4281-14 Report of Loss - Interest Loss, Recovery or Voluntary Re

Food Supply Chain Guarantee Loan Program

FMI 4281-14 Report of Loss - Interest loss, recovery or voluntary recovery

Food Supply Chain Guarantee Loan Program

OMB: 0570-0077

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Instructions for RD 4281-14


Guaranteed Loan Report of Loss – Interest Loss / Recovery / or Voluntary Payment


Lenders use this form to report an interest loss/recovery/or voluntary payment 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

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 – MM/DD/YY

Item 11.

Enter the Amount of Principal that has been Advanced on the Loan.

Item 12.

Enter the Amount of Accrued Interest Owed

Item 13.

Enter the Percent of Loss Guaranteed

Item 14.

Enter the Amount to be Paid (Item 11 times Item 12)

Item 15.

Enter the Product of (Principal Advanced on Loan plus Item 11) times Item 12

Item 16.

Enter the Maximum Loss Allowed (Lesser of Item 13 or 14)

Item 17.

Enter the Percent of Guaranteed Portion Held by Lender

Item 18.

Enter the Loss on Guaranteed Portion Held by Lender (Item 15 times Item 16)

Item 19.

Enter the Amount of Unpaid Annual/Late Fees

Item 20.

Enter Amount Due to Lender (Item 17 minus Item 18)

Item 21.

Enter the Amount Paid Annual and/or Late Fees Due Lender or USDA (as applicable)

Item 22.

Enter the Balance Due Lender (Item 19 + Item 20) (as applicable)

Item 23.

Enter the Amount Due USDA by Lender (as applicable)

Item 24.

Enter Name of Lender

Item 25.

Enter the Lender Signature

Item 26.

Enter Lender Representative Title

Item 27.

Enter the Date the Form was Signed






Item 28.

Enter the Name of the USDA Representative Authorized to Sign

Item 29.

Enter USDA Representative Signature

Item 30.

Enter the USDA Representative Title

Item 31.

Enter the Date

Items 32 through Item 34 for USDA Finance Office Only



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorBennett, Pamela - RD, Washington, DC
File Modified0000-00-00
File Created2022-01-20

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