| USDA - RUS |
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Title of Information Document |
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OMB No. |
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7 CFR 1782 |
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0572-0137 |
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| SUMMARY OF INFORMATION COLLECTION |
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Servicing of Water and Waste Programs |
Date Prepared |
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March 5, 2018 |
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| INSTRUCTIONS: |
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> |
(f) TOTAL |
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(h) TOTAL |
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(k) TOTAL |
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| Use this form when a single information collection document involves multiple reporting and |
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> |
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= (e) Average |
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= (g) Average |
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= (j) Average |
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| recordkeeping requirements. |
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> |
(d) TOTAL |
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(f) TOTAL |
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(i) TOTAL |
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| IDENTIFICATION OF REPORTING AND RECORDKEEPPING REQUIREMENTS |
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ANNUAL BURDEN |
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FORM |
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REPORTS |
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RECORDS |
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NO(s) |
NO. OF |
NO. OF |
TOTAL |
HOURS |
TOTAL |
NO. OF |
ANNUAL |
TOTAL |
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| SECTION OF |
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(If "none" |
RESPON- |
RESPONSES |
ANNUAL |
PER |
HOURS |
RECORD- |
HOURS PER |
RECORD- |
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| REGULATIONS |
DESCRIPTION |
so state) |
DENTS |
PER |
RESPONSES |
RESPONSE |
(Col. f & g) |
KEEPERS |
RECORD- |
KEEPING |
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RESPON- |
(Col. d & e) |
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KEEPER |
HOURS |
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DENT |
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(Col. i & j) |
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| (a) |
(b) |
(c) |
(d) |
(e) |
(f) |
(g) |
(h) |
(i) |
(j) |
(k) |
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Reporting Requirements – No Forms |
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| 1782.9 |
Environmental Requirements |
written |
16 |
1 |
16 |
12.00 |
192.00 |
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0.00 |
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Non-Profit- 3 |
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Public Body- 13 |
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| 1782.11 |
Application for Commercial Credit (Graduation) |
written |
62 |
1 |
62 |
4.00 |
248.00 |
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0.00 |
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Non-Profit- 12 |
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Public Body- 50 |
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| 1782.12, .13(a)(3)(6) |
Appraisal |
written |
26 |
1 |
26 |
2.00 |
52.00 |
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0.00 |
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| .17(a)(6), & .20 |
Non-Profit- 5 |
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Public Body- 21 |
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| 1782.12(a)(4)(i) |
Conveyance Instrument (Purchase Agreement, etc.) |
written |
15 |
1 |
15 |
2.00 |
30.00 |
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0.00 |
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Non-Profit- 3 |
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Public Body- 12 |
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| 1782.12(a)(4)(ii) & |
Rights and Obligations Assumption Agreement |
written |
15 |
1 |
15 |
2.00 |
30.00 |
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0.00 |
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| .13(a)(5) |
Non-Profit- 3 |
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Public Body- 12 |
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| 1782.13(a) |
App. Cert., Fed. Coll. Policies for Consumer/Commercial Debts |
RD 1910-11 |
15 |
1 |
15 |
0.25 |
3.75 |
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0.00 |
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Non-Profit- 3 |
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Public Body- 12 |
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| 1782.13(a)(7) & .17(a) |
Consent of Lienholders |
written |
25 |
1 |
25 |
1.00 |
25.00 |
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0.00 |
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Non-Profit- 5 |
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Public Body- 20 |
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| 1782.13(a)(8) |
Letter of Conditions |
written |
15 |
1 |
15 |
0.25 |
3.75 |
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0.00 |
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Non-Profit- 3 |
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Public Body- 12 |
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| 1782.13(a)(9) |
Insurance |
written |
15 |
1 |
15 |
2.00 |
30.00 |
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0.00 |
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Non-Profit- 3 |
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Public Body- 12 |
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| 1782.13(a)(11), (b) |
Security Instruments (New) |
written |
26 |
1 |
26 |
2.00 |
52.00 |
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0.00 |
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| .17(a)(4), & .20 |
Non-Profit- 5 |
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Public Body- 21 |
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| 1782.13(d)(1) |
Assumption/Disposition of Grant Agmt. Terms |
written |
15 |
1 |
15 |
0.25 |
3.75 |
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0.00 |
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Non-Profit- 3 |
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Public Body- 12 |
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| 1782.17(a)(1) |
Parity Narrative Request |
written |
10 |
1 |
10 |
1.00 |
10.00 |
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0.00 |
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Non-Profit- 2 |
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Public Body- 8 |
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| 1782.17(a)(5) |
Statement on availability to obtain credit elsewhere |
written |
10 |
1 |
10 |
1.00 |
10.00 |
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0.00 |
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Non-Profit- 2 |
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Public Body- 8 |
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| 1782.19 |
Management Agreements |
RUS Bulletin |
15 |
1 |
15 |
1.00 |
15.00 |
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0.00 |
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Non-Profit- 3 |
1780-8 |
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Public Body- 12 |
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| 1780.19 |
Lease Contracts (Facility, Mineral, etc.) |
written |
10 |
1 |
10 |
1.00 |
10.00 |
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0.00 |
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Non-Profit- 2 |
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Public Body- 8 |
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| 1780.20 |
Bankruptcy Orders and Supplemental Information |
written |
1 |
1 |
1 |
2.00 |
2.00 |
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0.00 |
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Non-Profit- 0 |
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Public Body- 1 |
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| 1782.20 |
Repayment Agreement |
written |
1 |
1 |
1 |
1.00 |
1.00 |
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0.00 |
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Non-Profit- 0 |
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Public Body- 1 |
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| 1782.20 |
Rescheduling Agreement (Exhibit E) |
RUS SI1782-1 |
20 |
1 |
20 |
0.50 |
10.00 |
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0.00 |
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Non-Profit- 2 |
Exhibit E |
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Public Body- 8 |
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| 1782.20 |
Voluntary Conveyance- Board Resolution |
written |
1 |
1 |
1 |
1.00 |
1.00 |
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0.00 |
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Non-Profit- 0 |
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Public Body- 1 |
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SUBTOTAL |
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62 |
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313 |
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729.25 |
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0.00 |
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TOTAL OF ALL PAGES |
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6,640 |
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22,424.25 |
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0.00 |
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| TOTAL - Columns"F" and I = OMMB 83I, 13b; Columns "H" and "K" = OMB 83I, 13c |
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6,640 |
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22,424.25 |
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0.00 |
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Reporting Requirements for Forms Approved under other OMB Numbers |
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| 1782.5 |
Compliance Review |
RD 400-8 |
1,835 |
1 |
1,835 |
8.00 |
14,680.00 |
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0.00 |
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Non-Profit- 369 |
(0575-0018) |
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Public Body- 1,466 |
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| 1782.8 |
Authorization Agreement for Preauth. Payments |
RD 3550-28 |
566 |
1 |
566 |
0.50 |
283.00 |
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0.00 |
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Non-Profit- 66 |
(0575-0184) |
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Public Body- 500 |
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| 1782.11 & .17(a)(3) |
Statement of Budget, Income, and Equity |
RD 442-2 |
1,872 |
1 |
1,872 |
2.50 |
4,680.00 |
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0.00 |
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Non-Profit- 376 |
(0575-0015) |
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Public Body- 1,496 |
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| 1782.11 & .17(a)(3) |
Balance Sheet |
RD 442-3 |
1,872 |
1 |
1,872 |
1.00 |
1,872.00 |
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0.00 |
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Non-Profit- 376 |
(0575-0015) |
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Public Body- 1,496 |
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| 1782.12 & .17(e)(1) |
Application for Partial Release, Subordination, or Consent |
RD 465-1 |
25 |
1 |
25 |
1.00 |
25.00 |
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0.00 |
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Non-Profit- 5 |
(0575-0066) |
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Public Body- 20 |
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| 1782.12(a)(4)(i) |
Assurance Agreement |
RD 400-4 |
15 |
1 |
15 |
0.25 |
3.75 |
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0.00 |
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Non-Profit- 3 |
(0575-0018) |
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Public Body- 12 |
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| 1782.13(a)(1) |
Application for Federal Assistance- Initial App. |
SF 424 |
15 |
1 |
15 |
1.00 |
15 |
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0.00 |
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Non-Profit- 3 |
(4040-0004) |
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Public Body- 12 |
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| 1782.13(a)(1) |
Budget Information--Non-Construction Programs |
SF-424A |
15 |
1 |
15 |
1.00 |
15 |
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0.00 |
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Non-Profit- 3 |
(4040-0006) |
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Public Body- 12 |
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| 1782.13(a)(1) |
Assurances--Non-construction Programs |
SF-424B |
15 |
1 |
15 |
0.25 |
4 |
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0.00 |
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Non-Profit- 3 |
(4040-0007) |
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Public Body- 12 |
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| 1782.13(a) (8) |
Letter of Conditions to Meet Conditions |
RD 1942-46 |
15 |
1 |
15 |
1.00 |
15.00 |
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0.00 |
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Non-Profit- 3 |
(0575-0015) |
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Public Body- 12 |
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| 1782.13(a)(10) |
Community Programs Assumption Agreement |
RD 1951-15 |
15 |
1 |
15 |
0.50 |
7.50 |
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0.00 |
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Non-Profit- 3 |
(0575-0066) |
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Public Body- 12 |
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| 1782.13(a)(11) |
Preliminary Title Opinion |
RD 1927-9 |
15 |
1 |
15 |
1.25 |
18.75 |
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0.00 |
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Non-Profit- 3 |
(0575-0147) |
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Public Body- 12 |
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| 1782.17(a)(3) & .20(a) |
Operating Budget |
RD 442-7 |
10 |
1 |
10 |
5.00 |
50.00 |
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0.00 |
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Non-Profit- 2 |
(0575-0015) |
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Public Body- 8 |
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| 1782.20 |
Application for Settlement of Indebtedness |
RD 3560-57 |
1 |
1 |
1 |
1.00 |
1.00 |
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0.00 |
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Non-Profit- 0 |
(0575-0189) |
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Public Body- 1 |
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| 1782.20 |
Workout Agreement |
RD 1951-10 |
20 |
1 |
20 |
1.00 |
20.00 |
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0.00 |
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Non-Profit- 4 |
(0575-0066) |
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Public Body- 16 |
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| 1782.20 |
Reamortization Request |
RD 1951-33 |
20 |
1 |
20 |
0.25 |
5.00 |
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0.00 |
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Non-Profit- 4 |
(0575-0066) |
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Public Body- 16 |
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| 1782.20 |
Offer to Convey Security |
RD 1955-1 |
1 |
1 |
1 |
0.25 |
0.25 |
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0.00 |
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Non-Profit- 0 |
(0575-0172) |
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Public Body- 1 |
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Subtotal |
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6,327 |
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21,695.00 |
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0 |
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| RUS Form 36 (07-91) |
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Page __2__ of __3__ |
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