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FSA-2233
(12-16-13)
Form Approved – OMB No. 0560-0155
U.S. DEPARTMENT OF AGRICULTURE
Farm Service Agency
Position 2
LENDER CERTIFICATION
1 . BORROWER’S NAME (Last, First, and M.I.)
2. LOAN NO.
3. The undersigned lender certifies that the following requirements have been or will be met on the guaranteed loan closed
on
.
a.
No major changes have been made in the lender’s loan or line of credit conditions and requirements since submission of the
application (except those approved in the interim by the Agency in writing).
b.
All insurance requirements are in effect.
c.
Truth in lending requirements have been met.
All equal employment opportunity and equal credit and nondiscrimination requirements have been or will be met at the
appropriate time.
d.
e.
The loan or line of credit has been properly closed, and the required security instruments have been obtained, or will be obtained,
on any acquired property that cannot be covered initially under State law.
f.
The borrower has a marketable title to the collateral owned by the borrower, subject to the instrument securing the loan or line of
credit to be guaranteed and subject to any other exceptions approved in writing by the Agency. When required, an assignment on
all USDA crop and livestock program payments has been obtained.
g.
When required, personal, joint operation, partnership, or corporate or other guarantees have been obtained.
h.
Liens have been perfected and priorities are consistent with requirements of the Conditional Commitment.
i.
Loan proceeds have been, or will be disbursed for purposes and in amounts consistent with the Conditional Commitment and as
specified on the loan application. In line of credit cases, if any advances have occurred, they have been disbursed for purposes and
in amounts consistent with the Conditional Commitment and Line of Credit Agreements.
There have been no material adverse changes in the borrower's condition, financial or otherwise, since submission of the
application.
j.
k.
Evaluation or appraisals have been completed which support security values stated in the Conditional Commitment.
l.
All other requirements specified in the Conditional Commitment have been met.
4. Name and Title of Lender’s Representative
5. Signature of Lender’s Representative
6. Date
7. NOTE: Along with this form, submit the following, as appropriate:
a. Guarantee Fee
b. Copy of executed promissory note or loan agreement.
c. FSA-2236, Guaranteed Loan Closing Report.
d. Copy of evaluation or appraisal if Standard Eligible Lender and not previously submitted.
e. FSA-2221, Interest Assistance Agreement, if Interest Assistance is included in the loan.
f. FSA-2201, Lender's Agreement, if a current version has not already been executed.
NOTE:
The following statement is made in accordance with the Privacy Act of 1974 (5 U.S.C. 552a - as amended). The authority for requesting the information identified on
this form is the Consolidated Farm and Rural Development Act, as amended (7 U.S.C. 1921 et. seq.). The information will be used to determine eligibility and feasibility
for loans and loan guarantees, and servicing of loans and loan guarantees. The information collected on this form may be disclosed to other Federal, State, and local
government agencies, Tribal agencies, and nongovernmental entities that have been authorized access to the information by statute or regulation and/or as described
in the applicable Routine Uses identified in the System of Records Notice for USDA/FSA-14, Applicant/Borrower. Providing the requested information is voluntary.
However, failure to furnish the requested information may result in a denial for loans and loan guarantees, and servicing of loans and loan guarantees. The provisions
of criminal and civil fraud, privacy, and other statutes may be applicable to the information provided.
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information
unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0560-0155. The time required to complete this
information collection is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information. RETURN THIS COMPLETED FORM TO YOUR COUNTY FSA OFFICE.
The U.S. Department of Agriculture (USDA) prohibits discrimination against its customers, employees, and applicants for employment on the basis of race, color, national origin, age, disability, sex, gender identity,
religion, reprisal, and where applicable, political beliefs, marital status, familial or parental status, sexual orientation, or all or part of an individual’s income is derived from any public assistance program, or
protected genetic information in employment or in any program or activity conducted or funded by the Department. (Not all prohibited bases will apply to all programs and/or employment activities.) Persons with
disabilities, who wish to file a program complaint, write to the address below or if you require alternative means of commu nication for program information (e.g., Braille, large print, audiotape, etc.) please contact
USDA’s TARGET Center at (202) 720-2600 (voice and TDD). Individuals who are deaf, hard of hearing, or have speech disabilities and wish to file either an EEO or program complaint, please contact USDA
through the Federal Relay Service at (800) 877-8339 or (800) 845-6136 (in Spanish).
If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at http://www.ascr.usda.gov/complaint_filing_cust.html, or at any
USDA office, or call (866) 632-9992 to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter by mail to U.S. Department
of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, by fax (202) 690- 7442 or email at [email protected]. USDA is an equal opportunity
provider and employer.
File Type | application/pdf |
File Title | Lender Certification |
Subject | FSA-1980-22 |
Author | A Crowell |
File Modified | 2013-12-12 |
File Created | 2007-12-28 |