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pdfOMB No. 3245-0367
OMB EXP. DATE:
FORM OF DETACHED ASSIGNMENT
FOR U.S. SMALL BUSINESS ADMINISTRATION
POOL CERTIFICATE FOR THE FIRST LIEN POSITION 504 LOAN POOLS
(FMLP)
(To Be Effective, This Assignment Must Be Delivered To The Central Servicing Agent With
The Described Registered Certificate)
I am the owner, or the duly authorized representative of the owner, of the Certificate described below, and
when I purchased such Certificate I was not the Borrower, Lender, an Associate of the Lender, or an
Affiliate of the Lender or the small business borrower (as defined in Title 13. Code of Federal Regulations,
Part 120).
FOR VALUE RECEIVED, the undersigned assigns and transfers to:
______________________________________________________________________________________
Type or print name, address (including zip code)
______________________________________________________________________________________
and taxpayer identifying number of assignee
the following described registered Certificate and all rights there under, effective as provided in First Lien
Position 504 Loan Pool Guarantee Agreement, of which the undersigned is the Registered Holder or the
duly authorized representative of the Registered Holder:
Certificate Number: _________________________________________________________________
Date:___________________
_________________________________________________________
Signature by or on behalf of Registered Holder
I CERTIFY that the above-named person(s) as described, whose identity (or the identity of each of whom)
is well known or proved to me, personally appeared before me this __________day of ________________,
20 _____ at _______________________________________ and signed the above assignment.
City and State
If the signatory is signing on behalf of Registered Holder, I am satisfied that such signatory is properly
acting in such capacity.
Signature Guaranteed By: ______________________________________________________
Signature and title of certifying officer
______________________________________________________
Name
(SEAL)
______________________________________________________
Address
Officers authorized to certify assignments include officers and employees of banks and trust companies
incorporated in the United States, its territories or possessions, or the Commonwealth of Puerto Rico, and
Federal Savings and Loan Associations, who have been authorized to (i) generally bind their respective
institutions by their acts, (ii) unqualifiedly guarantee signatures to assignments of securities, or (iii)
expressly certify assignments of securities.
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REQUIRED DISCLOSURE INFORMATION MUST BE COMPLETED FOR TRANSFER.
TRANSFER INSTRUCTIONS
IT IS THE RESPONSIBILITY OF THE ASSIGNEE TO PRESENT THE CERTIFICATE FOR
TRANSFER. THE INFORMATION WILL BE USED TO VALIDATE THE OWNERSHIP TRANSFER
OF THE CERTIFICATE INTEREST FROM THE ASSIGNOR TO THE ASSIGNEE.
This certificate must be presented for transfer and registration into the Assignee's name in person or by mail
at the office of SBA’s Central Servicing Agent:
PricewaterhouseCoopers Public Sector, LLP
c/o Wells Fargo Bank, N.A.
Corporate Trust Operations
N9303-121
Attn: FMLP Certificate Transfer
6th and Marquette
Minneapolis, MN 55479
The newly issued Certificate is available at the offices of the CSA after two (2) business days, or may be
mailed according to Assignee's instructions. Certificates will be registered exactly as Assignee's name
appears hereon. The CSA may charge a transfer fee, at the time of presentation. Record date on the books
of the CSA is the last business day of the month. CSA's sole responsibility is to pay the Registered Holder
as of the Record Date. No claims for payments will be recognized other than the failure to pay Registered
Holder. All other claims for payments, accrued interest, etc., must be presented to the Assignor.
SECONDARY MARKET MANDATORY DISCLOSURE INFORMATION
POOL CERTIFICATES
Price. (Net of transfer fee and accrued interest. Otherwise include all money and any items of value
exchanged) $_________________ As a percentage of par _____________%
Investment Characteristics. The seller must provide the following additional information to the buyer prior
to the sale:
(a) SBA guarantees timely payment of principal and interest on pool certificates.
(b) SBA does not guarantee premiums.
(c) The pool or parts thereof may be prepaid prior to scheduled maturity.
PLEASE NOTE: The information on this form is required to obtain a benefit; however, you are not required to respond to
any collection of information unless it displays a currently valid OMB approval number. The estimated burden for completing
this form is 1 ½ hours. Comments on the burden should be sent to U.S. Small Business Administration, Director, RMD, 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 (3245-0367).
PLEASE DO NOT SEND COMPLETED FORMS OR OTHER REQUESTED INFORMATION TO
THESE ADDRESSES.
SBA Form 2402
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File Type | application/pdf |
File Title | OMB No |
Author | masimmon |
File Modified | 2017-09-28 |
File Created | 2017-09-28 |