Bond Guarantee Program

U.S. Department of Treasury
CDFI Bond Guarantee Program

Secondary Loan Requirements Certification
Name and Address of Qualified Issuer:
Loan Number:
Name and Address of Eligible CDFI:

Name and Address of Secondary Borrower:

Name and Address of Project:

Asset Class (check one):
CDFI-to-CDFI
CDFI to Financing Entity (other than a Certified
CDFI)
Charter Schools
Commercial Real Estate
Daycare Centers
Healthcare Facilities
Rental Housing
Rural Infrastructure
Owner-occupied homes
Licensed Senior Living and Long-Term Care
Facilities
Small Business (for-profit)
Not-For-Profit Organizations

Project Description:

OMB Control Number: 1559-0044
Expiration Date: 12/31/2013
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U.S. Department of Treasury
CDFI Bond Guarantee Program

Certification of Secondary Loan Requirements:
I, [INSERT NAME OF AUTHORIZED REPRESENTATIVE], do hereby certify that I am the duly appointed
[INSERT TITLE OF AUTHORIZED REPRESENTATIVE] of [INSERT NAME OF ELIGIBLE CDFI]
(the Eligible CDFI). As the Authorized Representative of the Eligible CDFI, I do hereby certify:
1. The proposed Secondary Loan to [INSERT NAME OF SECONDARY BORROWER] (the
Proposed Secondary Loan) is for the purpose of [financing/refinancing] [INSERT PROJECT
NAME] (the Project).
2.

Loan #_________:
Is for an Eligible Purpose as such term is defined in the CDFI Bond Guarantee Program
regulations (12 CFR 1808) and in the Bond Loan Agreement, dated
, 20
, between
the Qualified Issuer (as lender) and the Eligible CDFI (as borrower).
Has received credit approval from Eligible CDFI’s credit committee (or equivalent). Evidence of
approval is attached hereto.
Has received such approval pursuant to the loan policies and procedures reviewed and approved
by the CDFI Fund for purposes of the CDFI Bond Guarantee Program.
Will satisfy all conditions of said credit committee approval upon closing.
Secondary Borrower has not experienced any material events that may adversely affect the credit
quality of this loan.
Upon closing, will be secured by senior lien on pledged collateral or Principal Loss Collateral
provision as required by the CDFI Bond Guarantee Program.
Satisfies in form and substance to the applicable Secondary Loan Requirements.

3. The Proposed Secondary Loan will close in a commercially reasonable time but in all cases within
CDFI Bond Guarantee Program parameters.
By signing this Certification on behalf of the Eligible CDFI, I certify that the statements herein are true, complete
and accurate to the best of my knowledge. I am aware that any false, fictitious, or fraudulent statements or claims
may subject me to criminal, civil, or administrative penalties (U.S. Code, Title 218, Section 1001).

Name and Title:
Signature:
Date:

OMB Control Number: 1559-0044
Expiration Date: 12/31/2013
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U.S. Department of the Treasury
CDFI Bond Guarantee Program

Itemization of Collateral for Secondary Loans and Other
Pledged Loans
Date Submitted
__ __ / __ __ / __ __ __ __

Eligible CDFI ID

Loan ID:
Loan ID:
Loan ID:
Loan ID:
Loan ID:
Loan ID:
Loan ID:
Loan ID:
Loan ID:
Loan ID:
Loan ID:
Loan ID:
Loan ID:
Loan ID:
Loan ID:

Comment Section: In the space below, briefly describe any loans being "Substituted Out" for Other Pledged Loans.
Substitution Details
Loan ID:
Loan ID:
Loan ID:
Loan ID:
Loan ID:
Loan ID:

OMB Form Number: XXXXXXXXX

Item G: Intercreditor Agreement

Item F: Security Agreement

Item E: Loan Agreement

Item D: Assignment Agreement

Item C: Promissory Note

Date of
Maturity

Item B: Recorded UCC-1

Outstanding
Principal

Substituted Out

Added / Substituted In

Original
Principal

Item A: Recorded Mortgage

Certification Diligence Items

Status

Previously Pledged

Other Pledged Loan

Secondary Loan

Collateral
Type