Account Applications and Forms

To create a new account or change an existing account with Premier Cooperative, please fill out the appropriate application/form below and send to:

Mail:
Premier Cooperative
%Finance Department
PO Box 230
Mount Horeb, WI 53572


Email: finance@premiercooperative.com

Fax: (608) 723-3981

Form Title Who Why Actions
Disclosure Notice All Members applying for credit The disclosure notice is a requirement of our credit application Open, Inquiry

W-9 Form

All New Members or Members making a change to their account.

The W-9 form is required to be a patronage eligible member (receive refunds).

Open, Inquiry

Residential/Consumer Application

Residential (Consumer) Members

To have purchases billed monthly. The alternative to being billed monthly is to prepay or pay at the point of sale/delivery.

Open, Inquiry

Commercial/Non-Farm Application

Businesses that are not a farming operation

To have purchases billed monthly. The alternative to being billed monthly is to prepay or pay at the point of sale/delivery.

Open, Inquiry

Producer Application Checklist Producers applying for credit To ensure all necessary information is gathered for Premier Cooperative to process your application for credit. Open, Inquiry

Producer/Farm Application

Producers (the account is for a farming operation)

To have purchases billed monthly. The alternative to being billed monthly is to prepay or pay at the point of sale/delivery.

Open, Inquiry

CHS Convenience Loan Application

Producers requesting a crop input loan of less than $250,000 for purchases with Premier.

To have a non-revolving loan for crop inputs purchased through Premier. Due date is February 10th following harvest. Promotional interest rates available on qualifying purchases.

Open, Inquiry

CHS Operating Loan Application

Producers requesting a full operating loan to use on crop inputs, feed, land rent, etc.

To have a revolving or non-revolving full operating loan for crop inputs and feed purchased from Premier as well as rent and custom services not purchased from Premier. Due date is February 10th following harvest.

Open, Inquiry

CFA Crop Input Loan

Producers requesting a full crop input loan (cannot be used for feed or non-grain crops)

To have a non-revolving loan for grain crop inputs purchased through Premier as well as rent and custom services not purchased from Premier. Due date is February 15th following harvest. Promotional rates available.

Open, Inquiry

Sales and Use Tax Exempt Certificate
 

Sales Tax Exempt Accounts

In order to have your account coded and billed as sales tax exempt, we must have this form on file.

Open, Inquiry


 

 
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