FSA-2341ins

Farm Loan Programs - Direct Loan Making

FSA-2341ins

OMB: 0560-0237

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Instructions For FSA-2341

CERTIFICATION OF ATTORNEY

Used by the selected attorney to certify to liability and fidelity coverage and eligibility to conduct the loan closing for the applicant.


Submit the original of the completed form in hard copy or facsimile to the appropriate USDA office. Customers who have established electronic access credentials with USDA may electronically transmit this form to the USDA office, provided the customer submitting the form is the only person required to sign the transaction.


Features for transmitting the form electronically are available to those customers with access credentials only. If you would like to establish online access credentials with USDA, follow the instructions provided at the USDA eForms web site.



Parts A, B, and D completed by FSA.

Part C must be completed by the Attorney.


Parts A and B are for FSA use only.

Part C – Items 1 through 4B.

Fld Name /
Item No.

Instruction

1(b)

State

Enter the name of the State in which the attorney is a member of the bar.

2

Method of Title Clearance

Enter a check mark to indicate the appropriate type of title clearance:

(a) Title Opinion or (b) Title Insurance Policy.

3(a)

Amount of Insurance

Enter the dollar amount of professional liability insurance per occurrence.

3(b)

Insurance Company Name

Enter the liability insurance company’s name.

3(c)

Insurance Company Address

Enter the liability insurance company’s address.

3(d)

Deductible Amount

Enter the dollar amount of the policy’s deductible.

3(e)

Policy Number

Enter the policy number.

3(f)

Expiration Date

Enter the policy’s expiration date.

3(g)

Fidelity Bond Coverage

Enter the amount of fidelity bond coverage for attorney, employees and associates having access to FSA loan funds.

4A

Signature

Enter the attorney’s signature.


If you are mailing or faxing this form, print the form and manually enter your signature. If this form is approved for electronic transmission and you have established credentials with USDA to submit forms electronically, use the buttons provided on the form for transmitting the form to the USDA servicing office.

4B

Date

Enter the date the attorney signed the form.


Part D is for FSA use only.


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File Typeapplication/msword
File TitleTemplate Users: Select the text for each of the instruction components below and type over it without changing the font type,
AuthorPreferred Customer
Last Modified Byniki.chavez
File Modified2007-03-11
File Created2006-03-28

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