Do not make application until you have spoken with us and determined what tractor you are intersted in. Different tractors required different financing. We do not want you to waste your time filling out this form before we offer advice.

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Tractor Model of Interest *

First Name *

Last Name

Email *

Phone *

Work Phone

Marital Status

Male/Female

Date of Birth

Social Security Number *

Address *

City *

State *

Zip *

County *

Do you Rent or Own your home, or other? *

LandLord / Mortgage Holder *

Rent / Mortgage Monthly Amount *

Time at Current Residence (Years and Months) *

Previous Residence (If less than 5 years at Current Residence...)

Previous Residence Address

Previous Residence City

Previous Residence State

Previous Residence Zip

Previous Residence County

How long at Previous Residence (years, months)

Occupation *

Employer Name *

Employer Address *

Employer City *

Employer State *

Employer Zip *

Employer Phone *

Salary (Annually Gross) *

Time at Employer years *

Time at Employer months *

Type of Employment

Full

Part-Time

Other Income

Other Income Frequency

Additional Comments

References (One per applicant, nearest relative not living with you)

Reference 1 Name

Reference 1 Phone

Reference 1 Address

Reference 1 City

Reference 1 State

Reference 2 Name

Reference 2 Phone

Reference 2 Address

Reference 2 City

Reference 2 State

Reference 3 Name

Reference 3 Phone

Reference 3 Address

Reference 3 City

Reference 3 State

Financing

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