Form RD 449-30 RD 449-30 Guaranteed Loan Report of Loss

USDA
Form RD 449-30
(Rev. 11-07)

FORM APPROVED
OMB NO. 0575-0137

INSTRUCTIONS—TYPE IN CAPITALIZED ELITE TYPE IN SPACES MARKED

(
)
Complete Items 1-6, 10-12, 15-34,
36-40, and 46-52 when report type is 1. Complete items 1-6, 10-15, 30-34, and 36-52 when report type is 2. See Reverse. 3 TABS & 2 SPACES.
1. CASE NO.
ST
CO

BORROWER’S ID

2A. AGENCY
LOAN NO.

3A. REPORT
TYPE CODE

3B. IS THE FINAL ESTIMATED
LOSS PAYMENT UNDER THE
TYPE CODE CHECKED?
YES
NO

5. LENDER ID NO.
(IRS Tax No.)

4. BORROWER NAME

7. CHECK ISSUE CODE
1 = SYSTEM GENERATED
2 = MANUAL CHECK
3 = NO CHECK ISSUED
4 = REFUND

2B. LOAN TYPE

(F.O.
only)

GUARANTEED LOAN ITEMS:

8. DATE MANUAL CHECK
YR ISSUED
MO
DA
(F.O.

6. AGENCY’S LENDER
BRANCH NO.

MO

DA

YR

Only)

$ DOLLARS

10. DATE OF SETTLEMENT

9. DATE OF DEPOSIT

MO

(F.O.
only)

LOSS GUARANTEED:

11. PRINCIPAL BALANCE

31. PERCENT OF LOSS
GUARANTEED

12. ACCRUED INTEREST
OWED

32. AMOUNT TO BE PAID

13. PRINCIPAL BALANCE OWED
ON PROTECTIVE ADVANCES

33. (Sum of Prin. Advance +
item 12) X item 31)

14. ACCRUED INTEREST ON
PROTECTIVE ADVANCES

34. MAXIMUM LOSS ALLOWED

15. TOTAL (Add Items 11 - 14)

35. ALLOWANCES TO LENDER
LIQUIDATION COST

DA

$ DOLLARS
(Percent)

(item 30 X item 31)

$0.00

(Lesser of items 32 or 33)

$0.00

YR

$0.00
(F.O.
only)

PRIOR LIEN AMOUNTS OWED TO SETTLEMENT DATE:

ADJUSTMENTS TO PROTECTIVE ADVANCES & INTEREST

16. REAL ESTATE DEBTS

36. PROTECTIVE ADVANCES PLUS
INTEREST (Items 13 + 14) X Item 31)

17. PERSONAL PROPERTY DEBTS

37. REMAINING BALANCE LOSS
GUARANTEE (Item 34 minus Item 36)

18. UNPAID TAXES, ASSESSMENTS,
GROUND RENTS, ETC.

38. PERCENT OF GUARANTEED
PORTION HELD BY LENDER

19. TOTAL PRIOR LIENS
(Add Items 16-18)

$0.00

$0.00

(Item 37 X Item 38)

40. UNPAID ANNUAL/LATE FEES

20. REAL PROPERTY
VALUE

41. AMOUNT DUE LENDER

$0.00

(Item 36 + Item 39 minus Item 40)

21. CHATTEL PROPERTY
VALUE

AMOUNT DUE LENDER OR USDA: (If Applicable)
42. PAID ANNUAL/LATE FEES

22. VALUE OF PERSONAL AND
CORPORATE GUARANTEES

43. AMOUNT PAID ON ESTIMATED LOSS

23. TOTAL (Add Items 20 - 22)

25. BASIC LOSS
(See Reverse for Instructions)

$0.00
(Percent)

39. LOSS ON GUARANTEED PORTION
HELD BY LENDER OR HOLDER

COLLATERAL:

24. NET COLLATERAL
(Item 23 minus Item 19)

$0.00

$0.00

44. BALANCE DUE LENDER
(Item 40 minus Item 41, if positive)

$0.00

45. INTEREST ON OVERPAYMENT
(Accrued interest due USDA)

$0.00

46. AMOUNT DUE USDA BY LENDER
$0.00

ADJUSTMENT TO BASIC LOSS:
26. FUNDS BEING HELD

[(Item 42 + Item 43) minus Item 41 + Item 45]

$0.00

47. AMOUNT DUE USDA BY LENDER FOR
RECOVERY AFTER FINAL LOSS CLAIM

$0.00

48. LENDER LOSS UNGUARANTEED
27. INCOME TO BE APPLIED TO DEBT
49. NAME OF LENDER
28. BORROWER’S DEBT PAYMENT
ABILITY - PRESENT VALUE

50. BY

29. TOTAL DEDUCTIONS
(Add items 26 - 28)

51. TITLE
$0.00

30. ADJUSTED BASIC LOSS
(Item 25 minus Item 29)

52. DATE

53. TENTATIVE APPROVAL - USDA OFFICIAL:
BY
55. DATE
54. TITLE

$0.00
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number
for this information collection is 0575-0137. The time required to complete this information collection is estimated to average 25 hours per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.