FSA-2248 Guaranteed Farm Loan Default Status

This form is available electronically.

FSA-2248
(09-25-19)

U.S. DEPARTMENT OF AGRICULTURE
Farm Service Agency

OMB Control No. 0560-0155
OMB Expiration Date: 07/31/2020

Position 2

GUARANTEED FARM LOAN DEFAULT STATUS REPORT

LENDERS: COMPLETE ALL ITEMS.
1. FSA ID NUMBER

2. BORROWER'S NAME

3. LENDER'S ID NUMBER

4. LENDER'S BRANCH NUMBER

5. LENDER'S NAME

6. LENDER'S LOAN NUMBER

7. AGENCY LOAN NUMBER

8. DATE LOAN BECAME DELINQUENT

9. UNPAID PRINCIPAL ON LOAN

10. UNPAID INTEREST ACCRUED

$
11. TOTAL AMOUNT PAST DUE

$
12. AS OF DATE

$
13. DELINQUENT CODE:

(Enter appropriate code)

01 = DELINQUENT-DISPOSITION FORTHCOMING

10 = NOT VALID FOR THIS PROGRAM

02 = BORROWER WILL PAY DELINQUENT AMOUNT

11 = RESCHEDULING OF PAYMENTS COMPLETED

03 = NOT VALID FOR THIS PROGRAM
04 = FORCED LIQUIDATION PENDING

12 = DEFERRAL OF PRINCIPAL AND INTEREST PAYMENTS
COMPLETED
13 = LOAN REINSTATED AND CURRENT

05 = VOLUNTARY LIQUIDATION PENDING

14 = BANKRUPTCY LIQUIDATION FILED BY BORROWER

06 = FORCED LIQUIDATION PENDING. ESTIMATED LOSS CLAIM FILED

15 = BANKRUPTCY REORGANIZATION FILED BY BORROWER

07 = VOLUNTARY LIQUIDATION PENDING. ESTIMATED LOSS CLAIM FILED

16 = BANKRUPTCY REORGANIZATION IN EFFECT. LOAN IS CURRENT
AS PER BANKRUPTCY PLAN
17 = BANKRUPTCY REORGANIZATION WITH COURT ORDERED
INTEREST RATE REDUCTION IN EFFECT. LOAN IS CURRENT AS
PER BANKRUPTCY PLAN

08 = TEMPORARY LOAN BY LENDER TO BRING ACCOUNT CURRENT
09 = BORROWER RESTRUCTURING PENDING

Note: If code 1-2, 4-7, 9 or 14-15 is entered, default status reports must be prepared every 60 days. If code 8, 11-13, or 16-17 is
entered, no further default status reports are required unless the borrower returns to default status at a future date.
14. INTEREST ASSISTANCE (IA) HAS BEEN CONSIDERED AND:

A. Has been ruled out as an option to correct the default.
B. An agency determination of IA eligibility is being requested in conjunction with the attached proposal to reschedule the debt.
15. COMMENTS ON MOST RECENT ACTION TAKEN, RESULTS, NEXT PLANNED ACTION AND DATE. ATTACH BANKRUPTCY SCHEDULES,
COPIES OF CORRESPONDENCE, OR ADDITIONAL DOCUMENTATION AS NECESSARY.

16A. LENDER'S AUTHORIZED SIGNATURE
NOTE:

16B. TITLE

16C. DATE

The following statement is made in accordance with the Privacy Act of 1974 (5 U.S.C. 552a - as amended). The authority for requesting the
information identified on this form is the Consolidated Farm and Rural Development Act, as amended (7 U.S.C. 1921 et. seq.). The
information will be used to determine eligibility and feasibility for loans and loan guarantees, and servicing of loans and loan guarantees. The
information collected on this form may be disclosed to other Federal, State, and local government agencies, Tribal agencies, and
nongovernmental entities that have been authorized access to the information by statute or regulation and/or as described in the applicable
Routine Uses identified in the System of Records Notice for USDA/FSA-14, Applicant/Borrower. Providing the requested information is
voluntary. However, failure to furnish the requested information may result in a denial for loans and loan guarantees, and servicing of loans
and loan guarantees. The provisions of criminal and civil fraud, privacy, and other statutes may be applicable to the information provided.
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 20 minutes 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 COUNTY FSA OFFICE.

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are
prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance
program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident.
Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the responsible Agency or USDA’s TARGET Center at (202)
720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.
To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at http://www.ascr.usda.gov/complaint_filing_cust.html and at any USDA office or write a letter addressed to USDA
and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: (1) mail: U.S. Department of Agriculture Office of the Assistant
Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: [email protected]. USDA is an equal opportunity provider, employer, and lender.