FSA-2241 (OMB 0560 Guaranteed Loan Status Report

This form is available electronically.

Position 2

FSA-2241

USDA-FSA

Form Approved - OMB No. 0560-0155

(2) State and County Code/FSA ID Number

(3) Borrower's Name

(4) Lender's ID Number

(5) Lender's Branch Number

(7) Please Submit the original of this report within 30 days to

(09-03-10)

GUARANTEED FARM LOAN STATUS
REPORT

(6)

Lender's Name

As of (1)

(13)

Unpaid Interest

Lender's
Interest Rate
Guaranteed

Lender's
Interest Rate
Nonguaranteed

Amount Advanced
During the Current
Reporting Period

Date of
Last
Advance

(14)

(15)

(16)

(17)

(18)

(19)

(23)

(24)

(25)

(26)

(27)

(28)

(14)

(15)

(16)

(17)

(18)

(19)

(23)

(24)

(25)

(26)

(27)

(28)

(14)

(15)

(16)

(17)

(18)

(19)

(23)

(24)

(25)

(26)

(27)

(28)

(14)

(15)

(16)

(17)

(18)

(19)

(23)

(24)

(25)

(26)

(27)

(28)

(14)

(15)

(16)

(17)

(18)

(19)

(23)

(24)

(25)

(26)

(27)

(28)

Loan Sold (Y/N)

(12)

Unpaid Principal

Terminate Guar
(Y/N)

Loan Type

(8) Lender's Loan Number
(9) Date of Loan
(10) Loan Amount
(11) Date of Last Update

Agency Loan
Number

Payment Status Code
A-Borr Ahead of
Schedule
B-Borr Behind Schedule
C-Borr Current

(20)

Amount Ahead/Behind
(21)
(22)

(30)

(31)

(32)

(20)

(21)

(22)

(30)

(31)

(32)

(20)

(21)

(22)

(30)

(31)

(32)

(20)

(21)

(22)

(30)

(31)

(32)

(20)

(21)

(22)

(30)

(31)

(32)

(8)
(9)
(10)
(11)
(12)

(13)

(29)

(8)
(9)
(10)
(11)
(12)

(13)

(29)

(8)
(9)
(10)
(11)
(12)

(13)

(29)

(8)
(9)
(10)
(11)
(12)

(13)

(29)

(8)
(9)
(10)
(11)
(33) Authorized Lender's Signature

NOTE:

(34) Title

(35) Date

(29)

(36) Lender's Name and Address Changes - Enter here:

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 20 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 in all of its programs and activities on the basis of race, color, national origin, age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, political beliefs, genetic information, reprisal, or because all or part of an
individual’
s income is derived from any public assistance program. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA’
s TARGET Center at (202) 720-2600 (voice and TDD). To file a
complaint of discrimination, write to USDA, Assistant Secretary for Civil Rights, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, S.W., Stop 9410, Washington, DC 20250-9410, or call toll-free at (866) 632-9992 (English) or (800) 877-8339 (TDD) or (866) 377-8642 (English Federal-relay) or (800) 845-6136
(Spanish Federal-relay). USDA is an equal opportunity provider and employer.