Fsa2201ins_10-24-16v01

Guaranteed Farm Loan Programs

FSA2201INS_10-24-16V01

OMB: 0560-0155

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FSA-2201 Date of Modification: 10-24-16



LENDER’S AGREEMENT

INSTRUCTIONS FOR PREPARATION

Purpose:

Used to establish the lender as an approved participant in the Guaranteed Loan Program of Farm Service Agency and establish the lender’s status.


Handbook Reference:

2-FLP

Number of Copies:

Original and multiple copies.

Signatures Required:

Lender and FSA approval official.

Distribution of Copies:

Original to FSA approval office, copy to each FSA servicing office approved for lender, copy to lender.

Automation-Related Transactions: N/A

Part A, Items 1 through 6:


Fld Name /
Item No.

Instruction

1

Lender’s Name and Address

Enter the Lender’s name and mailing address.

2

Tax Identification

Number

Enter the Lender’s 9 digit Internal Revenue Service Tax Identification number.

3

Telephone Number

Enter the Lender’s telephone number (Include Area Code).

4

Lender’s Status

Check the Lender’s status as approved by Agency. (Preferred Lender, Certified Lender, Standard Eligible Lender and Micro Lender).

5

Lender Offices Covered Under Agreement

Enter all branches covered by agreement, including complete address.

6

Address of FSA Offices Where Lender is Authorized To Submit Applications

Enter the address for all FSA Offices where lender is authorized to submit applications.

Lenders must complete Part J, Items 1 through 3:


Fld Name /
Item No.

Instruction

1

Name and Title of Lender Representative

Enter the name and title of Lender Representative.

2

Signature of Authorized Lender Representative

Enter the signature of the authorized Lender Representative and date signed.

3

Date

Enter the date the form is signed.

FSA must complete Part K, Items 1 through 5:


Fld Name /
Item No.

Instruction

1

Name and Title of FSA Official

Enter the name and title of FSA Official.

2

FSA Official’s Signature

Enter FSA Official’s signature.

3

Date

Enter Date the FSA Official signed the document.

4

Effective Date of Agreement

Enter effective date of agreement.

5

Agreement Expiration Date

Enter agreement expiration date (MLP, CLP and PLP only).


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