Conservation Loan Program - Direct Loan Servicing - Special

FSA-2522 Date of Modification: (12-19-08)

BORROWER RESPONSE TO DENIAL OF PRIMARY LOAN SERVICING

AND INTENT TO ACCELERATE

For Borrowers Who Received Form FSA-2510 or FSA-2514 and applied for Servicing

INSTRUCTIONS FOR PREPARATION

Purpose: This form is used by 90 days past due or non-monetary default borrowers, who applied for servicing, but could not develop a feasible plan. It is submitted in response to FSA-2521 notifying borrowers of FSA’s intent to accelerate their account and explaining, in detail, all their options.
Handbook Reference: 5-FLP	Number of Copies: Original and one copy
Signatures Required: At least one of the borrowers (entity and individual persons) that executed the promissory note or assumption agreement, and have not been previously released of liability for the debts, must execute a form in order to be considered for servicing.
Distribution of Copies: Original form will be sent to the Borrower(s) with form FSA-2521. The copy will be retained in the official agency file as proof of the document sent. The original, once signed and returned to the agency, will also be retained in the official agency file.
Automation-Related Transactions: AgCredit

Items 1 and 3-6A will typically be completed by the Agency.

Items 2, 3-6B and 3-6C are completed by the Borrower(s). If the agency failed to complete 1 and 3-6A, information may be entered by the Borrower(s).

Fld Name / Item No.	Instruction
FSA Name and address	Enter the FSA office name and address
1 Options Available	One or more of the options may be available to the borrower(s). The Borrower will check the appropriate blocks to select the options desired.
2-5A Borrower Name	The agency official will type the name of the borrower that should sign the form. This will be one of the parties that executed the promissory note or assumption agreement. At least one borrower (entity and individual person) that executed the promissory note or assumption agreement, and have not been previously released of liability for the debts, must execute a form in order to be considered for the selected option(s).
2-5B Signature	The borrower named in block 3A will sign the response form. At least one borrower (entity and individual person) that executed the promissory note or assumption agreement, and have not been previously released of liability for the debts, must execute the form in order to be considered for the selected option(s). They may all sign one form or each sign separate forms.
2-5C Date	The date will be entered by the borrower when they sign the form.

Contact the State FSA Office if additional guidance is needed.

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