Fld Name /
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Instruction |
Date of this request; Item 1: |
Enter date form is being completed. |
Closing Date; Item 2 |
Enter the date of the sale closing. |
System Designation of Seller; Item 3 |
Enter the 6-digit RUS Borrower designation of the Seller. |
System Designation of Purchaser; Item 4 |
If the Purchaser is a RUS Borrower, enter the 6-digit RUS Borrower Designation; If not, leave item blank. |
Name and Address of Seller; Item 5 |
Enter the legal company name of the seller and mailing address. |
Name and Address of Purchaser; Item 6 |
Enter the legal company name of the purchaser and mailing address. |
Approximate Original Cost; Item 7 |
Enter the original cost of the property or asset to be sold. |
Source of Funds; Item 8 |
Enter the source of funds for original purchase of property or asset to be sold. |
Date Bought or Built; Item 9 |
Enter the date that the asset to be sold was purchased or constructed. |
Proposed Selling Price; Item 10 |
Enter the proposed sale price of the property or asset to be sold. |
Description of Property to be Sold; Item 11 |
Enter the description of the property or asset to be sold and estimate the present value. If property is real estate, the description must correspond with the legal description to be used in the deed. |
Formal Release of Lien (is) or (is not) Required by Purchaser; Item 12 |
Check the appropriate box as to whether a formal release of lien is required by the Purchaser. |
Reason for Sale; Item 13 |
Enter the reason sale of property or asset is necessary.
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Disposition of Net Proceeds of Sale; Item 14 |
Enter the proposed disposition of the net proceeds of the sale, including (a) the amount to be used for RUS approved purposes; (b) the amount to be applied to RUS Loan, and/or; (c) other amounts, and, if applicable; (d) the amount of note(s) to be assumed. |
Certification |
Enter the Seller’s legal, Corporate name and title of Authorized Official with the signature of the authorized official; Submit the original and two certified copies of the resolution adopted by the by the Directors, Shareholders or Authorizing Members if such authorization is required. |
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | Template Users: Select the text for each of the instruction components below and type over it without changing the font type, s |
Author | Preferred Customer |
File Modified | 0000-00-00 |
File Created | 2021-01-15 |