Ncua-7005 National Credit Union Central Liquidity Facility Agent R

DRAFT COPY - INTERNAL USE ONLY!

AGENT REQUEST FOR FUNDS

NATIONAL CREDIT UNION CENTRAL LIQUIDITY FACILITY

NATIONAL CREDIT UNION CENTRAL LIQUIDITY FACILITY

AGENT REQUEST FOR FUNDS

1. Complete the appropriate borrower information (see form instructions on page two):

1-A)

Request submitted by Agent Group Member:

Approved By:

(name of CLF Agent) (authorized representative signature of Member of Agent group) (date)

Through Agent Group Representative (AGR):

Approved By:

Or: (name of AGR) (authorized representative signature of AGR) (date)

1-B)

Request submitted by Agent Member directly to the CLF

Approved By:

1-C) Application date:

(name of CLF Agent) (authorized representative signature of Agent Member) (date) (date submitted to CLF)

2. Complete the following liquidity-need loan information table (attach additional tables as necessary):

Underlying Liquidity-Need Loan(s) To Natural Person Credit Union Members Serving As The Basis For The Request For Funds

3. Complete the appropriate funds delivery information:

Money Transfer Instructions For Approved Advance: Routing & Transit # (ABA) Depository Institution’s Name Account Number

A) Standard delivery instructions for Agent Group Representative
B) Delivery instructions for CLF Agent

NATIONAL CREDIT UNION CENTRAL LIQUIDITY FACILITY

AGENT REQUEST FOR FUNDS

FORM INSTRUCTIONS:

Agent member instructions:

1. Provide the name of the CLF Agent (corporate credit union) that is requesting funding for a loan and have an authorized representative of the institution sign/date the form on the applicable “approved by” line. Use line 1-A if you are a member of an Agent group or 1-B otherwise. If you are submitting the request directly to CLF, complete the date information on line 1-C.

2. Complete the Agent loan information table (column descriptions below). You may batch the underlying loans (the liquidity-need loans to natural person credit union members that serve as the basis for the request) into one request-for-funds amount. You may submit an extended form by attachment when the number of underlying loans exceeds the 10 lines provided in this table. Please ensure that attached extended forms contain the same detailed information and presentation format as this table.

Column	Instructions For Completion of Liquidity Loan(s) Information Table
A	Number given to the respective underlying loan making up the total request for funds.
B	Provide the name of the natural person credit union member requesting the liquidity loan from the CLF Agent.
C	Provide the Federal charter number, the insurance number (or other identifier if non-federally insured) of the natural person credit union member requesting the liquidity loan from the CLF Agent.
D	Provide the type of liquidity need as set forth in 12 U.S.C. §302 (1) and 12 C.F.R. §725.2 (i) with the letter code of A, B or C. “A” relates to a short-term adjustment credit; “B” relates to a seasonal credit ; and “C” relates to protracted adjustment credit available in the event of unusual or emergency circumstances of a longer term nature.
E	If applicable, provide the amount of existing loan(s) previously funded by the corporate that is being converted to funding from an Agent loan or Agent Group loan.
F	If applicable, provide the amount of any new liquidity-need loan to be funded by an Agent or Agent Group loan.
G	Provide the total amount of funds requested (add the amounts of column E and F).
H	Provide the par/book amount of collateral supporting the Agent loan (leave blank if using a blanket lien).
I	Provide the specific type(s) of collateral pledged by the natural person credit union member to the Agent member to secure the liquidity-need loan. Use any of the letter codes that apply. A= investment securities; B= member shares at the corporate; C= natural person credit union loans to members; D= other assets; and, E= blanket lien on the assets.
J	Indicate, with a Yes or No, whether you have perfected a security interest in the collateral.
K	Provide the date that the funds are needed (the advance date).
L	Provide the maturity date of the requested Agent or Agent Group loan (the date the funds will be repaid to CLF).
M	Indicate the exact number of days the Agent or Agent Group loan is outstanding (the term of the advance).
N	Provide the date of the signed Liquidity Need Loan Application (completed by the natural person credit union member) on file with the CLF Agent. This form must be signed and in full force and effect at the time a Facility advance is made. If a natural person credit union member rescinds this agreement the Facility may not advance funds to the Agent to be relent to that institution.

3. Provide the CLF Agent’s funds delivery information on line 3B.

Upon completion, deliver the Agent Request For Funds form to your Agent Group Representative (if applicable) or directly to the Central Liquidity Facility for further processing. If you are not submitting an Agent Request For Funds through an AGR, forward the signed original of each Agent Request For Funds form directly to the Facility and maintain a copy for your records.

Agent group representative instructions:

1. Complete the information for lines 1-A and 1-C.

2. Check the liquidity-need loan information table on line 2 and the funds delivery information on line 3-B for completeness.

3. Complete the appropriate funds delivery information on line 3-A.

You may batch individual Agent Request For Funds forms from different CLF Agents into one request for funds amount but you must include the underlying Agent Request For Funds form(s) that serve as the basis for the AGR request with your application. Forward all Agent Request For Funds form(s) to the Central Liquidity Facility for final processing. Send a signed copy of each Agent Request For Funds form to the Agent member, maintain a copy for your records and forward the original to the Facility.

0

Revised 5/10/95