Form AL321-01 "Loan Application" - Hawaii

What Is Form AL321-01?

This is a legal form that was released by the Hawaii Department of Agriculture - a government authority operating within Hawaii. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2012;
  • The latest edition provided by the Hawaii Department of Agriculture;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form AL321-01 by clicking the link below or browse more documents and templates provided by the Hawaii Department of Agriculture.

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Download Form AL321-01 "Loan Application" - Hawaii

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Agricultural Loan Division
LOAN APPLICATION
1428 South King Street
Honolulu, Hawaii
Print or Type
Legal Name (Under which Tax Returns are filed):
Business/Cell Phone No.:
Federal Employer I.D. No.:
Mailing Address (Street/City/State/Zip Code):
Hawaii G.E.T No.:
Business is
Business is organized as a (check one):
Number of Employees & Acreage
Major Commodities Produced or Services
(check one):
(including subsidiaries and affiliates):
Provided:
Sole Proprietorship
New
Employees
Acreage
Partnership
Existing
Current:
________
________
Corporation/Cooperative
Years in operation
Projected:
________
________
Other:____________________
E-mail Address:
Amount of Loan Requested:
Purpose of Loan (How will you use this loan, i.e. purchase plants/animals, machinery/equipment, chemicals, etc.):
Amounts ($)
Total (This should agree with amount of loan requested)--->
The following information to be furnished for the proprietor, each partner, each officer/director with 20% or more of applicant's stock
Date
Hawaii
Social Security
U.S.
% Ownership
First/Middle & Maiden Name (In full)/Last Name
Title or Office Held
&
Resident
Number
Citizen?
of Company
Place of Birth
(years)
(If no Middle Name list NMN)
SEE BACK SIDE OF THIS APPLICATION FOR A LIST OF ADDITIONAL DOCUMENTATION .
All information contained above and in exhibits hereto are true and complete to the best knowledge and belief of the applicant and are
submitted for the purpose of inducing State to grant a loan to applicant. The applicant hereby grants permission for verification to be made of
any statements presented in this application and authorize the State to obtain such further information as may be required. Whether or not the
loan therein applied for is approved, the applicant agrees to pay or reimburse the State for the cost of any surveys, title or mortgage
examination, appraisals, etc., performed by non-State personnel with consent of the applicant. The applicant further agrees to provide the State
with additional information and/or documents as requested.
(Individual, General Partner or Company Name)
By:
By:
Title:
Title:
AL321-01
Date:
Date:
Rev. 07/12
Agricultural Loan Division
LOAN APPLICATION
1428 South King Street
Honolulu, Hawaii
Print or Type
Legal Name (Under which Tax Returns are filed):
Business/Cell Phone No.:
Federal Employer I.D. No.:
Mailing Address (Street/City/State/Zip Code):
Hawaii G.E.T No.:
Business is
Business is organized as a (check one):
Number of Employees & Acreage
Major Commodities Produced or Services
(check one):
(including subsidiaries and affiliates):
Provided:
Sole Proprietorship
New
Employees
Acreage
Partnership
Existing
Current:
________
________
Corporation/Cooperative
Years in operation
Projected:
________
________
Other:____________________
E-mail Address:
Amount of Loan Requested:
Purpose of Loan (How will you use this loan, i.e. purchase plants/animals, machinery/equipment, chemicals, etc.):
Amounts ($)
Total (This should agree with amount of loan requested)--->
The following information to be furnished for the proprietor, each partner, each officer/director with 20% or more of applicant's stock
Date
Hawaii
Social Security
U.S.
% Ownership
First/Middle & Maiden Name (In full)/Last Name
Title or Office Held
&
Resident
Number
Citizen?
of Company
Place of Birth
(years)
(If no Middle Name list NMN)
SEE BACK SIDE OF THIS APPLICATION FOR A LIST OF ADDITIONAL DOCUMENTATION .
All information contained above and in exhibits hereto are true and complete to the best knowledge and belief of the applicant and are
submitted for the purpose of inducing State to grant a loan to applicant. The applicant hereby grants permission for verification to be made of
any statements presented in this application and authorize the State to obtain such further information as may be required. Whether or not the
loan therein applied for is approved, the applicant agrees to pay or reimburse the State for the cost of any surveys, title or mortgage
examination, appraisals, etc., performed by non-State personnel with consent of the applicant. The applicant further agrees to provide the State
with additional information and/or documents as requested.
(Individual, General Partner or Company Name)
By:
By:
Title:
Title:
AL321-01
Date:
Date:
Rev. 07/12
The following documentation may be required as part of the application:
1. Current Balance Sheet & Income/Expense Statements (past two years).
2. Three year cash flow projection of income & expenses (including income assumptions).
3. Aging schedules for Accounts Payable & Accounts Receivable.
4. Personal Financial Statements (for sole proprietors, partners & guarantors).
5. Income Tax Returns (last three years).
6. Letters of decline.
(Agricultural Loans - 2 declinations from private lenders, Farm Credit Bank(s) and/or USDA -FSA)
(Aquaculture Loans - 3 declinations from two private lenders, and the appropriate Farm Credit Bank)
7. Copy(s) of Deed or Lease for farm.
8. Marketing/Purchasing contracts (if applicable).
9. Hawaii State Tax Clearance.
10. Narrative describing your business (i.e. location, size, employees, crops, markets, etc.)
For Sole Proprietorships, include the following:
1. Verification of education/experience in agriculture or aquaculture*.
2. Name of Spouse, Social Security Number, Date of Birth, & off-farm employment (if applicable).
For Partnerships and Limited Liability Company, include the following:
1. Partnerships: Partnership Agreement
2. LLC: Articles of Organization, Operating Agreement, Resolution to Borrow, List of Members
For Corporations & Cooperatives, include the following:
1. Copy of Charter or Articles of Incorporation with all amendments thereto.
2. Copy of By-laws properly adopted and now in force.
3. Resolution to Borrow (including minutes authorizing resolution).
4. List of stockholders or members, and amounts of shares owned by each.
(Include name, address, citizenship status, state residency status & years, education/experience in agriculture or aquaculture)*
5. List of Board of Directors.
(Include name, address, citizenship status, state residency status & years, education/experience in agriculture or aquaculture)*
6. List of Officers (include name, address, Social Security Number and Date of Birth).
*
Education verification will require either college transcripts or diploma.
Experience verification will require tax returns.
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