FSA-2241 Guaranteed Loan Status Report

This form is available electronically. Position 2 Form Approved - OMB No. 0560-0155

FSA-2241

USDA-FSA

(2) State and County Code/FSA ID Number

(3) Borrower's Name

(7) Please Submit the original of this report within 30 days to

(08-18-08)

     

     

     

GUARANTEED FARM LOAN STATUS REPORT

(4) Lender's ID Number

(5) Lender's Branch Number

     

     

(6) Lender's Name

As of (1)

     

     

(8) Lender's Loan Number (9) Date of Loan (10) Loan Amount (11) Date of Last Update

Agency Loan Number

Loan Type

Unpaid Principal

Unpaid Interest

Lender's Interest Rate Guaranteed

Lender's Interest Rate Nonguaranteed

Amount Advanced During the Current Reporting Period

Date of Last Advance

Terminate Guar (Y/N)

Loan Sold (Y/N)

Payment Status Code A-Borr Ahead of Schedule B-Borr Behind Schedule C-Borr Current Amount Ahead/Behind

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(33) Authorized Lender's Signature

(34) Title

(35) Date

(36) Lender's Name and Address Changes - Enter here:

     

     

     

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.), or other Acts, and the regulations promulgated thereunder, to solicit the information requested on its application forms. The information requested is necessary for FSA to determine eligibility for credit or other financial assistance, service your guarantee and conduct statistical analyses. Supplied information may be 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 or 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 20 minutes 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.

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.