RD 1980-20 Guarantee Report of Loss

Form RD 1980-20
(Rev. 7-99)

FORM APPROVED
OMB. NO. 0575-0078

RURAL DEVELOPMENT
RURAL HOUSING GUARANTEE REPORT OF LOSS

INSTRUCTIONS TYPE IN CAPITALIZED TYPE IN SPACES MARKED
Items 1 through 22 are to be completed by the Lender.
2 = Final Loss
4 = Recovery
B = Adjustment to Loss

1. Report Type Code

3. Case No.

2. Date of Claim

4. Borrower Name
6. Date of Settlement

5. Loan No.

7. Lender ID No.

8. Branch No.

9. Lender Name

GUARANTEED LOAN ITEMS:
10. Principal Balance Owed on Debt

11. Accrued Interest Owed*

$

$

12. Principal Balance Owed on Protective Advance*

13. Accrued Interest on Protective Advance*

$

$

14. Total (Items 10 thru 13)
*The Lender should attach documentation of these items per FMI.

$
Section A RECOVERY FROM COLLATERAL SOLD
Completed by Lender if collateral was sold to a third party.

Section B RECOVERY FROM OTHER ITEMS
Completed by Lender for recovery from other sources.

15. Amount Property Sold $
for
16. Lender's Liquidation
$
Costs
17. Net Proceeds from
$
Collateral

18. Funds in escrow account(s)

$

19. Other Recovery

$

20. Cost of Collection

$

21. Net Recovery
$
(Items 18 and 19 less Item 20)
Section C Completed by Lender if property was acquired at foreclosure or by deed-in-lieu of foreclosure.
22. Lender's Liquidation Costs

$

Section D VALUE OF COLLATERAL ACQUIRED Completed by Rural Housing Service (RHS) if lender acquired property at
foreclosure or by deed-m-lieu of foreclosure. This section should not be completed if Section A above has been completed.
23. Appraised Value

$

24. Acquisition Management, Resale Factor

%

25. Appraised Value Factor
$
(Item 23 x Item 24)
26. Net Proceeds from
$
Collateral (Item 23 less Items
22 and 25)

Section E LOSS GUARANTEE:
28. Maximum Loss Payable (90% $
of Item 27)

27. Lesser of Original Note $
Amount or Principal
Actually Advanced

29. Authorized Lender Signature

Title

Date

According to the Paperwork Reduction Act of 1995, no persons are 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 0575-0078. The time required to complete this information collection is estimated to average 1 hour 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.

Position 2

ADJUSTMENTS TO LOSS
30. Reduced Claim Amounts *

31. Denied Claim Amounts *

$

32. Total Adjustments (Items 30 + 31)

$

$

* The Agency approval official should attach documentation of these items per FMI
33. Total debt - Net Proceeds (Item 14, less Item 17 or 26, less Item 21, less
Item 32)

$

34. 35% of Item 27

$

35. Amt. Loss in Excess of 35% of Loan (Item 33 less Item 34)

$

36. Amount from Item 35 x 85% (If zero or less, enter zero and skip to Item
38)

$

37. Amount of Loss (Item 34 PLUS Item 36)

$

38. Total Computed Loss Payable (LESSER of Item 33 or Item 37, if Item 37 is $
blank, enter the amount from Item 33)
Y=Yes or N=No

39. Release from Liability Code
40. Adjustment Reason Code
42. Amount Due Agency

4 1. Additional Interest
$

-

43. Balance Due Lender

Y=Yes or N=No
$

-

44.
Authorized Agency Signature

Title

Date

FINANCE OFFICE USE
45. Unsatisfied Principal

$

47. Basis
49. Additional Interest

46. Interest Rate
48. Number of Days

$

Adjusted Loss Payable with Additional Interest
50. Total Debt -Net Proceeds (Item 33 PLUS Item 49)

$

51. Loss (up to 35% of Item 27)

$

52. Amt Loss In Excess of 35% of Loan (Item 50 LESS Item 51)

$

53. Amount from Item 52 x 85%

$

54. Amount of Loss (Item 51 plus Item 53)

$

55. Loss Payable with Additional Interest (Lesser of Item 50 OR Item 54)

$

56. Check Amount

58. Date of Manual Check

$

57. Check Issue Code
1 = System Generated
2 = Manual Check
59. Date of Deposit -

3 = No Check Issued
4 = Refund