Fsa2680ins_03-20-12

FSA-2680 Modification Date 03-20-12

NOTICE OF INTEREST IN LAND CONTRACT GUARANTEE
INSTRUCTIONS FOR PREPARATION
Purpose: Sellers use this form to express interest in a Land Contract Guarantee.
Handbook Reference: 6-FLP	Number of Copies: Original
Signatures Required: Seller or authorized entity member
Distribution of Copies: Original in Position 3.
Automation-Related Transactions: N/A

Sellers complete all parts

PART 1 – Types of Guarantee

Items A and B are completed by all sellers.

Fld Name / Item No.	Instruction
A Prompt Payment Guarantee	Enter checkmark if prompt payment guarantee is requested.
B Standard Guarantee	Enter checkmark if standard guarantee is requested.

PART 2 – General Eligibility Information

Seller reads information.

PART 3 – Escrow/Servicing Agent and Buyer Information

Items A and B are completed by the seller.

Fld Name / Item No.	Instruction
A Escrow/Servicing agent	Enter the escrow/servicing agent’s name, phone number and address.
B Buyer	Enter the buyer’s name, phone number and address.

PART 4 – Purchase Price, Loan Rates, Terms and Fees

PART 5 – Issuing the Guarantee

PART 6 – Terminating the Guarantee

Sellers read Parts 4-6.

PART 7 – Environmental Information

Items A – F are completed by seller.

Fld Name / Item No.	Instruction
A Floodplains	Check “YES” or “NO” as applicable to indicate if floodplains exist on the property.
B Historical and Archeological Sites	Check “YES” or “NO” as applicable to indicate if historical and archeological sites exist on the property.
C Wetlands and Highly Erodible Land	Check “YES” or “NO” as applicable to indicate if wetlands and highly erodible lands exist on the property.
D Hazardous Substances	Check “YES” or “NO” as applicable to indicate if hazardous substances exist on the property.
E Environmental liens or judgments	Check “YES” or “NO” as applicable to indicate if environmental liens or judgments exist against the property.
F Lawsuits	Check “YES” or “NO” as applicable to indicate if the property is involved in lawsuits for environmental compliance.

PART 8 – Notifications and Certifications

Items A and B are completed by the seller.

Fld Name/ Item No.	Instruction
A Employee Relationship	Check “YES” if you are an employee, related to an employee, or closely associated with an employee of the Farm Service Agency. If not, check “NO”. If “YES” provide details in Item 9.
B Vested title	Check “YES” or “NO” to indicate if in possession of title to the property.

PART 9 – Additional Information

Provide explanations to any “YES” responses. Use additional sheets as necessary.

PART 10 –Acknowledgement

 

Items A – D are completed by the seller.

Fld Name/ Item No.	Instruction
A Seller’s Name	Enter the seller’s name.
B Seller’s Social Security Number	Enter the seller’s Social Security Number. In the case of an entity, enter TIN.
C Seller’s signature	Enter the seller’s signature.
D Date	Enter the date the seller signed.

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