4281-2 Borrower Status

Food Supply Chain Guarantee Loan Program

FMI 4281-2 Borrower status

Food Supply Chain Guarantee Loan Program

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Instructions for RD 4281-2


Guarantee Loan Borrower Status

This form is submitted by the lender semi-annually to report on the status of the borrower's loan.




Fld Name / Item No.


Instruction

Completing as:

Enter year in either June 30 or December 31 for which report is submitted

Item 1.

Enter borrower's legal name

Item 2.

Enter the Agency assigned GLS borrower ID

Item 3.

Enter the Lender's Unique Entity Identifier (UEI)

Item 4.

Enter the original loan amount

Item 5.

Enter the date the loan was closed

Item 6.

Enter the name and full address of the lender, including zip code

Item 7.

Enter lender's Tax Identification Number

Item 8.

Enter Lender's branch name and number

Item 9.

Enter the loan number assigned by the lender

Item 10.

Enter the date the last status update was completed

Item 11.

Enter the unpaid principal balance as of the date listed in "Completing As:"

Item 12.

Enter the unpaid interest balance as of the date listed in "Completing As:"

Item 13.

Enter the amount of funds advanced during the current reporting period.

Item 14.

Enter the applicable payment status code - A=Borrower Ahead of Schedule, B=Borrower Behind Schedule or C=Borrower Current

Item 15.

Enter the dollar amount that the loan is ahead or behind

Item 16.

Enter "Yes" if there have been any material changes in the borrower's general financial condition since the last guaranteed loan borrower status report was filed. Otherwise, enter "No". If the answer is "Yes", provide an explanation.

Item 17.

Enter "Yes" if there have been any discrimination lawsuits filed against the borrower since the last guaranteed loan borrower status was filed. Otherwise, enter "No". If the answer is "Yes", provide an explanation.

Lender's Name

Enter lender's legal name

Date

Enter date the form is signed

Officer Signature

The lender's authorized representative must sign this form.

Officer Title

Enter title of the officer signing




File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleInstructions for RD5001-7
File Modified0000-00-00
File Created2021-11-18

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