Pre-Approval Application

Type of Application

Individual Joint

Applicant Information

MUST MATCH APPLICANT'S VALID ID/DL

First name

Last name

Social Security

Date of Birth

Phone

Co- Applicant Information

MUST MATCH APPLICANT'S VALID ID/DL

First name

Last name

Social Security

Date of Birth

Phone

Type of Equipment & Model Information

Do you have an Agriculture/Timber ID Number?

Yes No

Amount Requested

Term Requested

Down Payment

Which salesperson are you working with?

Residential Status

Monthly Housing Payment

Year & Month at Current Address

Current Address

(not P.O. address)

Address

City

State

Zip Code

County

Mailing Address

(if different from above)

Address

City

State

Zip Code

County

Primary Applicant Employer

Employer Name

Work Phone

Job Title

Gross Monthly Income

Years and Months at Current Employer

Address

City

State

Zip Code

Joint Applicant Employer

Employer Name

Work Phone

Job Title

Gross Monthly Income

Years and Months at Current Employer

Address

City

State

Zip Code

Nearest Relative Information

(NOT IN THE SAME HOUSEHOLD)

First name

Last name

Phone

Relationship to You

Address

City

State

Zip Code

How did you hear about us?

Applicant Agreement

By filling out and signing this Application for Credit ("Application"), you are agreeing to allow Big Tex Tractor Co.("Dealer") to apply for credit, insurance and warranty products on your behalf. This Application is for use with DLL Finance, AgDirect, Sheffield Financial, Wells Fargo, and their Lenders ("The Lenders"). Additionally, by signing you agree to the following statement: I authorize Big Tex Tractor Co. and/or Dealer, as my agent, to: (i) submit information from this Application to The Lenders on my behalf; (ii) certify to The Lenders the accuracy of the information; and (iii) convey to The Lenders my consent to any policies, notices, agreements or other terms disclosed by The Lenders to applicants as part of The Lenders’ application process. I have read this Application and everything stated in it is true to the best of my ability. I authorize The Lenders to check my credit, employment history, or any other information, and to report such information, and its credit experience with me, to others. I am at least 18 years of age. Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation. I hereby certify that the property purchased pursuant to this application is for my personal and/or business use; that I am fully responsible for making all payments for such property; that such property will be in my possession or under my control until the amount financed and all finance charges have been paid in full; and that I am not purchasing any property financed through The Lenders for the benefit or use of another without the prior written approval of The Lenders. IMPORTANT INFORMATION ABOUT ACCOUNT OPENING PROCEDURES: Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who requests to open an account prior to account opening. WHAT THIS MEANS TO YOU: When you apply for credit, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents. Failure to provide the required information may result in denial of your request to open an account.