FINANCIAL INFORMATION UPDATE FORM - John Deere

FINANCIAL INFORMATION UPDATE FORM

If you would like to get your Multi-Use Account credit limit increased, please fill out this form. Check the one that applies: Increase my Regular credit limit Establish/Increase my Special Terms credit limit

Required General Information (Please print)

Account Name:

Address:

City:

Account #:

-

Email Address:

Merchant Name:

State: Social Security #:

County: Zip:

Merchant Number:

Date:

Phone:

D.O.B:

/

/

Tax ID #:

Phone:

Business Structure: Sole Proprietor Limited Partnership

Corporation Non-Profit

General Partnership Government

Limited Liability Company Other

$120,001 to $500,000* Complete, sign and submit this form and include the most recent year lender-prepared balance sheet with supporting schedules and the most recent year income statement (or equivalent such as a schedule F).**

Over $500,000*

Complete, sign and submit this form along with the two most recent years' of lender-prepared balance sheets with supporting schedules and the two most recent income statements (or equivalent such as schedule F).**

Over $2,000,000*

Complete, sign and submit this form along with the two most recent years' accountant reviewed or audited financial statements.**

*John Deere Financial reserves the right to request additional information if needed. **If applicable, include the same information for co-applicant, including spouse. If a partnership, Corporation, or LLC, include for both the entity and the general partners, president, owner, or managing member(s).

Balance Sheet Date

Cash, Checking, Savings

$

Securities

$

Accounts Receivable

$

Investment in Growing Crop

$

Feed & Grain Inventory

$

Market Livestock

$

Government Payments Receivable $

Other Current Assets

$

ASSETS

CCC Loans Operating Principal Accounts Payable Current Intermediate Debt Current Long-Term Debt Leases Misc. Current Liabilities Specify

LIABILITIES $ $ $ $ $ $

$

Specify

Total Current Assets $ 0.00

Total Current Liabilities $ 0.00

Breeding Livestock

$

Machinery & Equipment

$

Vehicles

$

Other Intermediate Assets

$

Specify

Total Intermediate Assets $ 0.00

Notes Payable--Specify

$

Machinery & Equipment Loans $

Vehicle Loans

$

Other Intermediate Debt

$

Specify

Total Intermediate Liabilities $ 0.00

Real Estate Value

$

Buildings

$

Other Long-Term Assets

$

Specify Total Long-Term Assets $ 0.00

TOTAL ASSETS $ 0.00

Mortgage Loans

$

Other Long-Term Debt

$

Specify

Total Long-Term Liabilities $ 0.00 TOTAL LIABILITIES $ 0.00

Page 1 of 2

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PPhhoonnee:: Phone:

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$__________________ $__________________ $__________________

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Date MMaaiill ttoo:: JJoohhnn DDeeeerree FFiinnaanncciiaall,, PP..OO.. BBooxx 55D33a22t88e,, MMaaddiissoonn,, WWII 5533770055 Mail to: John Deere Financial, P.O. Box 5328, Madison, WI 53705

John Deere Financial Fax: 1-800-732-0251 Mail to: John Deere Financial, P.O. Box 5328, Madison, WI 53705

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DDeeeerree Deere

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John John

Deere Deere

Financial, Financial,

P.O. P.O.

Box Box

5328, 5328,

Madison, Madison,

WI WI

53705 53705

CR0316587 Litho in U.S.A. (21-08)

Page 2 of 2

Multi-Use Accounts are a service of John Deere Financial, f.s.b. CR0314362 Litho in U.S.A. (14-01)

Page 2 of 2

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