Agricultural Lease Credit Application
Customer Information
*Your Full Name
*Company Legal Name
Company Operating Name
*Business Type
Corporation
Partnership
Self Employed
*Mailing Address
*Town
*Province
AB
BC
MB
NB
NfLd
NS
NWT
ON
PEI
PQ
SK
*Postal Code
*Phone
Fax
Email
*
Birthdate (MM/DD/YYYY)
SIN
*Type of Farm Operation
Dairy
Beef
Poultry
Hog
Grain
Other
*Land Coordinates (Legal Description)
*Years Farming
Amount of Land Owned
Amount of Land Rented
Amount of Land Cultivated
Gross Yearly Revenue
Secondary Income
Number of Livestock
Financial Information
*Bank or Credit Union
*How Long?
Years
Months
*Phone
*Contact
Location
Fax
Trade References
*Company
1.
*Contact
*Phone
*Company
2.
*Contact
*Phone
Company
3.
Contact
Phone
Dealer References
Dealer Name
Salesperson
Phone
Fax
Email
*Equipment Description
3300 Trailer Mount
3350 Trailer Mount
3425 Trailer Mount
3575 Trailer Mount
3650 Trailer Mount
3750 Trailer Mount
3875 Trailer Mount
31000 Trailer Mount
3425 Mechanical Drive Truck Mount
3575 Mechanical Drive Truck Mount
3650 Mechanical Drive Truck Mount
3425 Repto Drive Truck Mount
3575 Repto Drive Truck Mount
3650 Repto Drive Truck Mount
3750 Repto Drive Truck Mount
3875 Repto Drive Truck Mount
31000 Repto Drive Truck Mount
3575 Hydrostatic Drive Truck Mount
3750 Hydrostatic Drive Truck Mount
3875 Hydrostatic Drive Truck Mount
31000 Hydrostatic Drive Truck Mount
Other (not in list)
*Total Equipment Cost (Before Tax)
* Applicable taxes will be applied to lease.
*
Required Fields
(800) 809-8224| 519-787-9353
sales@jaylor.com
Privacy
|
Terms of Use
