Form SBA Form 1149 SBA Form 1149 Lender's Transcript of Account

OMB NO: 3245-0132
Expiration Date: XX/XX/20XX

U.S. Small Business Administration
Lender's Transcript of Account
Name of Borrower

Loan Number

Name of Lender

Amount of Loan

Int. Day Basis

Repayment Terms as Stated in the Note

Approved Deferment Periods:
Default Date (Next Payment Due Date):
Date

Amount
Disbursed

Amount
Repaid

Deferment

Application of Payment
Principal

Interest

Int.
Rate

I Certify This to be a True Copy of Transcript of Account
___________________________________________________
Signature

Interest Paid
From

To

Date
_________________________________
Title

SBA Form 1149 (12-14) REF SOP 50-57 Previous Editions Obsolete See Reverse Side for Instructions
(This form is a necessary part of the SBA GUARANTY PURCHASE package.)

Principal
Balance

INSTRUCTIONS FOR COMPLETION
OF TRANSCRIPT OF ACCOUNT
SBA uses this information to assist in determining the date the loan went into default and to assess how much interest is payable to
the lender. The information is also use to determine whether the loan was properly disbursed and serviced, and whether payments
were applied to principal and interest in compliance with the Loan Guaranty Agreement, and the terms and conditions of the loan
authorization.
1.

NAME OF BORROWER: Enter the trade name of the borrower of the name of the borrower if a trade name is not used.

2.

LOAN NUMBER: Enter the ten-digit SBA loan number.

3.

NAME OF LENDER: Enter the name of the lender.

4.

AMOUNT OF LOAN: Enter the total approved amount of the loan.

5.

INTEREST DAY BASIS: Enter the method used for the interest computation, such as 30/365 or actual/365.

6.

REPAYMENT TERMS: Enter the payment terms provided in the Note.
Note dated _____ Maturity Date_____ Interest Rate_____ Principal and
Interest_____ Payable_____ or Principal_____ plus Interest payable_____

7.

DATE: Enter the date of each transaction on the loan account.

8.

AMOUNT DISBURSED: Enter the amount of each loan disbursement.

9.

AMOUNT REPAID: Enter the amount of each repayment made by the borrower.

10. DEFERMENT: For start of deferment enter “B” (for “Begin”) in this column plus the date in the Date column. For end of
deferment enter “E” (for “End”) in this column and the date in the Date column.
11. APPLICATION OF PAYMENT: Enter the amounts applied to principal and interest for each repayment made by the borrower.
12. INTEREST RATE: Enter the interest rate in effect at the time the payment was applied on the loan account.
13. INTEREST PAID: Enter the “from” and “to” dates used in computing the interest paid on the loan. These dates should be in
consecutive order.
14. PRINCIPAL BALANCE: Enter the principal balance after each transaction.
15. SIGNATURE AND TITLE: Certification of official representative of the Lender that the transcript of account is correct and
shows the principal balance due on the loan and that interest has been paid to the date shown on the transcript.
16. DATE: Enter the date of the certification.
17. SUBMISSION: Submit the original copy (or scanned copy of the original) to the SBA servicing center handling the account
along with the purchase request. Retain a copy for your files. The servicing centers are the National Guaranty Purchase
Center located at 1145 Herndon Parkway, Herndon, VA 20170, fax: 202-481-4674, email: [email protected]; the SBA
Commercial Loan Service Center East located at 2120 Riverfront Drive, Suite 100, Little Rock, AR 72202, fax: 202-292-3878,
email: [email protected]; and the SBA Commercial Loan Servicing Center West located at 801 R Street, Suite
101, Fresno, CA 93721, fax: 202-481-0663, email: [email protected].

PLEASE NOTE: The estimated burden for completing this form is 2 hours per response. You are not required to respond to any
collection of information unless it displays a currently valid OMB approval number. Commitments on the burden should be sent to
rd
U.S. Small Business Administration, Chief, AIB, 409 3 St., S.W., Washington D. C. 20416 and Desk Officer for the Small Business
Administration, Office of Management and Budget, New Executive Office Building, Room 10202, Washington, DC 20503. OMB
Approval (3245-0132). PLEASE DO NOT SEND FORMS TO OMB.
SBA Form 1149 (12-14)