Get documents about "Subordination Clause Real Estate
Description
Subordination Clause Real Estate document sample
Document Sample
ZIONS AG FINANCE
A Division of Zions First National Bank
FARM MORTGAGE APPLICATION
Principal Borrower
Business Structure (corp., trust, individual, part.):
Name birth Tax ID #
date
Spouse birth Tax ID #
date
Street Home Phone
City, State, Zip Bus. Phone
Fax
Are you a U.S. Citizen or Permanent Resident Alien?
Additional Borrower
Business Structure (corp., trust, individual, part.):
Name birth Tax ID #
date
Spouse birth Tax ID #
date
Street Home Phone
City, State, Zip Bus. Phone
Fax
Are you a U.S. Citizen or Permanent Resident Alien?
Loan Terms
Loan Amount Requested Term in Years Maximum Interest Rate
Payment Frequency Amortization Years Fixed/ARM/VRM
(payments per year)
Payment Month(s) Adjustable Frequency 1,
0 3, 5, 7 etc.
Loan Product Description
Security
Acres County State
Legal Description:
Additional Security (Include federal & state grazing leases, irrigation equipment, water rights & other equipment necessary to the
operation of the security):
Description of property and improvements:
ver 4.0 6-02 cf037ff0-8103-41c2-a682-c58b21a83c321 8/17/2011 application
Title is/will be vested in:
The proceeds of the loan will be used as follows: These questions apply to all applicants. If yes to any, please explain.
Are any assets pledged as security for debts of others?
Have you had a bankruptcy? (past 7 years)
Do you have any judgments against you?
Are you a party to any lawsuit?
Do you have any contingent liabilities?
Have you endorsed or guaranteed notes for others?
Are you obligated to pay alimony or support?
Total Property foreclosed or deed in lieu? (past 7 years)
I/we intend to engage in agricultural production on the real property which is the security for this
application? (yes/no)
Describe any labor performed, materials furnished or contracts made in connection with the erection or alteration or other
improvements on the offered security within the past six months:
List all leases on the security, including lessees, amounts, property leased and the lease expiration dates:
Agreement
The undersigned applicants apply for the loan indicated on this application to be secured by a first mortgage or deed of trust on the property described herein.
All persons and companies owning an interest in the property will sign all loan documents required by Zions First National Bank (Lender) for closing. Applicant
represents that it has no claims against, or defenses to obligations owing by applicant to Lender or its affiliates or waives all such claims and defenses to the
extent allowed by law. This provision is subject to claims for performance of express contractual obligation owing to applicant by Lender or its affiliates. All
disagreements arising as a result of this application or processing of the application shall be resolved by binding arbitration in accordance with Commercial
Arbitration Rules of the American Arbitration Association. Everything stated in the application is true and correct to the best of my knowledge. Lender will retain
this application whether or not it is approved. Lender is authorized to check credit and employment history and answer questions about my credit experience
with Lender.
Lender will require the reconveyance, termination or subordination of any junior lien holders, leases, or other liens as considered by the Lender necessary in
perfecting its security position. All improvements presently and hereafter attached to the real estate are and will be part of the security. Applicant will carry
hazard insurance on the improvements in an amount satisfactory to the lender and with a loss payable clause in favor of the Lender.
Applicant is required to pay all fees, taxes and expenses in connection with closing the loan including title and escrow fees, credit report, UCC search, appraisal,
attorney fees, and the cost of preparation, filing and recording of all loan documents. Applicant is required to pay all pairoff fees on loans that are rate locked
with the Lender and not closed.
Applicant is required to submit to Zions Ag Finance a loan origination fee. The fee will be refunded only if a Preliminary Loan Approval Notice is not issued.
Loan Origination Fee:
All applicants must sign Date
ver 4.0 6-02 cf037ff0-8103-41c2-a682-c58b21a83c321 8/17/2011 application
Additional Borrower
Business Structure (corp., trust, individual, part.):
Name birth Tax ID #
date
Spouse birth Tax ID #
date
Street Home Phone
City, State, Zip Bus. Phone
Fax
Are you a U.S. Citizen or Permanent Resident Alien?
Additional Borrower
Business Structure (corp., trust, individual, part.):
Name birth Tax ID #
date
Spouse birth Tax ID #
date
Street Home Phone
City, State, Zip Bus. Phone
Fax
Are you a U.S. Citizen or Permanent Resident Alien?
All applicants must sign Date
ver 4.0 6-02 cf037ff0-8103-41c2-a682-c58b21a83c321 8/17/2011 application
ESTIMATE ONLY AND NOT TO BE CONSIDERED THE
FINAL PAYMENT SCHEDULE FOR THIS LOAN!
Initial Data
LOAN TYPE (ARM or Fixed)? (If ARM, see additional Amortization Schedule)
LOAN DATA TABLE DATA
Loan amount: $0 Table starts at date:
Annual interest rate: 0.00% or at payment number: 1
Amortization: 0 Loan date: 8/17/2011
Payments per year: 0 Interest Only date:
Term (Years): 0 Year: 360
First full payment due: 7/1/2005 Term Years 8
Maturity date: 1/1/2020 Months 5
Annual principal reduction: no
Annual principal reduction: 0.000% First Year's Payment #DIV/0!
Balloon: #N/A
PERIODIC PAYMENT
Entered payment: The table uses the calculated periodic payment amount,
Amortized payment: #DIV/0! unless you enter a value for "Entered payment."
CALCULATIONS
Use payment of: #DIV/0! Beginning balance at payment 1: #DIV/0!
1st payment in table: 1
Table
Payment Beginning Ending Cumulative
No. Date Balance Interest Principal Balance Interest
ver 4.0 6-02 cf037ff0-8103-41c2-a682-c58b21a83c321 8/17/2011 Amortization
ARM Interest Shock & Payment Data
Loan amount: $0
Initial ARM Rate: 0.00%
Interest rate margin for Shock Analysis: First Year's Payment #DIV/0!
Amortization: 0
Payments per year: 0
Term (Years): 0
First full payment due: 7/1/2005
Maturity date: 1/1/2020
Annual principal reduction no
Annual principal reduction 0
Balloon: #N/A
Amortized payment: #DIV/0!
ver 4.0 6-02 cf037ff0-8103-41c2-a682-c58b21a83c321 8/17/2011 ARM Amortization
Balance Sheet - Market Basis
Statement of : Signature
Date: Signature
ASSETS Amount LIABILITIES Amount
CURRENT ASSETS CURRENT LIABILITIES
Cash Accounts Payable(one year)
Savings
Marketable Bonds & Securities
Cash Value Life Insurance Current Debt - Mkt. LS, Crop Credit Schedule C
Accounts Receivable Schedule D Income Taxes Payable
Current Portion Notes Receivable Schedule E Real Estate Taxes Due
Harvested Crops Schedule G Rents Due
Growing Crops (at cost) Schedule F Accrued Interest Schedule A,B,C
Livestock held for sale (at market) Schedule I Current Mat. of Non-Curr. Debt Schedule A,B
Prepaid Expenses & Supplies
Other Current Assets: Other Current Liabilities
Total Current Assets $ Total Current Liabilities $
NON-CURRENT ASSETS NON-CURRENT LIABILITIES
Livestock - Breeding Schedule H Chattel Debt & Notes Payable Schedule B
Machinery and Vehicles Schedule K
Investments in Cooperatives Less Current Portion Schedule B
Other Investments:
Other Non-Current Liabilities
Notes and Contracts Receivable Schedule E
Less Current Portion
Real Estate Owned Schedule A Real Estate Mortgages Schedule A
Less Current Portion Schedule A
Total Real Estate Owned Total Non-Current Real Estate Liabilities
Total Non-Current Assets $ Total Non-Current Liabilities $
Total Liabilities $
Net Worth $
Total Assets $ Total $
ver 4.0 6-02 cf037ff0-8103-41c2-a682-c58b21a83c321 8/17/2011 BALANCE SHEET (1)
SCHEDULE A - REAL ESTATE AND DEBT
X Prop. Security Purchase (a f n) Accrued Annual Totals
Acres Year Price Market Value Payable To Balance Rate Interest Interest Principal
Total Real Estate
SCHEDULE B - Chattel Debt (Machinery, Breeding Livestock, etc.) & Notes Payable
(a f n) Accrued Annual Totals
Holder Security Balance Rate Interest Interest Principal
Total Chattel Debt - Notes Payable
(f = int. appears in tax sched. F or farm inc. & exp. in this submission) (n = int. appears on non-farm tax sched. C or E) (a = int. appears on tax sched. A)
SCHEDULE C - Current Debt - Operating Lines, Market Livestock, Due in 12 Months
Accrued
Holder Security Balance Rate Interest
Total Current Debt
Annualized Farm Curr. Bal. and Rate
TOTAL FARM NON-CURRENT P&I, ACCRUED INTEREST
TOTAL NON-FARM NON-CURRENT P&I, (excluding tax shed. A, P&I)
TOTAL ANNUAL P&I (CASH FLOW REQUIRED)
ver 4.0 6-02 cf037ff0-8103-41c2-a682-c58b21a83c321 8/17/2011 BS (1a)
SCHEDULE D - Accounts Receivable SCHEDULE E - Notes Receivable
Receivable From: Amount Receivable From: Amount Rate Interest Principal Ann. Total
Total Total
SCHEDULE F - Growing Crops (at Cost) SCHEDULE G - Harvested Crops
Crop Ac. Cost/Ac. Value Crop Amount Units Price Value
Total Total
SCHEDULE H - Breeding Livestock SCHEDULE I - Market Livestock
Type No. Price Value Type No. Price Value
Total Total
SCHEDULE J - Leased Machinery, Equipment and Vehicles
Purchase No. Ann. Lease
Lessor Description Option Payments Payment
Total
ver 4.0 6-02 cf037ff0-8103-41c2-a682-c58b21a83c321 8/17/2011 BS (1a)
SCHEDULE K - Owned Machinery, Equipment and Vehicles
Depr. Market
Year Make Description Value Value
Totals
ver 4.0 6-02 cf037ff0-8103-41c2-a682-c58b21a83c321 8/17/2011 BS (1a)
Pro Forma Balance Sheet - Market Basis
Statement of :
Date:
ASSETS Current Change Pro-forma LIABILITIES Current Change Pro-forma
CURRENT ASSETS CURRENT LIABILITIES
Cash Accounts Payable(one year)
Savings
Marketable Bonds & Securities
Cash Value Life Insurance Current Debt - Mkt. LS, Crop Credit C
Accounts Receivable D Income Taxes Payable
Current Portion Notes Receivable E Real Estate Taxes Due
Harvested Crops G Rents Due
Growing Crops (at cost) F Accrued Interest A,B,C
Livestock held for sale (at market) I Current Mat. of Non-Curr. Debt A,B
Prepaid Expenses & Supplies
Other Current Assets: Other Current Liabilities
Total Current Assets Total Current Liabilities
NON-CURRENT ASSETS NON-CURRENT LIABILITIES
Livestock - Breeding H Chattel Debt & Notes Payable B
Machinery and Vehicles K
Investments in Cooperatives Less Current Portion B
Other Investments:
Other Non-Current Liabilities
Notes and Contracts Receivable E
Less Current Portion
Real Estate Owned A Real Estate Mortgages A
Less Current Portion A
Total Real Estate Owned Total Non-Current RE Liabilities
Total Non-Current Assets Total Non-Current Liabilities
Total Liabilities
Net Worth
Total Assets Total
ver 4.0 6-02 cf037ff0-8103-41c2-a682-c58b21a83c321 8/17/2011 BS (1) PRO-FORMA
SCHEDULE A - REAL ESTATE AND DEBT
X Prop. Security Purchase (a f n) Accrued Annual Totals
Acres Year Price Market Value Payable To Balance Rate Interest Interest Principal
Total Real Estate
SCHEDULE B - Chattel Debt (Machinery, Breeding Livestock, etc.) & Notes Payable
(a f n) Accrued Annual Totals
Holder Security Balance Rate Interest Interest Principal
Total Chattel Debt - Notes Payable
(f = int. appears in tax sched. F or farm inc. & exp. in this submission) (n = int. appears on non-farm tax sched. C or E) (a = int. appears on tax sched. A)
SCHEDULE C - Current Debt - Operating Lines, Market Livestock, Due in 12 Months
Accrued
Holder Security Balance Rate Interest
Total Current Debt
Annualized Farm Curr. Bal. and Rate
TOTAL FARM NON-CURRENT P&I, ACCRUED INTEREST
TOTAL NON-FARM NON-CURRENT P&I, (excluding tax shed. A, P&I)
TOTAL ANNUAL P&I (CASH FLOW REQUIRED)
ver 4.0 6-02 cf037ff0-8103-41c2-a682-c58b21a83c321 8/17/2011 BS (1) PF (1a)
SCHEDULE D - Accounts Receivable SCHEDULE E - Notes Receivable
Receivable From: Amount Receivable From: Amount Rate Interest Principal Ann. Total
Total Total
SCHEDULE F - Growing Crops (at Cost) SCHEDULE G - Harvested Crops
Crop Ac. Cost/Ac. Value Crop Amount Units Price Value
Total Total
SCHEDULE H - Breeding Livestock SCHEDULE I - Market Livestock
Type No. Price Value Type No. Price Value
Total Total
SCHEDULE J - Leased Machinery, Equipment and Vehicles
Purchase No. Ann. Lease
Lessor Description Option Payments Payment
Total
ver 4.0 6-02 cf037ff0-8103-41c2-a682-c58b21a83c321 8/17/2011 BS (1) PF (1a)
SCHEDULE K - Owned Machinery, Equipment and Vehicles
Depr. Market
Year Make Description Value Value
Totals
ver 4.0 6-02 cf037ff0-8103-41c2-a682-c58b21a83c321 8/17/2011 BS (1) PF (1a)
INCOME AND EXPENSE STATEMENT
Applicant: Cash
Accrual
Source of Information: tax returns Years
FARM INCOME 2000 2001 2002 2003 Average Pro Forma
Net Purchased LS & other #DIV/0!
Raised Farm Products #DIV/0!
Cooperative Distributions #DIV/0!
Ag Program Payments #DIV/0!
CCC Loans #DIV/0!
Crop Insurance #DIV/0!
Custom Hire #DIV/0!
#DIV/0!
#DIV/0!
Income From New Property
Gross Farm Income #DIV/0!
FARM EXPENSES
Car & Truck #DIV/0!
Chemicals #DIV/0!
Conservation #DIV/0!
Custom Hire #DIV/0!
Depreciation #DIV/0!
Feed #DIV/0!
Fertilizer #DIV/0!
Freight #DIV/0!
Gasoline, Fuel #DIV/0!
Insurance #DIV/0!
INTEREST: Mortgage/Non-current #DIV/0!
Other Interest/Current #DIV/0!
Total Interest #DIV/0!
Labor #DIV/0!
Rent/Lease, Machinery #DIV/0!
Rent/Lease, Land #DIV/0!
Repairs #DIV/0!
Seed #DIV/0!
Storage #DIV/0!
Supplies #DIV/0!
Taxes #DIV/0!
Utilities #DIV/0!
Veterinary fees #DIV/0!
#DIV/0!
Expense From New Property
Total Farm Expenses #DIV/0!
NET FARM INCOME #DIV/0!
NON FARM INCOME
Salaries #DIV/0!
Interest income #DIV/0!
Dividends #DIV/0!
Business Inc. (Sch C) #DIV/0!
Capital Gain/Loss (Sch D) #DIV/0!
Other Gains/Loss (4797) #DIV/0!
Rental Income (Sch E) #DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
Total Non Farm Income #DIV/0!
TOTAL PRE-TAX INCOME #DIV/0!
ver 4.0 6-02 cf037ff0-8103-41c2-a682-c58b21a83c321 8/17/2011 INC & EXP (1)
Cash Flow Coverage
Year 2000 2001 2002 2003 Average Pro Forma
TOTAL PRE-TAX INCOME #DIV/0!
Plus Adjustments:
Farm Depreciation #DIV/0!
Non-Farm Depreciation #DIV/0!
Farm Current/Non-Current Int. (F) #DIV/0!
Non-Farm Non-Curr. Interest (C,E) #DIV/0!
Capital Lease Payments #DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
Minus Adjustments:
Income & FICA taxes #DIV/0!
Family Living #DIV/0!
Non-Recurring Income #DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
CASH FLOW AVAILABLE #DIV/0!
TOTAL ANNUAL P&I #DIV/0!
ANN. CAPITAL LEASE PAYMENTS #DIV/0!
#DIV/0!
TOTAL CASH FLOW REQUIRED #DIV/0!
Excess Cash Available #DIV/0!
Pro Forma Total Debt Coverage #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Comments:
ver 4.0 6-02 cf037ff0-8103-41c2-a682-c58b21a83c321 8/17/2011 INC & EXP (1)
LOAN SUMMARY
Seller Information Originator Information
Name Zions Ag Finance Name Your Name
Contact Name Steve Burrier Contact Name
Address Address
Street Address 500 Fifth St. Street Address
City, State, Zip Ames, IA 50010-6063 City, State, Zip
Telephone Number 515-232-7310 Telephone Number
Fax Number 515-232-3002 Fax Number
Borrower Information
Name
Borrower Type (Individual, Partnership, Corporation, Trust, Other)
TIN/SSN
Billing Address Is borrower or are its partners or stockholders U.S.
City, State, Zip Citizens or Nationals? (Yes/No)
Business Phone No. Loan Guarantors (Yes/No)
Home Phone Number Loan Co-Applicants (Yes/No)
Fax Number
Do Applicants Have Other Related Loans
Loan Requested
Principal $ - LOAN PURPOSE*
Billing Frequency 0 Payments per year Purchase RE
Description (Fixed, ARM, VRM) Refinance RE
Max. Rate Req. 0.00% Improvements
Max. Rate Payment #DIV/0! (Annual Amount) Refi Non-RE #DIV/0!
Balloon #N/A (<50% of Appr.) Cash out #DIV/0!
Term 0 Years Closing fees #DIV/0!
ARM/VRM Years Total/Cashout % 0 #DIV/0!
Amortization 0 Years *Allocate the loan amount by its purpose, in dollars
Real Estate Security
Total Acres 0.00 COMMODITIES PERCENT
Tillable GROWN ON SEC. OF TOTAL
Irrigated Acres
County
State
Estimate of Value (Not yet Appraised)
Est. of Property Inc. (Not yet Appraised)
UCC Required on TOTAL 0
Appraisal Information
Total Value $ - Appraisal Date
Value Land* Orig. Pur. Price
Value Improvements Orig. Pur. Date
Value Other Improve. Since Pur.
Insurance Req. (Yes/No; In $ if Yes) Net Property Inc.**
Lease Pymt. on equip./fixtures necessary to operate the real property
Is borrower's principal residence on the property securing the loan? (Yes or No)
* Including permanent plantings ** As determined by Appraiser
ver 4.0 6-02 cf037ff0-8103-41c2-a682-c58b21a83c321 8/17/2011 Loan Summary
LOAN SUMMARY
Balance Sheet Trend Analysis
Date 1/0/1900 Pro-Forma
Current Assets
Other Non-Curr Ass.
Real Estate
Total Assets
Current Liabilities
Other Non-Curr Liab.
Real Estate Liabilities
Total Liabilities
Net Worth
Change In Net Worth 0 0 0 0 0
RE Appreciation -
-
+
Earned Gain 0 0 0 0 0
Current Ratio #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Debt/Asset Ratio #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
Contingent Liabilities
Income Statement Trend Analysis Years 0
Year 2000 2001 2002 2003 Average Pro-Forma
+ Total Farm Income 0 0 0 0 #DIV/0! 0
- Total Farm Expenses 0 0 0 0 #DIV/0! 0
= Net Farm Income 0 0 0 0 #DIV/0! 0
+ Net Non-Farm Inc. 0 0 0 0 #DIV/0! 0
+ Depreciation* 0 0 0 0 #DIV/0! 0
+ Total Interest* 0 0 0 0 #DIV/0! 0
+ Ann. Cap. lease* 0 0 0 0 #DIV/0! 0
+ Other 0 0 0 0 #DIV/0!
- Income & FICA Tax 0 0 0 0 #DIV/0! 0
- Family Living 0 0 0 0 #DIV/0! 0
- Non-Recurring 0 0 0 0 #DIV/0!
- Other 0 0 0 0 #DIV/0!
= Cash Flow (CFA) 0 0 0 0 #DIV/0! 0
+Annual P&I 0 0 0 0 #DIV/0! 0
+Ann. Cap. Lease 0 0 0 0 #DIV/0! 0
0 0 0 0 #DIV/0! 0
=CFR 0 0 0 0 #DIV/0! 0
Excess cash 0 0 0 0 #DIV/0! 0
TDC #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
* Includes Farm & Non-Farm
Comments:
ver 4.0 6-02 cf037ff0-8103-41c2-a682-c58b21a83c321 8/17/2011 Loan Summary
LOAN SUMMARY
Underwriting Standards
Pro Forma Current Ratio: Credit Score
Current Assets 0
Current Liabilities 0
CA/CL (Minimum 1:1) #DIV/0! #DIV/0!
Pro Forma Debt - Asset Ratio:
Total Liabilities 0
Total Assets 0
TL/TA (Maximum .50) #DIV/0! #DIV/0!
Pro Forma Total Debt Coverage Ratio:
+ Net Farm Income 0
+ Net Non-Farm Inc. 0
+ Depreciation* 0
+ Total Interest* 0
+ Ann. Cap. Lease 0
- Income & FICA Taxes 0
- Family Living 0
= Cash Flow Available (CFA) 0
+ Annual P&I* 0
+ Ann. Capital Lease Payments 0
= Cash Flow Required (CFR) 0
CFA/CFR (Minimum 1.25:1) #DIV/0! #DIV/0!
* Includes Farm & Non-Farm
TDC Shock (if required) CFR #DIV/0!
CFA/CFR #DIV/0!
Loan to Value Ratio:
Loan Amount 0
Appraised Value 0
Loan Amount/Appraised Value #DIV/0!
(Maximum .70)
Pro Forma Property Debt Coverage Ratio:
Net Property Income 0
Principal & Interest on Loan #DIV/0!
Inc./Payment (Minimum 1:1) #DIV/0!
Balloon Payment/Original Appraised Value
Balloon Payment #N/A
Value (Estimate or Appraised?) 0
BP/AV (Maximum 50%) #N/A
TOTAL CREDIT SCORE #DIV/0!
ver 4.0 6-02 cf037ff0-8103-41c2-a682-c58b21a83c321 8/17/2011 Loan Summary
PRELIMINARY LOAN APPROVAL CHECKLIST
Preliminary Documentation
Applicant: Loan Amount $ -
Full Underwrite
Fast Track II
Fast Track I
1. Loan Application listing all applicants
2. Request for the maximum interest rate for which approval is sought 0.00%
3. Schedule of proposed principal and interest payments (amortization schedule)
4. Credit Report with credit score on each primary obligor. (FTI 700) (FTII 720) (FU 680)
5. Current market value balance sheet(s) with schedules (including debt schedule)
6. Previous three years of market value balance sheets and schedules
7. Signed Tax Returns/Income statements for previous three years
8. Signed Tax Returns/Income statements for previous two years for Fast Track II or for the previous year from Fast Track I
9. Proforma balance sheet and schedules (including debt schedule)
10. Historical income and expense spread with proforma projections for Income Statements
11. Verification, non-farm income(copies of the 2 most recent paystubs or most recent W-2 for each applicant employed off-farm)
12. Credit verifications from major lender(s) of the borrower
13. Written mortgage verifications outlining outstanding principal balance and payment history (at least 24 mo) or two most
recent 1098's for each mortgage not in the Credit Report
14. Narrative analysis of the ranching or farming operation (5 C's of Credit)
15. Brief narrative detailing borrower's operation, use of funds and collateral for the loan
16. Completed Loan Summary
The following items may be submitted with the Preliminary Approval file or may be submitted later
17. UCC Lien Search
18. Current Environmental Disclosure signed by the loan applicants & appraiser
19. Evidence of hazard insurance coverage with loss payee endorsement(only if contributory value of improv >20% total appr value)
20. Analysis of water supply for irrigated land and evidence of lienable water rights and/or entitlements
21. Evidence of grazing permits, allotments and leases
22. Copies of all material contracts and leases
23. Description of fixtures and personal property needed to operate the mortgaged property upon which
Seller will perfect appropriate UCC filings prior to or at closing
24. Appraisal report conforming to USPAP (and Farmer Mac standards if applicable)
25. Other:
26. Other:
Prepared by: Date:
ver 4.0 03-06 cf037ff0-8103-41c2-a682-c58b21a83c321 8/17/2011 Checklist
WORK SHEET
This work sheet is to assist in comparative and consolidated Balance sheets
Dates Eliminations Consolidated
Assets
Cash
Savings
Harvested Crops
Growing Crops
Market Livestock
Total Current Assets
Breeding Livestock
Machinery
Other Investments
Contracts Receivable
Real Estate
Total Assets
Liabilities
Accounts Payable
Taxes Payable
Rents Due
Accrued Interest
Current Maturities
Total Curr. Liabilities
Notes Payable
Real Estate Debt
Total Liabilities
Net Worth
Change in Net Worth
Adjustments
Less Appreciation
Earned Gain
ver 4.0 6-02 cf037ff0-8103-41c2-a682-c58b21a83c321 8/17/2011 Worksheet
ENVIRONMENTAL DISCLOSURE
(Supplement to Application for Loan or Loan Servicing Request)
Name
Please answer ALL questions:
Real Property Security
Statement applies to all of the subject property* Yes No
Parcels only, Describe:
*If this statement does not apply to all parcels, complete a separate Hazardous Waste Statement for each different parcel.
Use Permit and Government Notices
1. Do you have a Use Permit for pesticides? Yes No
If yes, what is the permit no.?
2. Have you received notice from any governmental authorities concerning the removal
of any toxic or hazardous waste material or substance from the property? Yes No
If yes, briefly describe which authority, when notice was received and the nature of the notice.
3. Is subject property on a national or state hazardous waste site priority list? Yes No
If yes, indicate which list(s) and any numerical score or rating assigned
Water Management
Describe the source(s) and location of water for the property (if cropland is irrigated, complete Irrigation Supplement):
Storage Tank(s)
1. Are there any underground or aboveground storage tanks on the security? Yes No
If yes, for each tank provide the following information (for more than three tanks, use additional page)
Tank #1 Above ground Underground ** Testing or removal required
Age: Size:
Contents: Location:
Is tank permitted? (Yes/No) Permit No.
Has tank been tested? (Yes/No) Attach test report
Has tank leaked? (Yes/No) If Yes give details:
Tank #2 Above ground Underground ** Testing or removal required
Age: Size:
Contents: Location:
Is tank permitted? (Yes/No) Permit No. (attach copy)
Has tank been tested? (Yes/No) Attach test report
Has tank leaked? (Yes/No) If Yes give details:
Tank #3 Above ground Underground ** Testing or removal required
Age: Size:
Contents: Location:
Is tank permitted? (Yes/No) Permit No. (attach copy)
Has tank been tested? (Yes/No) Attach test report
Has tank leaked? (Yes/No) If Yes give details:
ver 4.0 6-02 cf037ff0-8103-41c2-a682-c58b21a83c321 8/17/2011 Environmental
Collection Sites
1. Are there any open pits, sumps or dumps on the property? Yes No
2. Are there any drain water evaporation ponds? Yes No
3. Are there any holding ponds with chemical wastes or effluent? Yes No
If yes, for each site provide the following information:
Age: Use:
Contents: Location:
Is site permitted? (Yes/No) Permit No. (attach copy)
Has site been tested? (Yes/No) Attach test report
Distance to wells, stream or drainage ditch:
Handling, Storage/Disposal of Hazardous Substances, Materials, Waste
1. Are pesticides or other hazardous substances stored on the property? Yes No
a. Briefly describe where they are located (e.g., in the shed 150 feet SE of the farm residence):
b. Briefly describe the contents:
c. Have you disposed of hazardous substances on this property? Yes No
If yes, specify where and how you disposed of them:
Miscellaneous
1. Is there any knowledge of contamination or threat of contamination from
adjacent or nearby properties (e.g., security is located next to a dumpsite or an
industrial plant with chemical holding ponds? If yes, briefly describe problem: Yes No
2. Are you aware of any hazardous waste problem existing on the real property
offered as security (whether from your operation or previous owner's operations)
that has not already been described above? If yes, briefly describe problem: Yes No
3. Has any environmental audit, assessment or survey been conducted on the
property? If so, please attach a copy. Yes No
Certification and Acknowledgment of Applicant/Owner and Appraiser
The undersigned hereby certify that the foregoing is true and complete to the best of his/her knowledge and is given for the purpose of
obtaining this loan or this continuation of the extension of credit.
Applicant's/Owner's Signature Date Applicant's/Owner's Signature Date
Appraisers Signature Date Applicant's/Owner's Signature Date
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REQUEST FOR CREDIT INFORMATION
ZIONS AG FINANCE
Applicant(s) has applied for a loan with ZIONS AG FINANCE, 500 Fifth St., Ames, Iowa 50010-6063. Applicant(s)
authorizes ZIONS AG FINANCE to conduct a credit inquiry and has listed your organization as a reference. Please furnish
the requested information and forward this request in the enclosed envelope. Applicant(s) authorize ZIONS AG FINANCE
to conduct their own credit investigation including a request for a business or consumer credit report.
Date Applicant's Signature Applicant's Signature
To: For:
Credit Reference Applicant
Address Address
City-State-Zip City-State-Zip
LOAN INFORMATION
Current Interest Payment Terms Date Last Final Due Original Loan Original Loan
TYPE OF CREDIT Balance Rate Amount Frequency Paid Date Amount Date
$ $ $
REAL ESTATE
CHATTEL
OPEN NOTE
Number of delinquent payments ___________ Amount overdue $_______________________
Years of experience with your organization ____________ Maximum credit extended at one time $_____________________
Do you have any co-signors or guarantors on the above loans? _____________________
Do you have any knowledge of bankruptcy, foreclosure or compromised debt involving the applicant? _____________________________
Have you imposed any restrictions on future transactions with the applicant? __________ Explain "yes" response ___________________
PAYMENT HISTORY CASH ACCOUNTS
TYPE OF ACCOUNT BALANCE
PROMPT
SATISFACTORY
LESS THAN SATISFACTORY
SLOW
Additional comments:
Signature Telephone Date
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