Form SBA FORM 1149 SBA FORM 1149 Lender's Transcript of Account

OMB NO: 3245-0132
Expiration Date:

U.S. Small Business Administration
Lender's Transcript of Account
Name of Borrower

Loan Number

Name of Lender

Amount of Loan

Int. Day Basis

Repayment Terms as Stated in the Note

Approved Deferment Periods:
Default Date (Next Payment Due Date):
Date

Amount
Disbursed

Amount
Repaid

Application of Payment
Principal
Interest

SBA Form 1149 (6-08) REF SOP 5050 Previous Editions Obsolete
(This form is a necessary part of the SBA GUARANTY purchase package.)

Interest Paid
From

To

Principal
Balance

Date

I Certify This to be a True Copy of Transcript of Account
Signature

Int.
Rate

Title
See Reverse Side for Instructions

DFC COPY

INSTRUCTIONS FOR COMPLETION
OF TRANSCRIPT OF ACCOUNT
1.

NAME OF BORROWER Enter the trade name of borrower or the name of the borrower if a
trade name is not used.

2.

LOAN NUMBER Enter the ten-digit SBA loan number.

3.

NAME OF LENDER Enter the name of the Lender.

4.

AMOUNT OF LOAN Enter the total amount of the loan.

5.

INTEREST DAY BASIS Enter the method used for the interest computation.
Show 30/365, actual/365 or actual/360 to indicate day basis/interest factor.

6.

REPAYMENT TERMS Enter the repayment terms provided in the note.
Note dated
interest

Maturity Date
payable

or Principal

Interest Rate

Principal and

plus interest payable

7.

DATE Enter the date of each transaction on the loan account.

8.

AMOUNT DISBURSED Enter the amount of each disbursement.

9.

AMOUNT REPAID Enter the amount of each repayment made by the borrower.

10.

APPLICATION OF PAYMENT Enter the amounts applied to principal and interest for each
repayment made by the borrower.

11.

INTEREST RATE Enter the interest rate in effect at the time the payment was applied on
loan account.

12.

INTEREST PAID Enter the "from" and "to" dates used in computing the interest paid on the
loan. These dates should be in consecutive order.

13.

PRINCIPAL BALANCE Enter the principal balance after each transaction.

14.

SIGNATURE AND TITLE Certification of official representative of the Lender that the transscript of account is correct and shows the principal balance due on the loan and that
interest has been paid to the date shown on the transcript.

15.

DATE Enter the date of the certification.

16.

Submit the original copy to SBA with the purchase request. Retain a copy for your
files.
PLEASE NOTE: The estimated burden for completing this form is 60 minutes per response. You are not required to
respond to any collection of information unless it displays a currently valid OMB approval number. Commitments on the
burden should be sent to U.S. Small Business Administration, Chief, AIB, 409 3rd St., S.W., Washington D.C. 20416 and
Desk Officer for the Small Business Administration, Office of Management and Budget, New Executive Office Building,
Room 10202, Washington, D.C. 20503. OMB Approval (3245-0132). PLEASE DO NOT SEND FORMS TO OMB.

SBA Form 1149 (6-08)