COMMERCIAL CREDIT APPLICATION JOHN DEERE FINANCIAL LIMITED, 166-170 Magnesium Drive, Crestmead, Queensland, 4132 Telephone: 1800 857 057 Facsimile: +61 7 3802 3142 A.B.N. 55 078 714 646 Dealership Name Dealer No Contact Person Date Applicant Details Address where equipment is to be kept: Postal Address: Type of Business: Year Commenced: Contact Name: COMPANY TRUST PARTNERSHIP GOV'T ENTITY Please tick applicable boxes Borrower Name: ACN/ARBN/CN/Registration No.: Trust Name: Country Established: Class of (if not named below): Registered Office Address: Trading Address: Postal Address: ASSOCIATION CO-OP ABN: Type of Business: Year Commenced: Contact Name: Email Address: Business Phone No: Mobile No: ("YOU") Type of Trust: Unit Discretionary List all details here for individual borrowers/directors/guarantors/trustees/attorneys/executors/shareholders/beneficiaries/office bearer. In respect of a company, this section will also need to be completed for Beneficial Owners of the company. A beneficial owner is any individual who ultimately owns, through one or more share holdings, more than 25% of the issued share capital in the company. This could include, for example, persons that own shares in shareholding companies. For example, John Smith owns 100 shares in the company and he also owns all the shares in XYZ Pty Ltd which owns 50 shares in the company. For the purposes of ascertaining beneficial ownership, John Smith s shareholding in the company is 150 shares. INDIVIDUAL 1 ("YOU") Please tick applicable boxes Borrower INDIVIDUAL 2 ("YOU") Please tick applicable boxes Borrower INDIVIDUAL 3 ("YOU") Please tick applicable boxes Borrower Version 7/2011/10 Commercial Credit Application Page 1 of 2
INDIVIDUAL 4 ("YOU") Please tick applicable boxes Borrower COMPANY ("YOU") Company Name: Please tick applicable box ACN/CN: Trust Name (If Applicable): Registered Office Address: COMPANY ("YOU") Company Name: Please tick applicable box ACN/CN: Trust Name (If Applicable): Registered Office Address: Acknowledgment I,... hereby certify the named beneficiaries/shareholders in this application/the copy of (Officer of the Company or representative) the Trust Deed provided are the beneficiaries of the trust/ Beneficial Owners (as described above/in the copy of the Trust Deed provided) of the Applicant. I also acknowledge and undertake that I will inform these Beneficial Owners/beneficiaries (other than those deceased at the time of signing this acknowledgement) that: (a) I have passed on the personal information relating to them to John Deere Financial for John Deere Financial s and John Deere Limited s collection, use and disclosure for any of the purposes described in our privacy statement set out in this Commercial Credit Application; (b) they can access their personal information in the manner described under Access in our privacy statement set out in this Commercial Credit Application; (c) unless they tell John Deere Financial otherwise, these Beneficial Owners/beneficiaries have consented to the collection, use and disclosure of their personal information in the manner described in (a) above. You can discharge your undertaking by giving the Beneficial Owners/beneficiaries a copy of this Commercial Credit Application and making them aware of this acknowledgment.... (Signature) CONSENT AND ACKNOWLEDGEMENT You, the applicant for credit or the prospective guarantor (as the case may be), agree to your information being disclosed to and used by John Deere Financial, Deere & Co. (a company incorporated in the United States of America) or any wholly owned subsidiary of Deere & Co. or any person acting on their behalf (together the Deere Group ) or used and disclosed by any John Deere dealer for the purposes specified in the privacy statement and consent set out in this application form. You acknowledge having read and understood the acknowledgments, authorities and consents in this credit application. By signing this credit application you agree and acknowledge that the written details you have given in this credit application are true and correct or have been amended and initialled. You are not an insolvent or an undisclosed bankrupt(s) and there are no judgements against you. You also declare that you are unaware of anything that may adversely affect your ability to fulfil your obligations under the proposed credit agreement with John Deere Financial. By signing this credit application you give the acknowledgements, authorities and consents in this credit application. If you are unable to give the acknowledgements, authorities and consents in this credit application you must let John Deere Financial know as John Deere Financial may not be able to provide you with credit. Once you have given your consent you may not withdraw it. /Secretary 1 of Company Signature Date /Secretary 2 of Company Signature Date Individual 1 Signature Date Individual 2 Signature Date Individual 3 Signature Date Individual 4 Signature Date Version 7/2011/10 Commercial Credit Application Page 2 of 2
PRIVACY GENERALLY At John Deere Financial Limited ( JDF ) your privacy is important to us. JDF comply with the National Privacy Principles (new privacy laws which apply from 21 December 2001) as well as our existing obligations of confidentiality and the credit provider provisions in the Privacy Act 1988 (Cth) ( Act ). You may choose not to give JDF your personal information. However, JDF may not be able to process your application or provide you with an appropriate level of service without this personal information. Please read the following carefully. It sets out how JDF may use information you give in this application and what information JDF may obtain about you with or without your agreement. By completing this application form, you undertake to provide a copy of this privacy statement to each principal, company officer or partner that you purport to represent. Reference to you in this statement means the applicant for credit, a guarantor or a prospective guarantor, as the case may be. Reference to the Deere Group in this statement means JDF, Deere & Co. (a company incorporated in the United States of America), any wholly owned subsidiary of Deere & Co. or any person acting on their behalf. CREDIT INFORMATION Notice that your credit information may be given to a credit reporting agency Under the Act, JDF is allowed to disclose to a credit reporting agency personal information about you. This information includes: details to identify you - that is, your name, sex, date of birth, current and two previous addresses, your current or last known employer, and your driver s licence number; the fact that you have applied for credit and the amount; the fact that JDF is a current credit provider to you; payments overdue for at least 60 days and for which collection action has started; advice that payments are no longer overdue; cheques for more than $100 drawn by you which have been dishonoured more than once; in specified circumstances, that in JDF s opinion you have committed a serious credit infringement; and the fact that credit provided to you by JDF has been paid or otherwise discharged. JDF may obtain, disclose and exchange credit information You authorise JDF to: obtain from credit reporting agencies, consumer or commercial credit information for the purposes of: assessing this application; and assisting in the collection of overdue payments in respect of credit provided to you by JDF; disclose your name, residential address and date of birth to credit reporting agencies so that the credit reporting agency can provide an assessment to us of whether the information provided by you matches (in whole or in part) the information in the credit reporting agency's possession or control (which may include information contained in the credit information files of other individuals). This will be done for the purpose of verifying your identify as required under Australia's anti-money laundering and counter-terrorism laws. If you would prefer us to use another form of verification, such as your passport or drivers' licence, you must notify us and provide us with any information that we request; obtain from a credit provider named in this application or in a credit report, your personal information including your credit worthiness, credit standing, credit history or credit capacity as permitted under the Act and use the information to: assess an application for credit; notify other credit providers of a default by you; exchange information with other credit providers about your credit with JDF where you are in default with other credit providers; and assess your credit worthiness; and to disclose personal information concerning you to another credit provider for these purposes; obtain from a business which provides information about the commercial credit worthiness of persons, information about your commercial activities or commercial credit worthiness for the purposes of assessing your application for credit; disclose to persons involved in funding credit your consumer or commercial credit information for the purposes of enabling those persons so involved to perform tasks necessary in the funding of credit. JDF may disclose credit information about you to your guarantors You authorise JDF to provide to any guarantor or any proposed guarantor or any person providing security for the credit arrangement: any information concerning your credit worthiness, credit standing, credit history or credit capacity for the purpose of enabling the guarantor to decide whether to act as guarantor or to keep them informed about the guarantee; and a copy of any loan contract, lease, hire-purchase agreement or security agreement that may eventuate from this application. Insurers You authorise: an insurer to obtain your credit report from a credit reporting agency; and JDF to disclose a report or information to an insurer to assess whether to insure JDF for credit given to you or to assess the risk of default by you. JDF may disclose information about you to its dealers You authorise JDF to disclose personal and credit information to the dealer named in this application including: the reasons for JDF refusing your application for credit if that application is refused, without providing to that dealer a copy of any credit report relating to you; information about overdue payments in respect of credit provided by JDF to you, whether or not that information has been disclosed to a credit reporting agency, so the dealer can remind you of any payments due to JDF or take action in relation to overdue payments; information about the status of your credit arrangements with JDF. You authorise the dealer named in this application to seek access to this information. JDF may confirm employment/ income details You authorise JDF to confirm your employment and income details from any employer, accountant or tax agent named in this application. JDF may obtain information from State Motor Vehicle Registration or Licensing Authorities You authorise JDF to obtain information about you from any authority responsible for the registration of motor vehicles or licensing of drivers in any State or Territory of Australia and you agree to the authority giving the information about you to JDF. PERSONAL INFORMATION JDF may use your personal information JDF uses your personal information to: process your credit application (including determining if the National Credit Code applies); communicate with you about your credit application and credit provided to you by JDF; administer and manage credit provided to you by JDF; facilitate JDF s internal business operations, including complying with any legal requirements; complete and register, as necessary, relevant documentation including security interests; carry out confidential systems maintenance and testing; and assist us develop our products and services so that we can improve our relationship with you. Disclosure to Deere Group members or John Deere dealers JDF may by itself use or disclose your personal information to any Deere Group member or John Deere dealer who may use the information to: provide financial, administrative or other services for the purposes only of JDF s business (for example back-office administration call centre facilities and mailing services); develop a customer profile to enable any Deere Group member or any John Deere dealer to give you better service; Version 7/2011/10 Commercial Credit Application Page 1 of 3
develop new products, review and analyse products and customer needs; and plan, research, promote and market products and services which may be supplied by any Deere Group member or by other suppliers, which any Deere Group member or John Deere dealer considers may be of interest to you. The Deere Group may disclose your personal information to its external service providers for any of the purposes described above. You consent to JDF disclosing your personal information and credit information you provide to a Deere Group member outside Australia. JDF may disclose your personal information JDF may disclose your personal information to: our external service providers (which may be located overseas) that provide services to us. These organisations are limited in their use of your information to the purposes of our business only; guarantors and other persons who have an interest in any property offered to JDF as security; any party acquiring an interest in any business or your credit or loan account and any related securities provided by you or any other person; government agencies in connection with your finance with JDF, such as for stamping and registration of mortgages, liens and other security interests; any organisation which you request us to or any persons acting on your behalf, including your financial advisor, broker, solicitor, or accountant - unless you tell us not to: confirm your personal information with any person named in this application and you release all claims against JDF and your other creditors for all acts or omissions which occur in verifying this information; an insurance arranger or underwriter, for the purposes of effecting insurance you have applied for; debt collection agents for the purposes of enforcing any credit arrangement and securities entered into by you or any other person in connection with credit provided to you; a third party in the case of a sale, transfer or assignment of the whole, or part of the business or undertaking of JDF or any Deere Group member or the whole or part of the assets of JDF or any Deere Group member; or where the law requires JDF to do so or permits us to or you consent. ACCESS You are entitled at any time to request access to personal information held by JDF about you and to ask JDF to correct this information where you believe it is incorrect or out of date. To do so, please contact: Privacy Officer John Deere Financial Limited 166-170 Magnesium Drive CRESTMEAD QLD 4132 or P.O. Box 1544 BROWNS PLAINS BC QLD 4118 Telephone: 1800 857 057 Fax: +61 7 3802 3142 E-mail: 23JDFinancial@JohnDeere.com No access fee will be charged but JDF may charge you its reasonable costs of providing you with any information you have requested.
FACSIMILE (To be forwarded to Accountant from either the customer, John Deere Dealer or John Deere Financial Head office) Accountant Firm: Contact: Accountant Phone: Accountant Fax: Accountant Email: SUBJECT: Authority to release information (Application for Finance - John Deere Financial Limited) Applicant Name: I/We have applied for equipment finance from John Deere Financial Limited through... (Dealership and Town) and John Deere Financial may require additional financial information to process my/our application. If you (the accountant) receive a request from them, I/we authorise you to provide them with a copy of our financial statements and any other relevant information that they seek...................
John Deere Financial Limited A.C.N. 078 714 646 166-170 Magnesium Drive, Crestmead, Queensland, 4132 Telephone: 1800 857 057 Facsimile: +61 7 3802 3142 Commercial Asset & Liabilities Statement Statement for:... Assets & Liabilities Assets Value $ Liabilities Owing $ Amount of Each No of Repays Repayment $ Per Year Cash/Bank Accounts Overdraft Limit House Property (Address) Property/Term Loans (Lender) Rural Properties Property Name Area (Ha) Property/Term Loans (Lender) Other Land/Real Estate Property/Term Loans (Lender) Livestock Bill Facility (Lender) Type e.g. Cattle No (Head) Pastoral/Stock Firm Loans (Lender) Grain Pools Book Debts (Debtors) Plant/Equip MV (Description) Lender Trade Creditors Equip. Loans/Leases/HP (Lender) Other Assets (Details)/Investments Credit Card Limits Other Liabilities (Lender) Total Assets Tax Payable Total Liabilities Equity Crop Type Hectares Planted Cropping & Livestock Program Yield/Hectare Income $ Income Month Cropping Expenses $ Net Income Livestock Type Number of Head Yield/Head Income $ Income Month Livestock Expenses $ Net Income Total Net Income Version 2/2011/10 Page 1 of 2
Owned Rented Irrigated Rental Payment $ Comments Commercial & Contracting Program Type of Business (e.g. contract harvesting/farming) No Of Hectares Rate/Hectare Rate/Hr Income $ Income Month Expenses $ Net Income Off Farm Income Total Net Income Comments By signing this Statement of Assets and Liabilities you agree and acknowledge that the written details you have given in this Statement are true and correct. Signature Date Signature Date Version 2/2011/10 Page 2 of 2