4281-6 Estimated Loss

Food Supply Chain Guarantee Loan Program

FMI 4281-6 Estimated Loss

Food Supply Chain Guarantee Loan Program

OMB: 0570-0077

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Instructions for RD 4281-6


Guaranteed Loan Report of Loss Estimated Loss

Lenders use this form to report an estimated loss on a guaranteed loan to Rural Development.




Fld Name / Item No.


Instruction

Item 1.

Enter State, County and GLS Borrower ID number

Item 2.

Enter Agency Loan Number

Item 3.

Enter Loan Type – Check Food Supply Chain

Item 4.

Enter Borrower Name

Item 5.

Enter Lender’s Tax ID Number

Item 6.

Enter Agency’s Lender Branch Number

Item 7.

Enter Lender Routing Number

Item 8.

Enter Lender Account Number

Item 9.

Enter Account Type Savings or Checking

Item 10.

Enter the Date of Settlement Mo/Da/Yr.

Item 11.

Enter the Principal Balance

Item 12.

Enter the Accrued Interest Owed

Item 13.

Enter the Total of Items 11 and 12

Item 14.

Enter Real Estate Debts (if applicable)

Item 15.

Enter Personal Property Debts (if applicable)

Item 16.

Enter Unpaid Taxes, Assessments, Ground Rents, Etc. (if

applicable)

Item 17.

Enter the Total of Items 14 to 16

Item 18.

Enter Real Property Value (if applicable)

Item 19.

Enter Chattel Property Value (if applicable)

Item 20.

Enter Value of Personal and Corporate Guarantees (if

applicable)

Item 21.

Enter the Total of Items 18 to 20

Item 22.

Enter the Net Collateral of Item 21 minus Item 17

Item 23.

Enter the Basic Loss – Item 13 minus Item 22

Item 24.

Enter the Amount of Funds Being Held

Item 25.

Enter Income to be Applied to Debt

Item 26.

Enter Borrower’s Debt Payment Ability Present Value

Item 27.

Enter Total Deductions Items 24 to 26

Item 28.

Enterminus 23 – Item Estimate Basic Loss Adjusted the

Item 27

Item 29.

EnterGuaranteed Loss of Percent

Item 30.

Enter29 Item times Item 28 be Paid to Amount

Item 31.

Enter12) Item + on Loan Advance of (Principal Sum the

times Item 29.

Item 32

Enter31) or 30 Items of (lesser Allowed Loss Maximum the



Fld Name / Item No.

Instruction













Item 33.

Enter the Percent of Guaranteed Portion Held by Lender

Item 34.

Enter the Loss of Guaranteed Portion Held by Lender (Item


32 times Item 33)

Item 35.

Enter the Amount of Unpaid Annual/Late Fees

Item 36.

Enter the Amount Due to/from Lender for Estimated Loss

(Items 35 minus Item 36)

Item 37

Enter Name of Lender

Item 38.

Enter Lender’s Signature

Item 39.

Enter Lender Representative Title

Item 40.

Enter the Date

Item 41.

Enter the Name of the USDA Representative

Item 42.

Enter USDA Representative Signature

Item 43.

Enter the USDA Representative Title

Item 44.

Enter the Date



Items 45 through Item 47 for USDA Finance Office Only




File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleInstructions for RD5001-11A
File Modified0000-00-00
File Created2022-01-20

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