221 Main Street, Suite 301 y Salinas, CA 93901
(831) 424-1099 y Fax (831) 424-1094
APPLICATION FOR BUSINESS LOAN
Individual Completing Application
Address of Individual
Name of Business
Tax I.D. or SS#
Full Street Address
Type of Crop(s)
Number of Employees at Time of Application
Number of Employees if Loan is Approved
Bank of Business Account & Address
Use of LoanProceeds
Farm Operating Loan
Farm Equipment Purchase
Farm Land Purchase
Hard Construction Costs
(Refinance of existing farm debt)
-Please provide copy of purchase agreement.
-If loan proceeds are to pay off existing debt, please provide a copy of last statement and reason for pay off request.
You are applying for a USDA/FSA Guaranteed loan. As part of the requirements for this loan you will be asked to submit annual financial
information. Your signature below acknowledges your understanding of this requirement. You are also certifying that all information provided
on this form is true and correct to the best of your knowledge.
I authorize Cal Coastal RDC to make inquiries as necessary to verify the accuracy of the statements made and to determine my credit
worthiness. I certify the above and the statements contained in the attachments are true and accurate as of the stated date(s). These
statements are made for the purpose of either obtaining a loan or guaranteeing a loan. I understand that FALSE statements may result in
forfeiture of benefits and possible prosecution by the U.S. Attorney General (Reference 18 U.S.C. 1001).