Loan Application

Doing business with Farm Credit of Western Kansas is easy: Simply complete the loan application form below and hit submit! Once you submit the completed application below, your results will be forwarded to Farm Credit of Western Kansas where they will be reviewed by an individual from our credit staff.

Most times, we can make a preliminary decision regarding your loan based on the information provided through this application - and sometimes - we require additional information. Either way, a member from our team will contact you within 2-3 business days after you have submitted your loan application. If you have any questions regarding your loan application please contact us immediately at 1-800-657-6048!

Thanks again for your interest in Farm Credit of Western Kansas and we look forward to serving you in the near future!

click here to view our Equal Opportunity Statements.

Please complete the form below. By providing us with the financial information below you are enabling our credit staff with an opportunity to provide you with quicker and more accurate decisions regarding your financing needs. Please call 1-800-657-6048 if you have any questions regarding this application.

Required Field = *

* First Name:
* Last Name:
Company / Entity:
* Email Address:
*Address Line #1:
Address Line #2:
*City:
*County(If Other, please note in the comments):
*State:
*Zip:
*Home Phone:
*Business Phone:
*Birthdate (mm/dd/yy):
The amount I would like to borrow is:
I am:
I am interested in:
The Primary Product Produced on my Farm / Ranch is:
I am looking to make a decision within:
My Occupation is:

ASSETS

LIABILITIES

* Cash on Hand:
* Current Term Debt (next 12 months):
! Accounts Receivable:
 ! Current Liabilities:
! Total Assets:
 ! Total Liabilities:

INCOME

EXPENSES

! Gross Farm Sales (annual):
! Interest Expense (annual):
! Net Farm Profit (annual):
! Depreciation (annual):
! Non-Farm Income (annual):
! Housing Payments (monthly):
Additional Comments (optional):