FSA-2060 Application for Partial Release Subordination/Consent

This form is available electronically.

FSA-2060

U.S. DEPARTMENT OF AGRICULTURE
Farm Service Agency

(Proposal 5)

Form Approved - OMB No. 0560-XXXX
Position 5

APPLICATION FOR PARTIAL RELEASE,
SUBORDINATION, OR CONSENT
(See Page 3 for Privacy Act and Public Burden Statements).

PART A - BORROWER REQUEST
1. The undersigned (a)
(called "borrower") in accordance with the terms of the security instruments now held by the United States, U.S. Department of
Agriculture, Farm Service Agency (called "Government") on the property, apply for:
(b)

release,

(c)

subordination to (d)

. I agree that
none of the funds obtained as a result of the subordination will be used for a purpose that will contribute to excessive erosion of highly
erodible land or to the conversion of wetlands to produce an agricultural commodity;
.
(e)
consent to (f)
2. Description of Property:

3. Name of lienholder, approximate amount of each lien, including FSA in the order of lien priority:
(a) Name of lienholder

(b) Approximate amount of lien

(c) Lien priority

$
$
$
$

4. The use to be made of the property covered by this application and to whom the property will be leased or conveyed:

5. The anticipated proceeds or consideration from this transaction are:

6. Additional considerations:

7. It is proposed to use the proceeds as follows:

The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, gender, religion, age, disability,
political beliefs, sexual orientation, and marital or family status. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for
communication of program information (Braille, large print, audiotape etc) should contact USDA's TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of
discrimination, write USDA Director, Office of Civil Rights, Room 326-W, Whitten Building, 1400 Independence Avenue, SW, Washington, D. C. 20250-9410 or call (202) 7205964 (voice or TDD). USDA is an equal opportunity provider and employer.

FSA-2060 (Proposal 5)

Page 2 of 3

8. Have you, or any entity members of applicable, ever been: (If "Yes", provide details in Item 9)

YES

NO

(a) Convicted under any Federal or State law of planting, cultivating, growing, producing, harvesting, or storing a
controlled substance within the previous 5 crop years? (See the Food Security Act of 1985, Pub. Law. 99-198)
(b) Determined ineligible for Federal benefits based on a conviction for the distribution of controlled substances or
any offense involving the possession of a controlled substance under 21 U.S.C. 862?
(c) Determined ineligible for Federal benefits on FCIC fraud?
9. Explanations for any "YES", answers to Item 8.

10. I understand that unless FSA executes a separate written instrument for subordination or partial release, FSA's approval of this
application will merely constitute and evidence FSA's consent, as lienholder, to the proposed transaction without in any way
subordinating its liens, releasing any of its security, modifying the payment terms of my loans, or otherwise affect any FSA
rights. If this application is approved, I agree to comply with such terms as may be set by FSA and to dispose of the proceeds as
required by FSA.
11A. Signature

NOTE:

11B. Date

The following statements are made in accordance with the Privacy Act of 1974 (5 USC 552a): the Farm Service Agency (FSA) is authorized
by the Consolidated Farm and Rural Development Act, as amended (7 USC 1921 et seq.), or other Acts, and the regulations promulgated
thereunder, to solicit the information requested on its application forms. The information requested is necessary for FSA to determine
eligibility for credit or other financial assistance, service your loan, and conduct statistical analyses. Supplied information may be furnished to
other Department of Agriculture agencies, the Internal Revenue Service, The Department of Justice or other law enforcement agencies, the
Department of Defense, the Department of Housing and Urban Development, the Department of Labor, the United States Postal Service, or
other Federal, State, or local agencies as required or permitted by law. In addition, information may be referred to interested parties under the
Freedom of Information Act (FOIA), to financial consultants, advisors, lending institutions, packagers, agents, and private or commercial credit
sources, to collection or servicing contractors, to credit reporting agencies, to private attorneys under contract with FSA or the Department of
Justice, to business firms in the trade area that buy chattel or crops or sell them for commission, to Members of Congress or Congressional
staff members, or to courts or adjudicative bodies. Disclosure of the information requested is voluntary. However, failure to disclose certain
items of information requested, including your Social Security Number or Federal Tax identification Number, may result in a delay in the
processing of an application or its rejection.
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a
collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is
0565-XXXX. The time required to complete this information collection is estimated to average 30 minutes 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. RETURN THIS COMPLETED FORM TO YOUR COUNTY FSA OFFICE.

Page 3 of 3

FSA-2060 (Proposal 5)

PART D - FSA APPROVAL
1. The proposed transaction:
WILL NOT prevent or make more difficult the successful operation of this property.
WILL (b)
(a)
(c)
WILL NOT adversely affect FSA's security.
WILL (d)
2. The following

damages

benefits will result to this property from the transaction:

INSTRUCTIONS:

3. I hereby:
(a)
do not recommend this application be approved.
(b)

recommend this application be approved and proceeds to be applied or released according to Item 5.

(c) Recommending Official Name

(d) Title

(e) Signature

(f) Date

4. I hereby:
(a)
do not approve this application
(b)

approve this application. Proceeds will be according to Item 5.

5(a) Initial Payment

5(b) Subsequent payments

(1) $

to prior liens

(1) $

or

% to prior liens

(2) $

to extra payment on FSA loan

(2) $

or

% to extra payment
of FSA loan

(3) $

to regular payment on FSA loan

(3) $

or

% to regular payment
of FSA loan

(4) $

Other (specify):

(4) $

(5) $

to borrower

(5) $

(c) Approving Official Name

(d) Title

(e) Signature

(f) Date

Other (specify):
or

% to borrower