Funding America's Farmers
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Borrower
If you would like to be considered for a loan, please complete the information summary below.
First Name *
Last Name *
Address: *
Phone: *
Email:
General Description of farming operation (ie crops, dry land, irrigated)
Number of years in farming: *
Number of acres owned: *
Total acres in farming operation: *
Name of existing lender:
Amount owed:
Default:
Yes
No
Bankruptcy:
Yes
No