Form RD 1980-19

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FORM APPROVED
OMB NO. 0575-0137

Form RD 1980-19
(Rev 02-02)

GUARANTEED LOAN CLOSING REPORT
TRANSACTION CODE 4030

1. CASE NUMBER

ST

CO

4. LENDER ID NO.

BORROWER'S ID

5. LENDER
STATUS
CODE

6. LENDER
TYPE
CODE

7. CERTIFICATION EFFECTIVE 8. CERTIFICATION EXPIRATION
MO DA YR DATE
MO DA YR DATE

2. BORROWER NAME AND ADDRESS (INCLUDING ZIP CODE)

9. LENDER NAME AND ADDRESS (INCLUDING ZIP CODE)

3. BORROWER TYPE CODE

10. SERVICING OFFICE

11. SOURCE OF FUNDS

12. INTEREST
ASSISTANCE CODE

13. GUARANTEE FEE
PURPOSE CODE

14. FEE RATE

15. AMOUNT OF GUARANTEE
FEE PAID

16. AMOUNT OF LOANLINE OF CREDIT

17. ADVANCE AMOUNT
TO DATE

18. CLOSING DATE
MO
DA

19. MATURITY DATE OF LOAN

20. TERM OF BUYDOWN/
INTEREST ASSISTANCE
YEARS

21. PERCENT OF LOAN
GUARANTEED

22. LENDER'S NOTE INTEREST
RATE ON GUARANTEED
PORTION
%
26. RESERVED

%

MO

DA

YR

23. LENDER'S NOTE INTEREST
RATE ON NONGUARANTEED
PORTION
%

24. BUYDOWN/INTEREST
ASSISTANCE RATE

27. TYPE OF GUARANTEE
1-LINE OF CREDIT
2-LOAN NOTE GUARANTEE

28. INTEREST BASIS
(360 OR 365 DAYS)

%

.0000 %
25. PERIOD OF OPERATING
LINE OF CREDIT
YEARS
29. INTEREST RATE CODE
1 - SINGLE VARIABLE
2 - SINGLE FIXED
3 - MULTI VARIABLE
4 - MULTI FIXED

YR

30. BALANCE OWED ON LOAN

3 6
31. DATE GUARANTEE
PERIOD BEGINS
MO DA YR

32. DATE GUARANTEE
PERIOD ENDS
MO DA YR

35. AUTHORIZED LENDER'S SIGNATURE I certify that all conditions of the conditional commitment have been
met and that this report accurately describes the subject loan.

33. ANNUAL REVIEW DATE
MO DA YR

34. CERTIFIED LOAN
N-NO
Y-YES

36. TITLE

37. DATE

COMPLETED BY AGENCY SERVICING OFFICE
38. GUARANTEED
LOAN NUMBER

39. OBLIGATED
LOAN NUMBER

42. SIGNATURE OF AGENCY REPRESENTATIVE I have reviewed this report and the information is consistent with
the conditional commitment and the supporting documentation
provided by the lender.

COMPLETED BY FINANCE OFFICE

40. BRANCH NUMBER

41. DATE OF DEPOSIT
MO
DA
YR

43. TITLE

44. DATE

AGENCY SERVICING OFFICE (ORIGINAL) - FILE POSITION 2

LENDER

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 0575-0137. 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.

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