Form SBA Form 172 EP SBA Form 172 EP Electronic pay TRANSACTIONREPORT ON LOANSERVICED BY LEND

SBA FORM 172 - TRANSACTIONREPORT ON LOANSERVICED BY LENDER
This form is to be used by Lenders to remit SBA’s share of amounts received from liquidation of loan assets or as payments on loans that have been purchased by SBA. Reporting
of this information is necessary for lenders to comply with SBA loan program requirements and obtain payment on the loan guarantee.

1.Type of Payment

2. Lender's Name and Address
Lender's Name:

Principal and Interest ORInterest Only

Address:

Principal Only

City:

America's Recovery Capital (ARC)

State:

Zip:

NOTE:Please select the type of payment you are making before filling
out the form.
3. Loan Number
4. Borrower's Name

5. Interest Rates

0.000

6. Participation Percentages 0.000

0.000
SBA

0.000

%
SBA

Lender

7. Date Repayment Received

%
Lender

8. Installment Due Date Paid
(mm/dd/yyyy)

(mm/dd/yyyy)

9. Interest Period Paid

10. No. of Days Interest
(mm/dd/yyyy)

From:

(mm/dd/yyyy)

To:
11. Application of Repayment:

TOTAL

LENDER SHARE

SBASHARE

Repayment Amount....................
a. To Interest..............................
b. To Principal............................

0.00

c. Less:RecoverableExpenses*.....

0.00

0.00

0.00

0.00

0.00

0.00

0.00

d. Less: Service Fee **.......................................................................................................

0.00

e. Amount Remitted to SBA................................................................................................
** Compute Service Fee as follows:
Mulitply SBA's Share of Beginning Principal Balance
by: (Number of Days Interest times Daily Factor)
Daily Factor = .0000068 if SBA's Percent Share Exceeds 75%
Daily Factor = .0000103 if SBA's Percent Share is 75% or less.

12. Principal Loan Balance:
TOTAL

LENDERSHARE
0.00

a. Last Report Date

SBASHARE
0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

b. Plus Principal Additions
c. Less Repayments/Credits
d. Ending Balance This Report
13. Comments: * (Explanation of Recoverable Expenses)

14. -----OFO USEONLY----T/C
Offline Code

15. Contact Name and Title

16. Telephone No.

Ext.

Next Due Date
17. Report Date

Name
Title

(mm/dd/yyyy)

PLEASENOTE: The estimated burden hours for the completion of this form is 10 minutes per response. If you haveany questions or comments
concerning this estimate or any other aspect of this information collections please contact,Chief, Administrative Information Branch, U.S.Small
Business Administration, 409 3rd St.,S.W. Washington, D.C. 20416 and OMB Clearance Officer,PaperworkReduction Project (3245-0131), Office of
Management and Budget, Washington, D.C. 20503.
SBA FORM 172 (05-15) REF.:SOP 50
57 PREVIOUSEDITIONSOBSOLETE