receives notice of yournew address, JDF may continue to send statements and other notices to the address you gave JDF on theapplication for this Account. You agree that, for the purposes of this Agreement, you will be deemed to“reside” in the state of your billing address as shown on JDF’s records. You consent and agree that yourtelephone conversations with JDF may be recorded to further improve JDF’s customer service. You agreethat JDF and any affiliate and any retained debt collector may place phone calls to you using any telephonenumber, including a mobile phone number, you have provided to JDF, any affiliate or any retained debtcollector, including calls using an automatic dialing and announcing device and prerecorded calls, andthat such calls are not “unsolicited” under state or federal law. If more than one person or entity signedthe application, each is jointly and severally responsible for all obligations, and amounts due, under thisagreement. This agreement is not binding on JDF until JDF has approved your credit and given you notice ofapproval. If Maryland law applies, Subtitle 9 of Title 12 of the Maryland Commercial Law wi
Multi-Use Account card to each merchant from whom you may make a purchase. By applying for a Preferred Account, or by using a Merchant Authorized Account to make a purchase from a merchant who requests
