Name: Loan application signed in ink by all who: Application fee of100: Current three years tax returns individual: 1: 2: 3: List of collateral including a complete: Fiveyear operating plan: Current balance sheet of all applicants: Annual Income and Expense Statement: Consent To Release Financial Information: Amount of loan funds requested and letter: Summary of agricultural experience: If a corporation a current certificate: If partnership or joint venture appropriate: If a sales transaction a copy of purchase: Bank verification forms Please provide a: Past two pay stubs if applicable for all: If Child Support include last statement: If applicable statements of bankruptcies or: Name_2: DOB: SS No: Married: Unmarried No ofDependents Ages: Residence Address: Telephone No: Mailing Address Fax No: City State Zip Cell Phone: Email Address: Work Phone: Employer How long: Employers Address Employers Phone No: OccupationPosition Monthly Income: Resident of Alaska since MonthN ear Other Income: Drivers License No: Name_3: DOB_2: SS No_2: Married_2: No ofDependents: Ages: Residence Address Telephone No: Mailing Address Fax No_2: Zip: Cell Phone: Email Address Work Phone: Em p Io ye r How long: Employers Address Employers Phone No_2: OccupationPosition Monthly Income_2: Resident of Alaska since MonthN ear: Other Income: Drivers License No_2: Name of Corporation: Date Incorporated: AK ID No: TIN: Present Fann Operated: Year began farming: Location: Tillable: Other: Acres Rented 1: Acres Rented 2: Total Acres: Landlord Name: Address: Annual Cash Rental: Share Percentages: Major products sold: List contracts for Sale of Products to whom and terms of contract on separate page if necessary: Have you ever filed Bankruptcy NoYes Date: Status: Type: Amount RequestedOperating: Specify monthly quarterly annual payments beginning when1: Amount RequestedChattel: 1Chattel: Specify monthly quarterly annual payments beginning whenChattel: Amount RequestedReal Estate: 1Real Estate: Specify monthly quarterly annual payments beginning whenReal Estate: Amount RequestedFuture Farmer: 1Future Farmer: Specify monthly quarterly annual payments beginning whenFuture Farmer: Amount RequestedLine of Credit: 1Line of Credit: Specify monthly quarterly annual payments beginning whenLine of Credit: page if necessary 1: page if necessary 2: for a loan Attach additional page if necessary: Projected date funds needed: undefined_6: Amount of funds requested: capabilities Attach additional page if necessary 1: capabilities Attach additional page if necessary 2: Name 1: Name 2: Name 3: 4: Existing LiensRow1: Existing LiensRow2: Existing LiensRow3: Existing LiensRow4: Existing LiensRow5: Existing LiensRow6: Existing LiensRow7: Existing LiensRow8: Existing LiensRow9: Existing LiensRow10: Existing LiensRow11: Existing LiensRow12: Existing LiensRow13: Existing LiensRow14: Existing LiensRow15: Existing LiensRow16: fill_118: 20Row1: 20Row2: 20Row3: 20Row4: 20Row1_2: 20Row2_2: 20Row3_2: 20Row4_2: 20Row1_3: 20Row2_3: 20Row3_3: 20Row4_3: 20Row1_4: 20Row2_4: 20Row3_4: 20Row4_4: 20Row1_5: 20Row2_5: 20Row3_5: 20Row4_5: Name_4: as of date: Cashchecking balance: Current liabilities oayable within 12 months: Savings accountCDs: Accounts payable: Marketable securities: Accounts receivable: Ooerating loans: Current portion notes receivable: Accrued renttaxes: Products on hand Schedule A: Growing crops Schedule B: Accrued interestGrowing crops Schedule B: Marketable livestock Schedule C: Prepaid expenses: Current portion intermediateterm loans: Supplies: Other_2: fill_72: Machineryequipment Schedule E: Annual payment: Portable irrigation equipment: CreditorPortable irrigation equipment: SecurityPortable irrigation equipment: TermPortable irrigation equipment: Annual paymentPortable irrigation equipment: Personal recreational vehicles: CreditorPersonal recreational vehicles: SecurityPersonal recreational vehicles: TermPersonal recreational vehicles: Annual paymentPersonal recreational vehicles: Production livestock Schedule D: CreditorProduction livestock Schedule D: SecurityProduction livestock Schedule D: TermProduction livestock Schedule D: Annual paymentProduction livestock Schedule D: Notes receivable: CreditorNotes receivable: SecurityNotes receivable: TermNotes receivable: Annual paymentNotes receivable: Retirement accounts: Life insurance oolicv loans: Cash value oflife insurance: Household personal goods: OtherHousehold personal goods: Other_3: OtherOther: OtherRow1_2: Total intermediateterm annual pavments: fill_75: fill_76: Real estate Schedule F: Liens on real estate Schedule F: Notes contracts receivable: Annual payment_2: Other_4: Other CreditorsOther: TermOther: Annual paymentOther: OtherRow1_3: Other CreditorsRow2: TermRow2: Annual paymentRow2: OtherRow2: Total loneterm annual oavments: OtherRow3: fill_77: fill_78: TOTAL LIABILITIES: fill_80: TOTAL ASSETS: fill_82: NETWORTH: fill_84: Signature: Date_2: Signature_2: Date_3: Product Quantity Price S orURow1: ValueRow1: Crop Acres Price CorMRow1: ValueRow1_2: Product Quantity Price S orURow2: ValueRow2: Crop Acres Price CorMRow2: ValueRow2_2: Product Quantity Price S orURow3: ValueRow3: Crop Acres Price CorMRow3: ValueRow3_2: Product Quantity Price S orURow4: ValueRow4: Crop Acres Price CorMRow4: ValueRow4_2: Product Quantity Price S orURow5: ValueRow5: Crop Acres Price CorMRow5: ValueRow5_2: fill_197: fill_198: Number Kind PriceRow1: ValueRow1_3: Number Kind PriceRow1_2: ValueRow1_4: Number Kind PriceRow2: ValueRow2_3: Number Kind PriceRow2_2: ValueRow2_4: Number Kind PriceRow3: ValueRow3_3: Number Kind PriceRow3_2: ValueRow3_4: Number Kind PriceRow4: ValueRow4_3: Number Kind PriceRow4_2: ValueRow4_4: Number Kind PriceRow5: ValueRow5_3: Number Kind PriceRow5_2: ValueRow5_4: ValueTOTAL: fill_199: YearRow1: MakeRow1: ModelRow1: ItemRow1: Serial NumberRow1_2: ConditionRow1: ValueRow1_5: YearRow2: MakeRow2: ModelRow2: ItemRow2: Serial NumberRow2_2: ConditionRow2: ValueRow2_5: YearRow3: MakeRow3: ModelRow3: ItemRow3: Serial NumberRow3_2: ConditionRow3: ValueRow3_5: YearRow4: MakeRow4: ModelRow4: ItemRow4: Serial NumberRow4_2: ConditionRow4: ValueRow4_5: YearRow5: MakeRow5: ModelRow5: ItemRow5: Serial NumberRow5_2: ConditionRow5: ValueRow5_5: YearRow6: MakeRow6: ModelRow6: ItemRow6: Serial NumberRow6_2: ConditionRow6: ValueRow6: YearRow7: MakeRow7: ModelRow7: ItemRow7: Serial NumberRow7_2: ConditionRow7: ValueRow7: YearRow8: MakeRow8: ModelRow8: ItemRow8: Serial NumberRow8_2: ConditionRow8: ValueRow8: YearRow9: MakeRow9: ModelRow9: ItemRow9: Serial NumberRow9_2: ConditionRow9: ValueRow9: YearRow10: MakeRow10: ModelRow10: ItemRow10: Serial NumberRow10_2: ConditionRow10: ValueRow10: YearRow11: MakeRow11: ModelRow11: ItemRow11: Serial NumberRow11_2: ConditionRow11: ValueRow11: YearRow12: MakeRow12: ModelRow12: ItemRow12: Serial NumberRow12_2: ConditionRow12: ValueRow12: YearRow13: MakeRow13: ModelRow13: ItemRow13: Serial NumberRow13_2: ConditionRow13: ValueRow13: YearRow14: MakeRow14: ModelRow14: ItemRow14: Serial NumberRow14_2: ConditionRow14: ValueRow14: YearRow15: MakeRow15: ModelRow15: ItemRow15: Serial NumberRow15_2: fill_200: Description AcresRow1: Date CostRow1: Lien Holder Lien AmountRow1: PaymentRow1: ValueRow1_6: Description AcresRow2: Date CostRow2: Lien Holder Lien AmountRow2: PaymentRow2: ValueRow2_6: Description AcresRow3: Date CostRow3: Lien Holder Lien AmountRow3: PaymentRow3: ValueRow3_6: Description AcresRow4: Date CostRow4: Lien Holder Lien AmountRow4: PaymentRow4: ValueRow4_6: Description AcresRow5: Date CostRow5: Lien Holder Lien AmountRow5: PaymentRow5: ValueRow5_6: Description AcresRow6: Date CostRow6: Lien Holder Lien AmountRow6: PaymentRow6: ValueRow6_2: Description AcresRow7: Date CostRow7: Lien Holder Lien AmountRow7: PaymentRow7: ValueRow7_2: Description AcresRow8: Date CostRow8: Lien Holder Lien AmountRow8: PaymentRow8: ValueRow8_2: Description AcresRow9: Date CostRow9: Lien Holder Lien AmountRow9: PaymentRow9: ValueRow9_2: Description AcresRow10: Date CostRow10: Lien Holder Lien AmountRow10: PaymentRow10: ValueRow10_2: Date CostTOTAL: fill_201: fill_202: NAME: PERIOD FROM: TO: 2_2: undefined_10: 1_2: 2_3: 5: Value 1: Value 2: Value 3: Value 4: Value 5: undefined_11: 1_3: 2_4: 3_2: 1_4: 2_5: 1_5: 2_6: 3_3: 1_6: 2_7: 3_4: 4_2: 5_2: 6: 7: 8: 9: 10: 11: 12: 13: 14: 15: 16: undefined_12: 1_7: 2_8: undefined_13: 49: 50: 51: 52: 53: 1_8: 2_9: undefined_15: 1_9: 2_10: 3_5: 4_3: 5_3: 6_2: undefined_16: undefined_17: undefined_18: 1_10: 2_11: 3_6: 4_4: 5_4: 6_3: 7_2: 8_2: 9_2: 10_2: 11_2: undefined_19: undefined_20: COMMENTS 1: COMMENTS 2: COMMENTS 3: 1_11: 2_12: 3_7: Signature_3: Date_4: Date_5: Dated: Names: Address_2: Date_6: Date_7: Signature2_es_:signer:signature: Signature3_es_:signer:signature: Signature4_es_:signer:signature: Text5: Applicant Mailing Address: City: Zip Code: State: Unmarried: # Of Dependents: Occupation/Position_es_:signer:signature: Resident of Alaska Since?: Employer: Employer's Address: Occupation: Residental Address: Mailing Address: E-mail: Text11: Text12: Check Box1: OffCheck Box2: OffCheck Box3: OffCheck Box4: OffAmount Request: Text8: Text9: Text10: Text13: Text15: Text16: Text17: Text18: Text19: Text20: Text21: Text22: Text23: Text24: Text25: Text26: Text27: Text28: Text29: Text30: Text31: Text32: Text33: Text34: Text35: Text36: Text37: Text38: Text39: Text40: Text41: Text42: Text43: Text44: Text45: Text46: Text47: Text48: Text49: Text50: Text51: Text52: Text53: Text54: Text55: Text56: Text57: Text58: Text59: Text60: Text61: Text62: Text63: Text64: Text65: Text66: Text67: Text68: Text69: Text70: Text71: Text72: Text73: Text74: Text75: Text76: Text77: Text78: Text79: Text80: Text81: Text82: Text83: Text84: Text85: Text86: Text87: Text88: Text89: Text90: Text91: Text92: Text93: Text94: Text95: Text96: Text97: Text98: Text99: Text100: Text101: Text102: Text103: Text104: Text105: Text106: Text107: Text108: Text109: Text110: Text111: Text112: Text113: Text114: Text115: Text116: Text117: Text118: Text119: Text120: Text121: Text122: Text123: Text124: Text125: Text126: Text127: Text128: Text129: Text130: Text131: Text132: Text133: Text134: OtherRow1: Text135: Text136: Text137: Text138: Text139: Text140: Text141: Text142: Text143: Accounts payableMarketable securities: Text144: Text145: Text146: Text147: Text148: Text149: Text150: Text151: Text152: Text153: Text154: Text155: Text156: Text157: Text158: Text159: Other_5: Check Box160: OffCheck Box161: OffCheck Box162: OffCheck Box163: OffSignature1_es_:signer:signature: in ink: Check Box164: OffDate: