Form RD 4279-8 RD 4279-8 Certified Lender (Business and Industry Program)

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Form 4279-8
(Rev. 4-97)

FORM APPROVED
OMB NO.0570-0018
UNITED STATES DEPARTMENT OF AGRICULTURE
RURAL BUSINESS-COOPERATIVE SERVICE (RBS)

CERTIFIED LENDER
BUSINESS AND INDUSTRY PROGRAM
The Lender identified below requests approval from United States Department of Agriculture (USDA) to be a Certified Lender under
the Business and Industry (B&I) guaranteed loan program. Lender has executed a Form 4279-4, ''Lender's Agreement.'' Lender agrees
to comply in all respects with said Lender's Agreement and with 7 C.F.R. part 4279, 7 C.F.R. part 4287, and other applicable USDA
regulations.
The offices of the Lender affected by this agreement are located at the following address:

This agreement is valid for a period of five years from the date signed below by a representative of the USDA, unless earlier
terminated or revoked. It may be terminated at any time by the Lender by written notice to the USDA or revoked at any time by the
USDA in accordance with USDA regulations.
LENDER
(Name)

(Tax ID No.)

By:
(Signature)

(Name typed or printed)

Title:
Date:

Approved:
U.S. Department of Agriculture
By:
(Signature)

(Name typed or printed)

Title:
Date:

According to the Paperwork Reduction Act of 1995, no persons are 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 0570-0018. The time required to complete this information is estimated to average 30 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.

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