Form RUS Form 793 RUS Form 793 Request for Release of Lien and/or Approval of Sale

RUS FORM 793
REV 4-2016
OMB FORM 0572-0041
Exp. Date: 8/31/2016
U. S. DEPARTMENT OF AGRICULTURE
RURAL UTILITIES SERVICE

REQUEST FOR RELEASE OF LIEN
AND/OR APPROVAL OF SALE
INSTRUCTIONS - Submit three copies to RUS. See RUS Bulletin 415-1
for detailed instructions.

2. CLOSING DATE

3. SYSTEM DESIGNATION OF
SELLER

4. SYSTEM DESIGNATION OF
PURCHASER (If RUS borrower)

6. NAME AND ADDRESS OF PURCHASER

5. NAME AND ADDRESS OF SELLER

7. APPROXIMATE ORIGINAL COST

1. DATE OF THIS REQUEST

8. SOURCE OF FUNDS (Original
purchase)

9. DATE BOUGHT OR BUILT

10. PROPOSED SELLING PRICE

11. DESCRIPTION OF PROPERTY TO BE SOLD. (Identify it adequately and estimate its present value. If real estate, include legal description to be used in deed
and release of lien.)*

12. FORMAL RELEASE OF LIEN
13. REASON FOR SALE*

IS

IS NOT REQUIRED BY PURCHASER.

14. DISPOSITION OF NET PROCEEDS OF SALE. (Insert estimated amounts in appropriate spaces):
a. ACCOUNT 113.2 OR 1600.2 ''CASH - TRUSTEE RUS CONSTRUCTION FUND'' TO BE USED FOR
RUS APPROVED PURPOSES
b. TO THE RURAL ELECTRIFICATION ADMINISTRATION AS A SPECIAL PAYMENT ON THE MOST RECENT
NOTE OF THE RUS LOAN. MAKE CHECKS PAYABLE TO THE RURAL UTILITIES SERVICE MAIL TO U. S.
DEPARTMENT OF AGRICULTURE. RUS, WASHINGTON, D.C. 20250-1510 ATTENTION OF:
ADMINISTRATIVE & LOAN ACCOUNTING BRANCH, COLLECTIONS & CUSTODIAL SECTION
c. OTHER
d. SELLERS NOTE(S) TO BE ASSUMED. (For sale of property by assumption of indebtedness only)
SYSTEM DESIGNATION
DATE OF NOTE(S)
AMOUNT OF NOTE(S)

AMOUNT TO BE ASSUMED

CERTIFICATION

I hereby certify that, in my opinion, the selling price is not less than the fair market value of the property; the system after the sale will be
financially feasible for repayment of RUS loan funds and will constitute a satisfactory operating unit; all necessary approvals have been or will be
obtained where required by law or by the articles of incorporation or by-laws of the organization; the sale is in the best interest of the Government
and this organization; and the transaction will provide the Government with a compensating benefit for its approval.
Two certified copies of the resolution adopted by the
the proposed sale are attached if such authorization is required.

Directors

Shareholders

Members authorizing

SELLER'S CORPORATE NAME
SIGNATURE OF AUTHORIZED OFFICIAL

TITLE OF AUTHORIZED OFFICIAL

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 a valid OMB control number is displayed. The OMB Control Number for this information collection is 0572-0041. The time
required to complete the information collection is estimated to average 2.50 hours 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.”
Clear Form

*If additional space is needed, use reverse side.