SBA FORM 1502 Guaranty Loan Status & Lender Reimittance Form

OMB No.

3245-0185

Expiration Date:

Guaranty Loan Status & Lender Remittance Form

Check box if lender information reflects changes

F

Check box if secondary market payment

O

reported is a late payment or prepayment

Lender's Name:

Lender's Street Address:

L

D

Lender's City, State, Zip:

Lender's Contact Person:

Contact Person's Telephone No.:

Contact Person's Fax No:

Month Ending:

Next

Amt Disbursed

Amount

Total to FTA

Guar. Portion

Remittance

SBA

Lender

Installment

Status

this Period

Undisbursed

Interest

Guar. Portion

Guar. Portion

Guar. Portion

Interest Period

# of

Calendar

Closing

Penalty

GP Number

Loan Number

Due Date

(4 - 9)

on Total Loan

on Total Loan

Rate

Interest

Principal

Pymt or Fee

From

To

Days

Basis

Balance

(if any)

Total:

0.00

Total:

0.00

Status Codes

4 Deferred

7

Transferred

Grand Total:

0.00

5 In Liquidation

8

Purchased by SBA

Total to FTA + Penalty

6 Paid-in-Full

9

Fully Undisbursed

Check/Wire Amt:

0.00