The form is used by FSA to secure and record its
lien on real estate taken as security when providing financial
assistance to applicants and borrowers. FSA completes the form and
the applicant or borrower signs it.
Please do not attempt to complete this form. It
is provided on this web site for information purposes only.
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of 1
File Type
application/msword
File Title
Template Users: Select the text for each of the instruction components below and type over it without changing the font type,