IA Form LGC10 OMB Control No. 1076-0020
Revised March 2010 Expires _______________
Department of the Interior
Loan Guarantee Certificate
No. __________________
Date:_______________, 20___
Lender: __________________________________
Address: __________________________________
__________________________________
__________________________________
Borrower: __________________________________
Address: __________________________________
__________________________________
__________________________________
Loan Guarantee Percentage: _______%
Original Loan Principal Amount: $__________________________
(Exclusive of amounts potentially added pursuant to 25 CFR §§ 103.8, 103.34, or 103.36.)
Lender’s Internal Loan Number: ___________________________
Interest Subsidy, if any: Approved Not Approved
The Department of the Interior guarantees payment to the Lender of the listed percentage of any loss of principal, accrued interest, and authorized charges the Lender sustains on the identified loan. This guarantee is subject to the provisions of the Loan Guarantee, Insurance and Interest Subsidy Program, 25 U.S.C. §§ 1481 et seq., 1511 et seq., and 25 CFR Part 103, the Conditions of Approval attached to this Loan Guarantee Certificate as “Exhibit A,” and any subsequent modifications to the loan or to this guarantee authorized and approved by the Department. To constitute evidence of the Department’s guarantee, this Loan Guarantee Certificate must have specific Conditions of Approval attached.
The Lender may sell the loan and this Loan Guarantee Certificate in accordance with the requirements of 25 CFR Part 103.
United States Department of the Interior
By: _______________________________
Title: _______________________________
| File Type | application/msword |
| File Title | Bureau of Indian Affairs |
| Author | DavidB.Johnson |
| Last Modified By | Fry, Ashley Dawn |
| File Modified | 2015-10-07 |
| File Created | 2015-10-07 |