FSA-2236 Guaranteed Loan Closing Report

Form Approved – OMB No. 0560-0155
OMB Expiration Date: XX/XX/2020
Position 2

This form is available electronically.

FSA-2236

U.S. DEPARTMENT OF AGRICULTURE
Farm Service Agency

(proposal 2)

LOAN CLOSING REPORT AND
LENDER CERTIFICATION
PART A - CLOSING INFORMATION
1. BORROWER’S NAME AND ADDRESS (Last, First, and M.I.)

2. FSA ACCOUNT NUMBER
ST CODE

3. LENDER NAME AND ADDRESS

CO CODE

4. LENDER ID NO.

BORROWER ID

5. LENDER STATUS

6. SERVICING OFFICE (MAIL CODE)
7. EFFECTIVE DATE OF LENDER’S
AGREEMENT
10. AMOUNT OF GUARANTEE
FEE PAID

8. EXPIRATION DATE OF LENDER’S
AGREEMENT

11. GUARANTEE FEE PURPOSE CODE
3-Initial Closing Fee

$

9. LENDER LOAN NUMBER

12. AMOUNT OF LOAN-LINE
OF CREDIT

$

5-Consolidation

13. ADVANCE AMOUNT
TO DATE

$

7-Initial Closing-No Fee
14. LOAN CLOSING DATE

15. LOAN MATURITY DATE

18. LENDER’S NOTE INTEREST RATE ON
GUARANTEED PORTION

%

19. LENDER’S NOTE INTEREST RATE
ON NON-GUARANTEED PORTION

Fixed

20. INTEREST ASSISTANCE RATE (IF
APPLICABLE)

%

Variable

22. INTEREST RATE BASIS (CHOOSE
BASIS BELOW)
360

17. PERCENT OF LOAN
GUARANTEE
%

Fixed

%

Variable

21. ADVANCE PERIOD OF OPERATING
LINE OF CREDIT

16. TERM OF INTEREST ASSISTANCE
YEARS (IF APPLICABLE)

365

23. ANNUAL REVIEW DATE
(FOR IA LOANS ONLY)

ACTUAL

PAD INFORMATION (To be completed if guaranteed loan fee is not paid by check)
24. ROUTING NUMBER

25. ACCOUNT NUMBER

26. ACCOUNT TYPE

PART B - LENDER CERTIFICATION
27. The undersigned lender certifies that the following requirements have been or will be met on the guaranteed loan closed on the above
stated date.
a.
b.
c.
d.
e.
f.
g.
h.

No major changes have been made in the lender’s loan or line of credit conditions and requirements since submission
of the application (except those approved in the interim by the Agency in writing).
All insurance requirements are in effect.
Truth in lending requirements have been met.
All equal employment opportunity and equal credit and nondiscrimination requirements have been or will be
met at the appropriate time.
The loan or line of credit has been properly closed, and the required security instruments have been obtained, or will be
obtained, on any acquired property that cannot be covered initially under State law.
The borrower has a marketable title to the collateral owned by the borrower, subject to the instrument securing the loan or
line of credit to be guaranteed and subject to any other exceptions approved in writing by the Agency. When required, an
assignment on all USDA crop and livestock program payments has been obtained.
When required, personal, joint operation, partnership, corporate or other guarantees have been obtained.
Liens have been perfected and priorities are consistent with requirements of the Conditional Commitment.

FSA-2236 (proposal 2)

Page 2 of 2

PART B - LENDER CERTIFICATION, Continued from Page 1
i. Loan proceeds have been or will be disbursed for purposes and in amounts consistent with the Conditional Commitment and
as specified on the loan application. In line of credit cases, if any advances have occurred, they have been disbursed for
purposes and in amounts consistent with the Conditional Commitment and Line of Credit Agreements.
j. There have been no material adverse changes in the borrower's condition, financial or otherwise, since submission
of the application.
k. Evaluations or appraisals have been completed which support security values stated in the Conditional Commitment.
l. All other requirements specified in the Conditional Commitment have been met.
m.If PAD account information is included in items 42-26, I authorize FSA to pull the guarantee fee for each loan from this account.
PART C - REPRESENTATIONS REGARDING FELONY CONVICTIONS AND TAX DELINQUENT STATUS FOR CORPORATE
LENDERS (Note: This section only applies if the lender is a corporation)

A corporation includes, but is not limited to, any entity that has filed articles of incorporation in one of the 50 States, the District of
Columbia, or the various territories of the United States including American Samoa, Federated States of Micronesia, Guam, Midway
Islands, Northern Mariana Islands, Puerto Rico, Republic of Palau, Republic of the Marshall Islands, or the U.S. Virgin Islands.
Corporations include both for profit and non-profit entities.
28. If the lender is a corporation the undersigned lender certifies that the following statements are true and accurate at the time of loan
closing:
•

The Lender has not been convicted of a felony criminal violation under any Federal law in the 24 months preceding the date of
application.

•

The Lender does not have any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies
have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority
responsible for collecting the tax liability.

PART D - LENDER SIGNATURE AND CERTIFICATION

29. I certify that this report accurately describes the subject loan.
A. Name and Title of Lender’s Representative

B. Signature of Lender’s Representative

C. Date (MM-DD-YYYY)

NOTE: Along with this form, submit the following, as appropriate:
a. Guarantee Fee
b. Copy of executed promissory note or loan agreement.
c. Copy of evaluation if Standard Eligible Lender or Micro Lender and not previously submitted.
d. FSA-2221, Interest Assistance Agreement, if Interest Assistance is included in the loan.
e. FSA-2201, Lender's Agreement, if a current version has not already been executed.
PART E - AGENCY SIGNATURE AND CERTIFICATION
30. Guaranteed Loan Number

31. Obligated Loan Number

32. Branch Number

33. Date of Deposit
(MM-DD-YYYY)

34. I have reviewed this report and the information is consistent with the Conditional Commitment and the supporting documentation
provided by the lender.
A. NAME OF AGENCY OFFICIAL (PRINTED)

C. SIGNATURE OF AGENCY OFFICIAL
NOTE:

B. TITLE (PRINTED)

D. DATE APPROVED (MM-DD-YYYY)

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 15 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.