Louisiana Ag Credit

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Application

Call toll-free 1-866-LA FARMS (1-866-523-2767)

If you are interested in a loan with Louisiana Ag Credit, please provide as much information below as possible. An association representative will be in contact with you within 24 hours (48 hours if submitted on Saturday) to discuss your needs.

Name:
Address:
City:
State:
Zip Code:
Home Phone:
Work Phone:
E-mail Address:

Purpose of loan: (choose one or more)

Land Purchase
Home Purchase/Construction
Timber Purchase
Equipment Purchase
Refinance
Operating Expenses
Other

If real estate purchase, is property under contract?

Yes No
Contract Purchase Price: $

Number of acres being purchased or refinanced:

Is there a home or other improvements on the property?

Yes No
Describe:

County/Parish in which property is located:

Nearest town:

Loan amount requested: $

How did you find us?

Newspaper
Radio
Television
Brochure
Internet Search Engine
Direct Mail
Loan Officer Contact
Referral
Other

Questions or comments: