FSA-2236 Guaranteed Loan Closing Report

This form is available electronically. Form Approved – OMB No. 0560-0155 (See Page 2 for Privacy Act and Public Burden Statements)

FSA-2236 U.S. DEPARTMENT OF AGRICULTURE Position 2 (08-18-08) Farm Service Agency GUARANTEED LOAN CLOSING REPORT Transaction 4030

1. FSA ACCOUNT NUMBER

4. LENDER ID NO.

5. LENDER STATUS CODE

6. LENDER TYPE CODE

A. STATE CODE

B. COUNTY CODE

C. FSA ID NUMBER

     

     

     

     

     

     

7. CERTIFICATION EFFECTIVE DATE

8. CERTIFICATION EXPIRATION DATE

     

     

2. BORROWER NAME AND ADDRESS

9. LENDER NAME AND ADDRESS

     

     

3. BORROWER TYPE CODE

10. SERVICING OFFICE (State and County Code)

     

     

11. SOURCE OF FUNDS

12. GUARANTEE FEE PURPOSE CODE

13. FEE RATE

     

     

$

14. AMOUNT OF GUARANTEE FEE PAID

15. AMOUNT OF LOAN-LINE OF CREDIT

16. ADVANCE AMOUNT TO DATE

17. CLOSING DATE

$

     

$

     

$

     

     

18. MATURITY DATE OF LOAN

19. TERM OF INTEREST ASSISTANCE YEARS

20. PERCENT OF LOAN GUARANTEED

21. LENDER’S NOTE INTEREST RATE GUARANTEED PORTION

     

     

     %

     %

22. LENDER’S NOTE INTEREST RATE ON NONGUARANTEED PORTION

23. INTEREST ASSISTANCE RATE

24. PERIOD OF OPERATING LINE OF CREDIT

25. RESERVED

     %

     %

     YEARS

     

26. TYPE OF GUARANTEE

27. INTEREST BASIS (360 OR 365 DAYS)

28. INTEREST RATE CODE

29. BALANCE OWED ON LOAN

1 = LINE OF CREDIT

     

1 = SINGLE VARIABLE

$

2 = LOAN NOTE GUARANTEE

2 = SINGLE FIXED

3 = MULTI VARIABLE

  

  

4 = MULTI FIXED

30. DATE GUARANTEE PERIOD BEGINS

31. DATE GUARANTEE PERIOD ENDS

32. ANNUAL REVIEW DATE

33. CERTIFIED LOAN

     

NO

YES

34. I certify that all conditions of the conditional commitment have been met and that this report accurately describes the subject loan.

A. SIGNATURE OF AUTHORIZED LENDER REPRESENTATIVE

B. TITLE

C. DATE

     

     

COMPLETED BY AGENCY SERVICING OFFICE

COMPLETED BY FINANCE OFFICE

35. GUARANTEED LOAN NUMBER

36. OBLIGATED LOAN NUMBER

37. BRANCH NUMBER

38. DATE OF DEPOSIT

     

     

     

     

39. I have reviewed this report and the information is consistent with the conditional commitment and the supporting documentation provided by the lender.

A. NAME OF AGENCY OFFICIAL (PRINTED)

B. TITLE (PRINTED)

     

C. SIGNATURE OF AGENCY OFFICIAL

D. DATE APPROVED

     

The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual's income is derived from any public assistance program. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA's TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of discrimination, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.

FSA-2236 (08-18-08) Page 2

NOTE: The following statements are made in accordance with the Privacy Act of 1974 (5 USC 552a): the Farm Service Agency (FSA) is authorized by the Consolidated

Farm and Rural Development Act, (7 USC 1921 et seq.), and the regulations promulgated thereunder, to solicit the information requested on this form. The

information requested is necessary for FSA to determine eligibility for financial assistance, service your loan, and conduct statistical analyses. Supplied information

maybe furnished to other Department of Agriculture agencies, the Department of the Treasury, the Department of Justice or other law enforcement agencies, the

Department of Defense, the Department of Housing and Urban Development, the Department of Labor, the United States Postal Service, or other Federal, State, or

local agencies as required or permitted by law. In addition, information may be referred to interested parties under the Freedom of Information Act (FOIA), to financial

consultants, advisors, lending institutions, packagers, agents, and private or commercial credit sources, to collection or servicing contractors, to credit reporting

agencies, to private attorneys under contract with FSA or the Department of Justice, to business firms in the trade area that buy chattel or crops or sell them for

commission, to Members of Congress or Congressional staff members, or to courts or adjudicative bodies. Disclosure of the information requested is voluntary.

However, failure to disclose certain items of information requested, including your Social Security Number or Federal Tax Identification Number, may result in a delay

in the processing of this form or its rejection.

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not 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 0560-0155. The time required to complete this

information collection is estimated to average 1 hour 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. RETURN THIS COMPLETED FORM TO YOUR LOCAL FSA OFFICE.