Farm Loan Programs - Direct Loan Making

Farm Loan Programs - Direct Loan Making

FSA2314Inst

Farm Loan Programs - Direct Loan Making

OMB: 0560-0237

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FSA-2314 Date of Modification: 11/16/12

STREAMLINED REQUEST FOR DIRECT OL ASSISTANCE

INSTRUCTIONS FOR PREPARATION

Purpose:



This form is used to obtain information from applicants applying for Streamlined OL Assistance.


Handbook Reference:

3-FLP, 4-FLP, 5-FLP and 6-FLP

Number of Copies:

Original only

Signatures Required:

Original by Individual applicant or Authorized Entity Representative

Distribution of Copies:

County Office Case File

Automation-Related Transactions: DLS


All applicants complete Part A, B, and C.

FSA completes Part D.


PART A – Applicant


Items 1 – 3 are completed by all applicants.

Fld Name /
Item No.

Instruction

1

Exact Full Legal Name

Enter the applicant’s exact full legal name, and list all names the business is currently using.

2

Address


Enter applicant’s complete mailing address, physical address if different from mailing address. If operating as an entity, list where incorporated or otherwise registered.

3

Contact Numbers

Enter the applicant’s home, cell, or business telephone number, as applicable.












PART B – General Information


Items 1 – 2 are completed by the applicant.


Fld Name /
Item No.

Instruction

1

Purpose of Loan

Prefilled with Annual Operating Expenses.




2

Amount Requested

Enter the amount of annual operating loan being requested.



PART C – Notifications, Certifications and Acknowledgement


Items 1 – 6 are completed by all applicants.


1

Changes to the Operation

Check “YES” if you have made significant changes to the operation since you received your last Annual OL.

2

Delinquent on Federal Debt

Check “YES” if you or any member of the entity is delinquent on any federal debt (i.e. “Federal Debt” includes but is not limited to education loans, delinquent taxes, obligations at Natural Resources Conservation Service, obligations to FCIC, etc.) If “YES,” provide details in Item 6, otherwise check "NO".

3

Pending Litigation

Check “YES” if you or any member of the entity or the entity itself is involved in any pending litigation. If “YES,” provide details in Item 6, otherwise check “NO”.

4

Bankruptcy

Check “YES” if you or any member of the entity has ever been in receivership, been discharged, or filed a petition for reorganization in bankruptcy. If “YES,” provide details in Item 6, otherwise check “NO”.

5

Employee

Check “YES” if you are an employee, related to an employee, or closely associated with an employee of the Farm Service Agency. If not, check “NO.” If “YES” provide details in Item 6.

6

Additional answers

Write the item number to which each answer applies. If additional space is needed use sheets of papers the same size as the application with your name on each additional page.




Fld Name /
Item No.


Instruction


7-13

Statements

Read statements and certifications in Items 10 – 17.

14A

Signature

Enter the signature of the individual applicant or the authorized entity representatives.

14B

Title/

Relationship of the Individual Signing

Enter Title and or Relationship of the person signing the application.


14C

Date

Enter the date the applicant signed.



Part D – FSA Use Only


Items 1 – 3 completed by FSA.


1

Date Received

Enter the date FSA-23141 Received in Service Center.

2

Credit Report Fee

Enter the credit report fee and the date it is received in the Service Center

3

Agency Official

Enter the name of the Agency Official receiving the application.


Page 3 of 3

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleInstructions for CCC-576
AuthorPreferred Customer
File Modified0000-00-00
File Created2021-01-23

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