FSA-2241 Guaranteed Loan Status Report

This form is available electronically.

FSA-2241

Form Approved - OMB No. 0560-0155
USDA-FSA (2) Borrower ID Number

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

(3) Borrower Name

(proposal 1)
(4) Lender ID Number

(12)

Loan Type

Agency Loan
Number

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

(13)

Lender Name

Unpaid Principal

(14)

Lender
Interest Rate
Guaranteed

Unpaid Interest

(15)

Lender
Interest Rate
Nonguaranteed

Date of
Last
Advance

Amount Advanced
During the Current
Reporting Period

(16)

(17)

(18)

(19)

Loan Sold (Y/N)

(6)

As of (1)

(5) Lender Branch Number

Terminate Guar
(Y/N)

GUARANTEED FARM LOAN STATUS
REPORT

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

(20) (21) (22)

(8)
(29)

(23)

(24)

(25)

(26)

(27)

(28)

(8)

(14)

(15)

(16)

(17)

(18)

(19)

(20) (21) (22)

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

(23)

(24)

(25)

(26)

(27)

(28)

(29) (30) (31) (32)

(14)

(15)

(16)

(17)

(18)

(19)

(20) (21) (22)

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

(23)

(24)

(25)

(26)

(27)

(28)

(29) (30) (31) (32)

(14)

(15)

(16)

(17)

(18)

(19)

(20) (21) (22)

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

(23)

(24)

(25)

(26)

(27)

(28)

(29) (30) (31) (32)

(14)

(15)

(16)

(17)

(18)

(19)

(20) (21) (22)

(9)
(10)
(11)

(23)

(24)

(25)

(26)

(27)

(28)

(9)

(30) (31) (32)

(10)
(11)

(33) Authorized Lender Signature

(34) Title

(35) Date

(36)

(29)
(30) (31) (32)

LENDER NAME AND ADDRESS CHANGES - Enter here:

SHOULD WE USE FLP PRIVACY/BURDEN STATEMENT OR KEEP THIS ONE
NOTE: The following statement is made in accordance with the Privacy Act of 1974 (5 USC 552a) and the Paperwork Reduction Act of 1995, as amended. The authority for requesting the following information is 7 CFR 1980. The information will be used to monitor the
Agency's Guaranteed loan portfolio. Furnishing the requested information is mandatory. Failure to furnish the requested information may result in loss of lender eligibility. This information may be provided to other agencies, IRS, Department of Justice, or other State
and Federal Law enforcement agencies, and in response to a court magistrate or administrative tribunal. The provisions of criminal and civil fraud statutes, including 18 USC 286, 287, 371, 641, 051, 1001, 15 USC 714m, and 31 USC 714m, and 31 USC 3729, 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 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, genetic information, political beliefs, 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, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.

NOTE:

The following statements are made in accordance with the Privacy Act of 1974 (5 USC 552a): the Farm Service Agency (FSA) is authorized by the Consolidated
Farm and Rural Development Act, (7 USC 1921 et seq , and the regulations promulgated thereunder, to solicit the information requested on this form. The
information requested is necessary for FSA to determine eligibility for financial assistance, service your loan, and conduct statistical analyses. Supplied information
maybe furnished to other Department of Agriculture agencies, the Department of the Treasury, the Department of Justice or other law enforcement agencies, the
Department of Defense, the Department of Housing and Urban Development, the Department of Labor, the United States Postal Service, or other Federal, State, or
local agencies as required or permitted by law. In addition, information may be referred to interested parties under the Freedom of Information Act (FOIA), to financial
consultants, advisors, lending institutions, packagers, agents, and private or commercial credit sources, to collection or servicing contractors, to credit reporting
agencies, to private attorneys under contract with FSA or the Department of Justice, to business firms in the trade area that buy chattel or crops or sell them for
commission, to Members of Congress or Congressional staff members, or to courts or adjudicative bodies. Disclosure of the information requested is voluntary.
However, failure to disclose certain items of information requested, including your Social Security Number or Federal Tax Identification Number, may result in a delay
in the processing of this form or its rejection.
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 2 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. RETURN THIS COMPLETED FORM TO YOUR LOCAL FSA OFFICE.