Ceres Solutions Finance Application

Ceres Solutions Cooperative, Inc. Financing Application for 2024

This information will be treated as confidential. Thank you for the opportunity to earn your business.

Applications due February 15, 2024. Payment due November 25, 2024. Cash prices at the time of purchase are used.
PROGRAM REQUESTED*

Loyalty Plus (75% Seed + 100% CN+CPP)Partner (50% Seed + 50% CN+CPP)Starter (Agronomy purchases of at least $25,000 and include Seed in purchase plan)Other (as approved by Credit Department)
PRODUCTS INCLUDED IN FINANCING*

SeedCrop NutrientsCrop Protection ProductsFarm FuelsCORE AgronomicsCustom ApplicationOther
APPLICANT SECTION
Ceres Solutions Agronomy Specialist
Your Account #
Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone
Cell Phone
County*
Social Security #*
Birth Date*
Example 12/12/1968
Marital Status*

SingleMarried
Co-Applicants?*

YesNo
Spouse Name
Spouse Social Security #
Birth Date

MonthDayYear
Date
Federal ID #
Email*
example@example.com
Fax
Business Type*

IndividualPartnershipIncorporatedLLC
NOTE: If partnership, corporation or LLC, please complete below in full. Incomplete or unsigned applications cannot be processed.
CO-APPLICANT SECTION

We make this application for the purpose of securing credit on account. We represent that the information provided is true and accurate. We authorize financial institutions and suppliers to release financial and credit information known to them for the purpose of evaluating this application. We agree to pay according to the terms of each account, and request billing be made in the account name specified. By signature(s), I/we agree to be bound by the Dealer’s credit terms, and acknowledge receipt of the credit terms.
Co-Applicant 1 Name

First NameMiddle NameLast Name
Title:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Social Security #
Birth Date

MonthDayYear
Date
Co-Applicant 1 Signature

Clear
2nd Co-Applicant?

YesNo
Co-Applicant 2 Name

First NameMiddle NameLast Name
Title:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Social Security #
Birth Date

MonthDayYear
Date
Co-Applicant 2 Signature

Clear
3rd Co-Applicant?

YesNo
Co-Applicant 3 Name

First NameMiddle NameLast Name
Title:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Social Security #
Birth Date

MonthDayYear
Date
Co-Applicant 3 Signature

Clear
Applicant Siguature*

Clear
Date*

MonthDayYear
Date
Spouse Signature

Clear
Date

MonthDayYear
Date
Co-Signer Signature

Clear
Date

MonthDayYear
Date
FINANCIAL PLANNING WORKSHEET

Please enter 0 for any field that is non-applicable to your application.
Customer Name*

First NameMiddle NameLast Name
Anticipated Credit Requested*
Acres Owned *
Acres Rented*
Non-Farm Income*
# of Years Farming*
Previous year’s farm income 2022*
2022 Schedule F, Line 9
CROP PLANNING INFORMATION

Please enter 0 for any field that is non-applicable to your application.
Crop 1*
Acres*
Estimated Yield*
Total Production*
(Less) Prod. Used for Feed*
(Less) Landlord’s Share*
Net Production*
Insurance Coverage Type (MPCI,CRC,etc.)*
Insurance Coverage Type %*
Expected Price*
Total Crop 1 Value*
Additional Crop?

YesNo
Crop 2
Acres
Estimated Yield
Total Production
(Less) Prod. Used for Feed
(Less) Landlord's Share
Net Production
Insurance Coverage Type (MPCI,CRC,etc.)
Insurance Coverage Type %
Expected Price
Total Crop 2 Value
Additional Crop?

YesNo
Crop 3
Acres
Estimated Yield
Total Production
(Less) Prod. Used for Feed
(Less) Landlord's Share
Net Production
Insurance Coverage Type(MPCI,CRC,etc.)
Insurance Coverage Type %
Expected Price
Total Crop 3 Value
Additional Crop?

YesNo
Crop 4
Acres
Estimated Yield
Total Production
(Less)Prod. Used for Feed
(Less)Landlord's Share
Net Production
Insurance Coverage Type(MPCI,CRC,etc.)
Insurance Coverage Type %
Expected Price
Total Crop 4 Value
TOTAL VALUE OF ALL CROPS
Total Value of All Crops to PDF Form
FINANCIALS

Please attach the first 2 pages of your 2022 1040 and a copy of your Schedule One and Schedule F (farm income and expenses) forms. Please also include Schedules 1065 and 1120 if applicable. Thank you.

Please enter 0 for any field that is non-applicable to your application.
Projected Income Statement: Crop Sales
Total Value of All Crops from Crop Planning Information
Livestock Sales
# Head
Type
Avg. Wt.
Est. Sales Dates(s)

MonthDayYear
Date
Plus: Other Farm Income
Plus: Government Program Payments
Equals Subtotal: Gross Farm Income
GFI to PDF Form
BALANCE SHEET AS OF

MonthDayYear
Date
Note: You can bypass this section by attaching your most recent market-based balance sheet.

Please enter 0 for any field that is non-applicable to your application
ASSETS (What I Own)
Will you provide an attached copy of market-based balance sheet per note above?*

YesNo
CURRENT ASSETS
Cash, Checking and Savings Accounts
Notes Receivable
Livestock and Poultry
Crops (Growing)
Crops (Stored)
Other Current Assets
TOTAL CURRENT ASSETS
Total Current Assets to PDF Form
LONG TERM ASSETS
Government Securities, Stocks,
Real Property
Acres
$ per Acre
Real Property to PDF Form
Home and Buildings
Motor Vehicles
Machinery and Equipment
Other Long-Term Assets
TOTAL LONG-TERM ASSETS
Total Long-Term Assets to PDF FORM
TOTAL ASSETS
Total Current Assets + Total Long-Term Assets
Total Assets to PDF Form
Hidden and only for field from calculation
LIABILITIES (What I Owe)
CURRENT LIABILITIES
Ceres Solutions Financing 2023
Accounts Payable
Credit Cards
Operating Loans to Financial Institutions
Other Current Debts
TOTAL CURRENT LIABILITIES
Total Current Liabilities to PDF Form
LONG-TERM LIABILITIES
Machinery Loans
Car Loans
Real Estate Mortgage Loans
Other Long-Term Debts
TOTAL LONG-TERM LIABILITIES
Total Long-Term Liabilities to PDF Form
TOTAL LIABILITIES
Total Current Liabilities + Total Long-Term Liabilities
Total Liabilities to PDF Form
NET WORTH
Total Assets Less Total Liabilities
NET WORTH to PDF Form
Hidden
Final Review and Confirmation (Please confirm and check ALL boxes)*

Attach 1040 & all other required financialsSigned & Co-Signed
Upload Required Financial Documents

Browse Files

Cancelof
Agronomy Specialist Email
example@example.com
Should be Empty: