Rd 1980-41

FORM APPROVED OMB NO. 0670-0016

AS OF DATE
MO DA YR

UNITED STATES DEPARTMENT OF AGRICULTURE
RURAL DEVELOPMENT

USDA-RD
Form RD 1980-41

(Rev. 12-99)

GUARANTEED LOAN STATUS REPORT
INSTRUCTIONS TO LENDER - COMPLETE PART B AS APPLICABLE

PART A - IDENTIFYING INFORMATION - See Reverse
1. BORROWER ID NBR

2. AGENCY LOAN NBR

3. LENDER LOAN NBR

4. BORROWER NAME

5. LOAN TYPE

6. LENDER INT RATE GUARANTEED

7. LENDER INT RATE NONGUARANTEED

8. DATE OF LAST STATUS UPDATE

9. DATE OF LOAN

10. LOAN AMOUNT

PART B - TO BE COMPLETED BY LENDER
11. UNPAID PRINCIPAL

12. UNPAID INTEREST

$

13. AMOUNT ADVANCED DURING THE
CURRENT REPORTING PERIOD

$

$

14. LENDER INT RATE GUARANTEED

16. PAYMENT STATUS CODE
A=Borrower Ahead of Schedule
B=Borrower Behind Schedule
C=Borrower Current

15. LENDER INT RATE NONGUARANTEED

17. AMOUNT AHEAD OR BEHIND SCHEDULE

18. TERMINATE GUARANTEE
Y=Terminate
N=Do not Terminate

$

19. IF THE BORROWER IS BEHIND SCHEDULE, PLEASE INDICATE WHAT IS BEING DONE TO BRING THE ACCOUNT CURRENT.

20. PLEASE SUBMIT THE ORIGINAL OF THIS REPORT WITHIN
30 DAYS TO

21. AUTHORIZED LENDER SIGNATURE

x
22. TITLE

23. DATE

24. LENDER NAME AND ADDRESS

IF THE LENDER INFORMATION IN ITEM 24 IS IN ERROR, PLEASE
SHOW CORRECTIONS HERE.

LNDR ID

LNDR BRCH

According to the Paperwork Reduction Act of 1995, no persons are 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 0570-0016. 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.