Submit the original
completed form or a facsimile copy to the appropriate USDA office. Customers who have established electronic access
credentials with USDA may electronically transmit this form to the USDA office,
provided that the customer submitting the form is the only person
required to sign the transaction.
Features for transmitting the form electronically
are available to those customers with access credentials only. If you would like to establish online
access credentials with USDA, follow the instructions provided at the USDA
eForms web site.
Fld Name / |
Instruction |
1(a) Applicant's Name |
Enter the applicant’s name. |
1(b) Amount of Loan |
Enter the dollar amount of the emergency loan requested. |
1(c) Loan purpose |
List the purposes for which loan funds will be used. |
2 Applicant’s Signature |
Enter the applicant's signature. If you are mailing or faxing this form, print the form and manually enter your signature. If this form is approved for electronic transmission and you have established credentials with USDA to submit forms electronically, use the buttons provided on the form for transmitting the form to the USDA office. |
Fld Name / |
Instruction |
3 Date |
Enter the date the applicant signed this form. |
Part B is completed by the
lender. If the applicant is
presently indebted, complete Items 1 through
4. | |
1(a) Principal balance |
Enter the principal balance for each account as of the date you complete the form. |
1(b) Accrued Interest |
Enter the amount of interest accrued on each account. |
1(c) As of Date |
Enter the date used to compute the amount of accrued interest. |
1(d) Amount Delinquent |
Enter the amount of principal and interest delinquent on each of the applicant’s accounts, if delinquent. |
1(e) Annual Installment |
Enter the annual installment amount on each account. |
1(f) Interest Rate |
Enter the annual effective simple interest rate for each account. Insert an “*” for variable rate. |
1(g) Daily Interest |
Enter the daily interest accrual amount for each account. |
1(h) Date Due |
Enter the final maturity date for each account. |
2 Continue with Loans |
Check the “YES” box if you are willing to continue with the applicant’s loans and describe in Item 2(a) under what conditions you are willing to do so. Check “NO” if you are not willing to continue with loans and describe in Item 2(b) the reasons why not. Use Item 7, Remarks, if needed, to complete your answer. |
3 Describe Collateral |
Describe the collateral securing the debts listed in Item B1. (General descriptions may be used, i.e., machinery and equipment, land, mixed cattle, etc.) |
4 Similar Loan Request |
Check the “YES” box if the applicant has applied for a loan of similar amount and purposes as that requested from FSA, and complete Items 4(a) through 4(f). If you have received no similar loan request check the “NO” box. |
Fld Name / |
Instruction |
4(a) Amount |
Enter the amount of the loan request. |
4(b) Interest Rate |
Enter the interest rate for the loan requested. |
4(c) Terms |
Enter the loan terms. |
4(d) Date of Last Request |
Enter the date of last request. |
4(e) Loan Purpose |
Enter the loan purpose. |
4(f) Collateral Offered |
List the collateral offered. |
5 Request Approved |
Check “YES” if the applicant’s loan request was approved, and complete Item 5(a). If “NO” is checked complete Item 5(b). |
5(a) Amount |
Enter the amount of the approved loan. |
5(b) Why Not? |
Enter the reason the loan request was not approved. |
6 Guarantee |
Check “YES” if you would consider making the applicant a loan with an FSA guarantee. If not, check “NO”. |
7 Remarks |
Use this space to add any additional information. |
Part C is completed by the lender. | |
1 Lender Name and Address |
Enter the lender’s name and address. |
2 Title |
Enter the title of the lender’s representative. |
Fld Name / |
Instruction |
3 Signature |
Enter the signature of the lender’s representative. If you are mailing or faxing this form, print the form and manually enter your signature. If this form is approved for electronic transmission and you have established credentials with USDA to submit forms electronically, use the buttons provided on the form for transmitting the form to the USDA servicing office. |
4 Date |
Enter the date this form is signed. |
File Type | text/html |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |