Form 7-2586 Loan Guarantee Report of Loss

7-2586 (9-08)
Bureau of Reclamation

OMB Control No. 1006-NEW
OMB Expiration Date ______

UNITED STATES DEPARTMENT OF THE INTERIOR
BUREAU OF RECLAMATION
LOAN GUARANTEE REPORT OF LOSS
1. BORROWER’S ID NO.

2. LOAN GUARANTEE NO.

4. BORROWER NAME
7. CHECK ISSUE CODE
1 = SYSTEM GENERATED
2 = MANUAL CHECK
3 = NO CHECK ISSUED
4 = REFUND)

8. DATE MANUAL CHECK ISSUED
(F.O.
Only)

MO

LOAN GUARANTEE ITEMS:

DA

YR

(F.O.
Only)

3A. REPORT TYPE
CODE

3B. IS THE FINAL ESTIMATED LOSS PAYMENT
UNDER THE TYPE CODE CHECKED?
YES
NO
5. LENDER ID NO.
6. LENDER
(IRS Tax No.)
BRANCH NO.
9. DATE OF DEPOSIT
10. DATE OF SETTLEMENT
MO

$ DOLLARS

DA

YR

(F.O.
Only)

MO

LOSS GUARANTEED:

11. PRINCIPAL BALANCE

31. PERCENT OF LOSS GUARANTEED

12. ACCRUED INTEREST
OWED

32. AMOUNT TO BE PAID
(Item 30 X Item 31)

13. PRINCIPAL BALANCE OWED
ON PROTECTIVE ADVANCES

33. ((Sum of Principal Advance +
Item 12) X Item 31)

14. ACCRUED INTEREST ON
PROTECTIVE ADVANCES

34. MAXIMUM LOSS ALLOWED
(Lessor of Items 32 or 33)

15. TOTAL (Add items 11-14)

35. ALLOWANCES TO LENDER
LIQUIDATION COST (F.O. Only)

DA

YR

$ DOLLARS
(Percent)

PRIOR LIEN AMOUNTS OWED TO SETTLEMENT DATE:

ADJUSTMENTS TO PROTECTIVE ADVANCES AND INTEREST

16. REAL ESTATE DEBTS

36. PROTECTIVE ADVANCES PLUS
INTEREST (Items 13 + 14 X Item 31)

17. PERSONAL PROPERTY DEBTS

37. REMAINING BALANCE LOSS
GUARANTEE (Item 34 minus 36)

18. UNPAID TAXES, ASSESSMENT,

38. PERCENT OF GUARANTEED
PORTION HELD BY LENDER

GROUND RENTS. ETC.

19. TOTAL PRIOR LIENS

(Percent)

39. LOSS ON GUARANTEED PORTION
HELD BY LENDER OR HOLDER

(Add items 16-18)

(Item 37 X Item 38)

COLLATERAL
20. REAL PROPERTY
VALUE
21. CHATTEL PROPERTY
VALUE

40. AMOUNT DUE LENDER
(Items 36 + Item 39)

AMOUNT DUE LENDER OR RECLAMATION
41. AMOUNT PAID ON ESTIMATED LOSS

22. VALUE OF PERSONAL AND
CORPORATE GUARANTEES

42. BALANCE DUE LENDER

23. TOTAL (Add items 20 – 22)

43. INTEREST ON OVERPAYMENT

(Item 40 minus 41 if positive)
(Accrued interest due Reclamation)

24. NET COLLATERAL
(Item 23 minus Item 19)

44. AMOUNT DUE RECLAMATION BY
LENDER
(Item 41 minus Item 40 + Item 43)

25. BASIC LOSS

45. LENDER LOSS UNGUARANTEED

(Item 15 minus Item 24)

ADJUSTMENT TO BASIC LOSS

46. NAME OF LENDER

26. FUNDS BEING HELD
27. INCOME TO BE APPLIED TO
DEBT

47. BY

28. BORROWER’S DEBT PAYMENT

48. TITLE

X
49. DATE

ABILITY – PROPERTY VALUE

29. TOTAL DEDUCTIONS
(Add Items 26-28)

30. ADJUSTED BASIC LOSS
(Item 25 minus Item 29)

50. TENTATIVE APPROVAL – RECLAMATION OFFICIAL
BY
X

51. TITLE

52. DATE

Paperwork Reduction Act: This information is needed by Reclamation in order to process loss payments to lenders for guaranteed loans that have defaulted. Response to this
request is voluntary; however, without this information Reclamation can not make a loss payment. In accordance with the Act, the reporting burden to the public for this form is
estimated to average 25 hours per response including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and
completing and reviewing the collection of information. In accordance with the Act, Reclamation may not conduct or sponsor, and a person is not required to respond to, a
collection of information unless it displays a valid Office of Management and Budget control number. Direct comments regarding the burden estimate or any other aspect of
this form to the Bureau of Reclamation, Policy and Program Services, P.O. Box 25007, Denver, CO 80225, or call 303-445-2780.