Fin. Assit. App

Financial Assistance Eligibility Application

Tell us about your farm or ranch and we will follow up with next steps.

First name

Last name

Phone number

Email

Multi-line address

Country/Region

Address

City

Zip / Postal code

Do you own or lease a farm or ranch?

Own

Lease

How long have you leased or owned your farm or ranch?

1-4 Years

5-9 Years

10-20 Years

20+ Years

Total Acres of Farm or Ranch

0 - 20 Acres

21 - 39 Acres

40 - 100 Acres

100+ Acres

How Many Years of Farming/Ranching Experience Do You Have?

0- 4 Years

5-9 Years

10 - 20 Years

20+ Years

Are you a Veteran or Service Member?

Yes

No

Who are your primary customers or buyers?

Are you currently at risk of losing your farm or ranch or are currently in foreclosure?

Yes

No

If "other" selected, please provide more detail

How much assistance are you requesting (enter dollar amount)

What caused your current financial hardship?

What specifically are you requesting OOTW3D assistance for (equipment loan, mortgage, operation loan, etc.)

If your farm/ranch debt was paid off by the OOTW3D program, will your farm/ranch be profitable within the following 12 months?

Yes

No

If 50% of your farm/ranch debt was paid off by the OOTW3D program, will your farm/ranch be profitable within the following 12 months?

Yes

No