This form is available electronically. |
Form Approved – OMB No. 0560-0155 |
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FSA-2248 (08-18-08) |
U.S. DEPARTMENT OF AGRICULTURE Farm Service Agency |
Position 2 |
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GUARANTEED FARM LOAN DEFAULT STATUS REPORT |
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LENDERS: COMPLETE ALL ITEMS. |
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1. FSA ID NUMBER |
2. BORROWER'S NAME
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3. LENDER'S ID NUMBER
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4. LENDER'S BRANCH NUMBER
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5. LENDER'S NAME
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6. LENDER'S LOAN NUMBER
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7. AGENCY LOAN NUMBER
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8. DATE LOAN BECAME DELINQUENT
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9. UNPAID PRINCIPAL ON LOAN
$ |
10. UNPAID INTEREST ACCRUED
$ |
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11. TOTAL AMOUNT PAST DUE
$ |
12. AS OF DATE
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13. DELINQUENT CODE: |
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(Enter appropriate code) |
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01 = DELINQUENT-DISPOSITION FORTHCOMING |
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10 = NOT VALID FOR THIS PROGRAM |
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02 = BORROWER WILL PAY DELINQUENT AMOUNT |
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11 = RESCHEDULING OF PAYMENTS COMPLETED |
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03 = NOT VALID FOR THIS PROGRAM |
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12 = DEFERRAL OF PRINCIPAL AND INTEREST PAYMENTS COMPLETED |
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04 = FORCED LIQUIDATION PENDING |
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13 = LOAN REINSTATED AND CURRENT |
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05 = VOLUNTARY LIQUIDATION PENDING |
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14 = BANKRUPTCY LIQUIDATION FILED BY BORROWER |
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06 = FORCED LIQUIDATION PENDING. ESTIMATED LOSS CLAIM FILED |
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15 = BANKRUPTCY REORGANIZATION FILED BY BORROWER |
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07 = VOLUNTARY LIQUIDATION PENDING. ESTIMATED LOSS CLAIM FILED |
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16 = BANKRUPTCY REORGANIZATION IN EFFECT. LOAN IS CURRENT AS PER BANKRUPTCY PLAN |
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08 = TEMPORARY LOAN BY LENDER TO BRING ACCOUNT CURRENT
09 = BORROWER RESTRUCTURING PENDING |
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17 = BANKRUPTCY REORGANIZATION WITH COURT ORDERED INTEREST RATE REDUCTION IN EFFECT. LOAN IS CURRENT AS PER BANKRUPTCY PLAN |
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Note: If code 1-2, 4-7, 9 or 14-15 is entered, bimonthly default status reports must be prepared. If code 8, 11-13, or 16-17 is entered, no further default status reports are required unless the borrower returns to default status at a future date. |
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14. INTEREST ASSISTANCE (IA) HAS BEEN CONSIDERED AND: |
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A. Has been ruled out as an option to correct the default. |
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B. An agency determination of IA eligibility is being requested in conjunction with the attached proposal to reschedule the debt. |
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15. COMMENTS ON MOST RECENT ACTION TAKEN, RESULTS, NEXT PLANNED ACTION AND DATE. ATTACH BANKRUPTCY SCHEDULES, COPIES OF CORRESPONDENCE, OR ADDITIONAL DOCUMENTATION AS NECESSARY.
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16A. LENDER'S AUTHORIZED SIGNATURE |
16B. TITLE
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16C. DATE
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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 loan 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.
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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. |
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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. |
File Type | application/msword |
File Title | This form is available electronically |
Author | Joanne.shaw |
Last Modified By | maryann.ball |
File Modified | 2010-07-07 |
File Created | 2010-07-07 |