STATE OF KANSAS
OFFICE OF THE STATE TREASURER
KANSAS AGRICULTURAL PRODUCTION LOAN DEPOSIT PROGRAM
Agricultural
Borrower’s Certification of Eligibility
For purposes of obtaining
an operating loan under the provisions of the Kansas Agricultural Production
Loan Deposit Program, created by K.S.A. 75-4268 et seq, the undersigned
agricultural borrower hereby certifies the following:
1. The
undersigned is an individual, limited liability agricultural company, limited
agricultural
partnership or family farm corporation as
defined in K.S.A. 17-5903, involved in farming.
2. The undersigned
has a debt-to-asset ration of 40% or greater.
3. The undersigned has not obtained any other
agricultural production loans from any lender
pursuant
to this program.
4. The loan
obtained pursuant to the Kansas Agricultural Production Loan Deposit Program
will be
used exclusively for the operating
expenses involved in farming.
Date: _______________ __________________________________________________________________
Borrower(s)
Printed Name(s)
___________________________________ _________________________________KS _____________ Address City Zip
___________________________ _______________ ___________________________ _______________ Primary Borrower Signature Soc.
Sec./FEIN # Co-Borrower Signature Soc. Sec./FEIN #
STATE
OF KANSAS
COUNTY OF ________________, SS:
BE IT REMEMBERED THAT ON THIS ________ day of ___________________, 2______, before
me, the undersigned, a Notary Public in and for the County and State aforesaid, came ___________________ _______________________________________, who is/are personally known to me to be the same person(s) who executed the foregoing instrument of writing, and such person(s) acknowledged the execution of the same.
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my official seal the day
and year last above written.
_______________________________
Notary Public
Form
to be completed by Borrower and faxed to
the State Treasurer at 785-296-7950
Revised 2/14/06
STATE OF KANSAS
OFFICE OF THE STATE TREASURER
KANSAS AGRICULTURAL PRODUCTION LOAN DEPOSIT PROGRAM
Certification
of Compliance by Lending Institution
For the purposes of complying with the provisions of the Kansas Agricultural Production Loan Deposit Program, created by K.S.A. 75-4268 et seq, the undersigned lending institution certifies the following:
1. The lender has received written certification from each of the borrowers evidencing the borrowers’ eligibility for this program.
2. The lender has approved the agricultural production loan deposit loan package submitted by each of the borrowers based on its internal guidelines of creditworthiness.
3. The lender has no other agricultural production loan made pursuant to this program, outstanding to any of these borrowers.
4. Upon placement of the agricultural production loan deposit with the lender, the lender will fund the loan to each approved eligible agricultural borrower as hereinafter agreed.
The lending institution hereby agrees to lend an
amount equal to the agricultural production loan deposit to the eligible
agricultural borrower(s) herein named at an interest rate which is not more
than 4% above the interest rate on the agricultural production loan deposit as
determined under K.S.A. 75-4237. Such
interest rate shall be recalculated on the first business day of January and
July each calendar year using the market rate then in effect.
The lending institution hereby agrees to reduce the agricultural production loan deposit in an amount equal to any payment of loan principal by the eligible agricultural borrower.
The lending institution hereby requests that the State
Treasurer accept its request for a total of $_____________________ to enable
the lender to fund the following loans as provided under the Kansas
Agricultural Production Loan Deposit Program: