FSA-2251 Lenders Guaranteed Loan Payment to USDA

This form is available electronically. Form Approved – OMB No. 0560-0155
FSA-2251 U.S. DEPARTMENT OF AGRICULTURE Position 2 (08-18-08) Farm Service Agency LENDER’S GUARANTEED LOAN PAYMENT TO USDA Transaction 4035
INSTRUCTIONS: Complete all items.
1. FSA ACCOUNT NUMBER						2. LENDER’S ID NUMBER
STATE CODE		COUNTY CODE		FSA ID NUMBER		     
     		     		     
3. FSA LOAN NUMBER						4. FSA ASSIGNED BRANCH NUMBER
     						     
5. BORROWER’S NAME						6. LENDER’S NAME
     						     
7. RECEIVABLE NUMBER (Assigned by Finance Office)						8A. DATE INTEREST PAID THROUGH TO FSA			8B. DATE PRINCIPAL PAID (Completed by Finance Office)
     
						     			     
9. AMOUNT OF PRINCIPAL PAYMENT						10. AMOUNT OF INTEREST PAYMENT
$	     					$	     
11. TOTAL REMITTANCE (Item 9 + Item 10)						12. DATE OF DEPOSIT (To be completed by Finance Office)
$	     					     
13. PAYMENT CODE (Insert appropriate code in box below)						(To Be Completed By Finance Office)
						14. SERVICING FEE CODE (Insert appropriate code in box below)
	01 = REGULAR PAYMENT							01 = ACCRUED INTEREST
  	02 = DEFERRED PAYMENT					  		02 = SERVICING FEE
15. AUTHORIZED LENDER’S SIGNATURE					16. TITLE					17. DATE
					     					     
Note: The following statements are made in accordance with the Privacy Act of 1974 (5 USC 552a): the Farm Service Agency (FSA) is authorized by the Consolidated Farm and Rural Development Act, (7 USC 1921 et seq.) , and the regulations promulgated thereunder, to solicit the information requested on this form. The information requested is necessary for FSA to determine eligibility for financial assistance, service your loan, and conduct statistical analyses. Supplied information maybe furnished to other Department of Agriculture agencies, the Department of the Treasury, the Department of Justice or other law enforcement agencies, the Department of Defense, the Department of Housing and Urban Development, the Department of Labor, the United States Postal Service, or other Federal, State, or local agencies as required or permitted by law. In addition, information may be referred to interested parties under the Freedom of Information Act (FOIA), to financial consultants, advisors, lending institutions, packagers, agents, and private or commercial credit sources, to collection or servicing contractors, to credit reporting agencies, to private attorneys under contract with FSA or the Department of Justice, to business firms in the trade area that buy chattel or crops or sell them for commission, to Members of Congress or Congressional staff members, or to courts or adjudicative bodies. Disclosure of the information requested is voluntary. However, failure to disclose certain items of information requested, including your Social Security Number or Federal Tax Identification Number, may result in a delay in the processing of this form or its rejection. According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0560-0155. The time required to complete this information collection is estimated to average 2 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. RETURN THIS COMPLETED FORM TO YOUR LOCAL FSA OFFICE.
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