Land Contract Guarantee program and Emergency Equine Loss Loan (EM) Program - Direct Loan Making

Land Contract Guarantee Program and Emergency Equine Loss Loan (EM) Program - Direct Loan Making

FSA2341Ins_12-31-07

Land Contract Guarantee program and Emergency Equine Loss Loan (EM) Program - Direct Loan Making

OMB: 0560-0278

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FSA-2341 Date of Modification 12-31-07



CERTIFICATION OF ATTORNEY

INSTRUCTIONS FOR PREPARATION

Purpose:

This form is used to notify an attorney of his selection to handle a loan closing and for him to certify to his status as a practicing attorney and his liability and fidelity bond coverage.

Handbook Reference:

3-FLP

Number of Copies:

Original and One

Signatures Required:

Authorized Agency Official and Attorney.

Distribution of Copies:

Original in case file and copy to Attorney.

Automation-Related Transactions: (Instructions for writers: provide only the information required, i.e. ADPS TC 3K. If no automation actions are required, insert N/A): N/A


Parts A, B, and D completed by FSA.

Part C must be completed by the Attorney.

Fld Name /
Item No.

Instruction

A1

Attorney

Enter the name and address of the attorney/title company selected by the applicant to perform legal services and close the loan.

A 2

FSA Office

Enter the name and address of the FSA Office.

B1(a)

Name of Applicant

Enter the full legal name of applicant.

B1(b)

Address

Enter the address of the applicant.

B2A

Agency

Offical’s

Name

Enter the name of the Agency Official signing this form.

B2B

Agency

Official’s

Title

Enter the title of the Agency Official signing this form.

B2C

Agency Official’s Signature


Enter the signature of the Agency Official signing this form.



Fld Name/

Item No.

Instruction

B2D

Date

of

Signature

Enter the date the form is signed by the Agency Official.

C1(b)(c)

State

Enter the Name of the State in which the Attorney is a member of the bar.

C2(a)&(b)

Method of Providing Clearance

Enter a check mark to indicate the appropriate type of clearance:

(a) Title Opinion or (b) Title Insurance Policy.

C3(a)

Amount of Insurance

Enter the dollar amount of professional liability insurance per occurrence.

C3(b)

Insurance Company Name

Enter the name of the Attorney’s liability insurance company.

C3(c)

Insurance Company Address

Enter the address of the Attorney’s liability insurance company.

C3(d)

Deductible Amount

Enter the dollar amount of the policy deductible.

C3(e)

Policy Number

Enter the policy number.

C3(f)

Expiration Date

Enter the policy expiration date.



C 3(g)

Fidelity Bond Coverage

Enter the amount of fidelity bond coverage for employees and associates having access to FSA loan funds.

C4A

Signature

Enter the Attorney’s Signature.


C4B

Date

Enter the date the attorney or his representative signed the form.





Fld Name/

Item No.

Instruction


FOR FSA’S USE ONLY. PART D – FSA APPROVAL.


D1

FSA’s

Decision

Mark checkbox to indicate FSA’s decision to approve or disapprove the selected attorney.

D2A

Approval Official’s

Name

Name of Approval Official.



D2B

Approval Official’s Signature

Enter the signature of the Approval Official.

D2C

Date Signed

Enter the date the Approval Official signed the form.



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File Typeapplication/msword
File TitleTemplate Users: Select the text for each of the instruction components below and type over it without changing the font type,
AuthorPreferred Customer
Last Modified Bymaryann.ball
File Modified2010-07-12
File Created2010-07-12

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