Sba Form 2403 Application For Pool Of Section 504 First Mortgage Loan

OMB Control No. 3245-0367

Expiration Date: 02/28/2011

APPLICATION FOR POOL OF SECTION 504 FIRST MORTGAGE LOAN INTERESTS

Application Date: ____________________________________________________

Pool Originator Name: _____________________________________________________

Address: ­­­­_____________________________________________________

_______________________________________________________________

Pool Originator Number: ____________________________________________________

Pool Originator Tax I. D. Number*: __________________________________________

Current Weighted Average Coupon Applicable on Pool Certificates: _________________ Scheduled Maturity Date Requested on Pool Certificates: _________________________

Pool Cap and Floor: ______________________________________________________

Proposed Issue Date on Pool Certificates: _____________________________________

Proposed Settlement Date: _________________________________________________

Section 504 First Mortgage Loan Interests for the Pool:

	Loan	Borrower	Originator	Base	Net Interest Rate (fixed)	Scheduled	Balance as of Pool
	Number	Name	Fee	Interest Rate	Or Net Spread (Variable)	Maturity Date	Application Date
1	________	________	_________	_________	___________________	_____________	_____________
2	________	________	_________	_________	___________________	_____________	_____________
3	________	________	_________	_________	___________________	_____________	_____________
4	________	________	_________	_________	___________________	_____________	_____________
5	________	________	_________	_________	___________________	_____________	_____________
6	________	________	_________	_________	___________________	_____________	_____________
7	________	________	_________	_________	___________________	_____________	_____________
8	________	________	_________	_________	___________________	_____________	_____________
9	________	________	_________	_________	___________________	_____________	_____________
10	________	________	_________	_________	___________________	_____________	_____________

Use additional sheets if necessary.

* Section 6109 of the Internal Revenue Code requires most recipients of dividend, interest or other payments to give taxpayer identification numbers to payers who must report the payments to the IRS. IRS uses the numbers for identification purposes.

SBA Form 2403

Required to obtain benefit

Please forward 504 First Mortgage Loan Pool Guarantee Agreement and the certified copy of Note for each loan to Central Servicing Agent, Colson Services Corporation, 2 Hanson Place, 7th Floor, Brooklyn, NY 11217, or may be mailed to Colson Services Corporation, P.O. Box 54, Church Street Station, New York, NY 10274. Provide the name, address, taxpayer identification number, delivery instructions and amount for each pool certificate to be issued.

We certify to the following:

1. This entity meets all requirements for status of a pool Originator (13 CFR 120.1703) as of the date of application for this pool, and this pool meets all the requirements for First Mortgage Loan Pool (13 CFR 120.1704).

1. The above listed loans are Current as defined in 13 CFR 120.1700 as of the date of this application.

1. The undersigned are authorized by our firm to submit this pool application (two signatures required).

_________________________________ _________________________________

Signature Signature

_________________________________ _________________________________

Name Name

_________________________________ _________________________________

Title Title

Please Note: The estimated burden for completing this form is 3 hours per response. You will not be required to respond to this information collection if a valid OMB approval number is not displayed. If you have questions or comments concerning this estimate or other aspects of this information collection, please contact the U. S. Small Business Administration, Chief, Administrative Information Branch, Washington, D. C. 20416 and/or Office of Management and budget, Clearance Officer, Paperwork Reduction Project (3245-0367), Washington, D. C.

PLEASE DO NOT SEND FORMS TO OMB.

SBA Form 2403

Required to obtain benefit

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