Form RUS Form 793 RUS Form 793 Request for Release of Lien and/or Approval of Sale

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Form Approved
0572-0041
Expires 05-2013

U. S. DEPARTMENT OF AGRICULTURE
RURAL UTILITIES SERVICE

REQUEST FOR RELEASE OF LIEN
AND/OR APPROVAL OF SALE
INSTRUCTIONS - Submit three copies to RUS. See RUS Bulletin 415-1
for detailed instructions.

2. CLOSING DATE

3. SYSTEM DESIGNATION OF
SELLER

4. SYSTEM DESIGNATION OF
PURCHASER (If RUS borrower)

6. NAME AND ADDRESS OF PURCHASER

5. NAME AND ADDRESS OF SELLER

7. APPROXIMATE ORIGINAL COST

1. DATE OF THIS REQUEST

8. SOURCE OF FUNDS (Original
purchase)

9. DATE BOUGHT OR BUILT

10. PROPOSED SELLING PRICE

11. DESCRIPTION OF PROPERTY TO BE SOLD. (Identify it adequately and estimate its present value. If real estate, include legal description to be used in deed
and release of lien.)*

12. FORMAL RELEASE OF LIEN
13. REASON FOR SALE*

IS

IS NOT REQUIRED BY PURCHASER.

14. DISPOSITION OF NET PROCEEDS OF SALE. (Insert estimated amounts in appropriate spaces):
a. ACCOUNT 113.2 OR 1600.2 ''CASH - TRUSTEE RUS CONSTRUCTION FUND'' TO BE USED FOR
RUS APPROVED PURPOSES
b. TO THE RURAL UTILITIES SERVICE AS A SPECIAL PAYMENT. Contact the Servicing Division for Assistance.

c. OTHER
d. SELLERS NOTE(S) TO BE ASSUMED. (For sale of property by assumption of indebtedness only)
SYSTEM DESIGNATION

DATE OF NOTE(S)

AMOUNT OF NOTE(S)

AMOUNT TO BE ASSUMED

CERTIFICATION
I hereby certify that, in my opinion, the selling price is not less than the fair market value of the property; the system
after the sale will be financially feasible for repayment of RUS loan funds and will constitute a satisfactory operating unit;
all necessary approvals have been or will be obtained where required by law or by the articles of incorporation or by-laws of
the organization; the sale is in the best interest of the Government and this organization; and the transaction will provide the
Government with a compensating benefit for its approval.
Two certified copies of the resolution adopted by the
the proposed sale are attached if such authorization is required.

Directors

Shareholders

Members authorizing

SELLER'S CORPORATE NAME
TITLE OF AUTHORIZED OFFICIAL
RUS FORM 793

REV 5-13

SIGNATURE OF AUTHORIZED OFFICIAL
*If additional space is needed, use reverse side.