SBA Form 1502 Guaranty Loan Status & Lender Remittance Form

PLEASE NOTE: The estimated burden for completing this form is 1 hour per response. You are not required
to respond to any collection of information unless it displays a currently valid OMB approval number.
Comments on the burden should be sent to U.S. Small Business Administration, Chief, AIB, 409 3rd St., S.W.,
Washington D.C. 20416 and Desk Officer for the Small Business Administration, Office of Management and
Budget, New Executive Office Building, Room 10202, Washington, D.C. 20503. OMB Approval (3245-0185
). PLEASE DO NOT SEND FORMS TO OMB. INFORMATION COLLECTED BY THIS FORM IS
USED TO RECORD PAYMENTS AND FEES ON THE GUARANTEED PORTION OF AN SBA
LOAN. THE INFORMATION IS REQUIRED TO COMPLY WITH PROGRAM REQUIREMENTS
AND PROGRAM PARTICIPATION. THE LENDER COMPLETES THE FORM AND SUBMITS IT
TO THE OFFICES OF THE FISCAL TRANSFER AGENT (FTA).

OMB No.

Expiration Date: XX-XX-XXXX
Guaranty Loan Status & Lender Remittance Form
F
O
L
D

Check box if lender information reflects changes

Lender's Name:

Lender's Street Address:

Lender's City, State, Zip:

Lender's Contact Person:

Contact Person's Telephone No.:

Contact Person's Fax No:

SBA
GP Number

Next
Amt Disbursed Amount
Lender
Installment Status this Period
Undisbursed
Loan Number Due Date
(4 - 9) on Total Loan on Total Loan

Interest
Rate

SBA Form 1502 (02-17)

7 Transferred
8 Purchased by SBA
9 Fully Undisbursed

Check box if secondary market payment
reported is a late payment or prepayment

Month Ending:

Total to FTA
Guar. Portion Guar. Portion Guar. Portion
Interest
Principal
Pymt or Fee

Total:

0.00

Grand Total:
Total to FTA + Penalty

0.00

Check/Wire Amt:

0.00

Status Codes
4 Deferred
5 In Liquidation
6 Paid-in-Full

3245-0185

Interest Period
From
To

# of
Days

Guar. Portion
Calendar Closing
Basis
Balance

Total:

Remittance
Penalty
(if any)

0.00