FSA-2251 Lenders Guaranteed Loan Payment to USDA

This form is available electronically. Form Approved – OMB No. 0575-0137

FSA-2251 U.S. DEPARTMENT OF AGRICULTURE (proposal 1) Farm Service Agency LENDER’S GUARANTEED LOAN PAYMENT TO USDA Transaction 4035

INSTRUCTIONS: Complete all items.

1. BORROWER’S CASE NUMBER

2. LENDER’S IDENTIFICATION NUMBER (IRS Tax Number)

STATE CODE

COUNTY CODE

BORROWER’S ID NO.

     

     

     

     

3. FSA LOAN NUMBER

4. FSA ASSIGNED BRANCH NUMBER

     

     

5. BORROWER’S NAME

6. LENDER’S NAME

     

     

7. RECEIVABLE NUMBER

8A. DATE INTEREST PAID THROUGH TO USDA (MM-DD-YYYYY)

8B. DATE PRINCIPLE PAID (MM-DD-YYYY)

     

     

     

9. AMOUNT OF PRINCIPAL PAYMENT

10. AMOUNT OF INTERSEST PAYMENT

$

     

$

     

11. TOTAL REMITTANCE (Item 9 + Item 10)

12. DATE OF DEPOSIT (To be completed by USDA)

$

     

     

13. PAYMENT CODE (Insert appropriate code in box below)

(To Be Completed By Finance Office)

14. SERVICING FEE CODE (Insert appropriate code in box below)

01 = REGULAR PAYMENT

01 = ACCRUED INTEREST

  

02 = DEFERRED PAYMENT

  

02 = SERVICING FEE

15. AUTHORIZED LENDER’S SIGNATURE

16. TITLE

17. DATE (MM-DD-YYYY)

     

     

(Should we use FLP Privacy/Burden Statement instead of RD’s) This report contains information which must be furnished by the lender in order to fulfill requirements and retain the benefit of a USDA loan guarantee. This statement is furnished pursuant to P.L. 96-511.

The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual's income is derived from any public assistance program. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA's TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of discrimination, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.

FINANCE OFFICE

SERVICING OFFICE

LENDER