Credit Application and AgreementLoan Application • July 31st, 2024
Contract Type FiledJuly 31st, 2024PRIMARY APPLICANT - INDIVIDUAL PRIMARY APPLICANT - COMPANY FullLegal Name (as shownon State Driver’s License) Company Legal Name First Name Middle Name Last Name Company Name Address Company State of Formation Federal Tax ID Number City State Zip Code Company Primary Address County Mobile Phone Number City State Zip Code Primary Residence Phone Number Work Phone Number County Company Primary Phone Number Email Email Social Security Number Dateof Birth Company Total Assets Company Total Liabilities Total Assets Total Liabilities Total Assets$ Total Liabilities$ Gross Farm Income$ Year Began Farming Gross Farm Income$ Marital Status Married Unmarried Separated Company Principal Officer Name & Title CO-APPLICANT CO-APPLICANT FullLegal Name (as shownon State Driver’s License) FullLegal Name (as shownon State Driver’s License) First Name Middle Name Last Name First Name Middle Name Last Name Address Address City State Zip Code City State Zip Code County Mobile Phone Number County Mobile Pho
Simpli-Fi Credit Application and AgreementLoan Application • July 1st, 2024
Contract Type FiledJuly 1st, 2024PRIMARY APPLICANT - INDIVIDUAL PRIMARY APPLICANT - COMPANY Full Legal Name (as shown on State Driver’s License) Company Legal Name First Name Middle Name Last Name Company Name Address CompanyState of Formation FederalTax ID Number City State Zip Code CompanyPrimary Address County Mobile Phone Number City State Zip Code PrimaryResidence Phone Number WorkPhone Number County Company Primary Phone Number Email Email Social Security Number Date of Birth Company Total Assets Company Total Liabilities Total Assets Total Liabilities Total Assets$ Total Liabilities$ Gross Farm Income$ Year Began Farming Gross Farm Income$ Marital Status CompanyPrincipal Officer Name & Title Married Unmarried Separated CO-APPLICANT CO-APPLICANT Full Legal Name (as shown on State Driver’s License) Full Legal Name (as shown on State Driver’s License) First Name Middle Name Last Name First Name Middle Name Last Name Address Address City State Zip Code City State Zip Code County Mobile Phone Number Coun