| “No further benefits may be paid out under this program unless this report is completed and filed as required by existing law and regulations (7 U.S.C. 901 et seq.)” |
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| USDA - RUS |
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FORM APPROVED |
| FINANCIAL REQUIREMENT & EXPENDITURE STATEMENT |
OMB NO. 0572-0015 |
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| TO: U.S. DEPARTMENT OF AGRICULTURE, RUS, WASHINGTON, D.C. 20250 |
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1. BORROWER DESIGNATION |
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| INSTRUCTIONS - SUBMIT ORIGINAL AND TWO COPIES TO RUS, FOR |
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Enter Borrower Designation in cell D6
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| DETAILED INSTRUCTIONS, SEE INSTRUCTION SHEETS & RUS BULLETIN 26-1 |
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2. STATEMENT NO. |
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3. DATE SUBMITTED |
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| THIS SPACE FOR RUS USE ONLY |
Enter Next Sequential Number from last 595, Financial Statement, submitted to RUS in cell D8
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Enter Date that Form 595 is being submitted to RUS in cell F8
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| DATE RECEIVED |
REGISTER NO. |
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4. PERIOD ENDING (MONTH & YEAR) |
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5. EFFECTIVE DATE OF ADJUSTED AMOUNTS |
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Enter Month & Year of Form 7 being submitted along with Form 595 in cell D10
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Enter Date of last Budget Sheet, Form 605, entries in cell F10
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| PRIMARY BUDGET PURPOSES |
CONSOLIDATED |
AMOUNTS |
TOTAL |
TOTAL |
CASH |
ADVANCE |
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LOAN BUDGET |
APPROVED |
ADVANCE |
EXPENDITURES |
BALANCE |
NOW |
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FOR ADVANCE |
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TO DATE |
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REQUESTED |
| (1) |
(2) |
(3) |
(4) |
(5) |
(6) |
(7) |
| 1 DISTRIBUTION |
0.00 |
0.00 |
0.00 |
0.00 |
Enter "Cash Balance" for each Budget Purpose and "Total Expenditures to Date" will be automatically calculated in column (5)
0.00 |
$0.00 |
| ADJUSTED (RUS USE ONLY) |
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| 2 TRANSMISSION |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
| ADJUSTED (RUS USE ONLY) |
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| 3 GENERATION |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
| ADJUSTED (RUS USE ONLY) |
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| 4 HEADQUARTERS FACILITIES |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
| ADJUSTED (RUS USE ONLY) |
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| 5 ACQUISITIONS |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
| ADJUSTED (RUS USE ONLY) |
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| 6 ALL OTHER |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
| ADJUSTED (RUS USE ONLY) |
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| CLOSED BUDGET |
0.00 |
0.00 |
0.00 |
0.00 |
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| ADJUSTED (RUS USE ONLY) |
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| UNDER STOP ORDER OR CONDITIONAL AGREEMENTS, EXCLUSIVE OF CONCURRENT LOAN STANDARD CONDITIONAL AGREEMENT |
0.00 |
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| ADJUSTED (RUS USE ONLY) |
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| TOTALS |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
$0.00 |
| ADJUSTED (RUS USE ONLY) |
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| BREAKDOWN OF AMOUNT UNDER STOP ORDER OR CONDITIONAL AGREEMENT AS SHOWN ABOVE |
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TOTAL AMOUNT OF NOTES EXECUTED |
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| A. DISTRIBUTION |
0.00 |
D. HEADQUARTERS |
0.00 |
A. RUS |
0.00 |
| B. TRANSMISSION |
0.00 |
E. ACQUISITIONS |
0.00 |
B. FFB |
0.00 |
| C. GENERATION |
0.00 |
F. OTHER |
0.00 |
C. OTHER |
Enter Total Amount of Other Notes Executed including certificates such as CTCs
in cell F38
0.00 |
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STATUS OF THE |
Enter Loan Designation for which Advance is being requested in cell C40
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LOAN UNDER WHICH THIS ADVANCE IS REQUESTED |
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(RUS LOAN DESIGNATION) |
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| ITEM |
RUS |
FFB |
OTHER |
TOTAL |
| AMOUNT OF LOAN |
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0.00 |
0.00 |
0.00 |
$0.00 |
| AMOUNT UNDER CONCURRENT LOAN CONTROL |
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0.00 |
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| ADVANCED TO DATE |
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0.00 |
0.00 |
0.00 |
0.00 |
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| CERTIFICATION |
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| Balance in “Cash-Construction Fund-Trustee” account (total of column 6) at the close of the period covered by this report is |
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$0.00 |
| Subject to approval of RUS, the corporation requests that total of column 7 be advanced under the loan contract. All references herein to “Loan Contract” shall include, |
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| in addition to the RUS loan contract, any Federal Financing Bank – RUS loan commitment agreement with related commitment notice and correspondence concerning |
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| loan terms and conditions. I certify that this amount is required for the purposes designated in accordance with provisions of said loan contract and that proceeds will |
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| be deposited in the “Cash-Construction Fund-Trustee” account of the |
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Enter Name of Bank for Trustee Account in cell D53
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| bank which is a member of the FDIC and will be disbursed only as herein specified in accordance with the provisions of said contract. I further certify that I have checked |
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| the cash balance shown on this statement in column 6 with the books and records of the corporation and said balances are true and correct and expenditures reported |
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| in Column 5 were used for the purposes and in the amounts authorized by the loan contract and previously approved Financial Requirement and Expenditure Statement. |
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| With respect to concurrent loan funds included in this requisition, if any, the total amount of funds advanced to date under this designated concurrent loan is as |
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| shown above and this request is now made to |
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Enter Name of Lender for which this Advance is being requested in cell C59
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in accordance with the established procedures for |
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Name of Lender |
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| requisitioning and advancing funds under concurrent loans. All loan contract conditions concerning advance of funds under concurrent loans have been met. |
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Enter Name & Address of Borrower in cell A64
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| NAME AND ADDRESS OF BORROWER |
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Enter Title of Manager or Board Officer authorized to sign Requisition per Form 675, Certification of Authority, in cell E67
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| SIGNATURE |
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TITLE - AUTHORIZED CORPORATE OFFICER OR MANAGER |
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| REQUESTED MATURITY THIS FFB or MUNICIPAL ADVANCE (IN ACCORDANCE WITH INSTRUCTIONS ON FRONT OF WORKSHEET, SHOW REQUESTED MATURITY OF ANY FFB or MUNICIPAL LOAN ADVANCE) |
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Check this Box if Advance covers FFB or Municipal funds and will not be repriced over the entire term of loan
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LONG TERM |
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Check this Box if Advance covers FFB or Municipal funds and is not "Long Term"
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SHORT TERM ( |
Enter Requested Short Term Maturity Date (Month & Year) for FFB or Municipal Advances in cell F72
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) |
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| RUS USE ONLY |
| APPROVAL OF PAYMENT UNDER LOAN CONTRACT |
| INSURANCE VERIFIED |
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STOP ORDERS & CONDITIONAL AGREEMENTS VERIFIED |
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ACCOUNT SYMBOL |
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NOTES |
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ITEM |
STATE |
BORROWER |
ACCT. NO. |
AMOUNT (DOLLARS) |
| I certify that the borrower has complied with all the |
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| provisions of the Loan Contract therein required to be |
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| performed in order to obtain the payment approved |
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| under this request: that all certificates, statements, |
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| and documents: and the obligations required from |
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| the borrower in connection herewith by the provisions |
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| of said Loan Contract have been received, examined, |
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TOTAL |
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| and found to be satisfactory; and payment is approved |
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| in the total adjusted amount shown in column 7. |
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| SIGNATURE |
DATE |
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| RUS FORM 595 REV. 10-2002 |
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SHEET 1 |
| SEND THIS COPY TO RUS |
| 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 |
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| information collection is 0572-0015. The time required to complete this information collection is estimated to average 3 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the |
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| data needed, and completing and reviewing the collection of information. |
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| USDA - RUS |
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FORM APPROVED |
| FINANCIAL REQUIREMENT & EXPENDITURE STATEMENT |
OMB NO. 0572-0015 |
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| TO: U.S. DEPARTMENT OF AGRICULTURE, RUS, WASHINGTON, D.C. 20250 |
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1. BORROWER DESIGNATION |
|
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| INSTRUCTIONS - SUBMIT ORIGINAL AND TWO COPIES TO RUS, FOR |
|
|
0 |
|
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| DETAILED INSTRUCTIONS, SEE INSTRUCTION SHEETS & RUS BULLETIN 26-1 |
|
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2. STATEMENT NO. |
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3. DATE SUBMITTED |
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| THIS SPACE FOR RUS USE ONLY |
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| DATE RECEIVED |
REGISTER NO. |
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4. PERIOD ENDING (MONTH & YEAR) |
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5. EFFECTIVE DATE OF ADJUSTED AMOUNTS |
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| PRIMARY BUDGET PURPOSES |
CONSOLIDATED |
AMOUNTS |
TOTAL |
TOTAL |
CASH |
ADVANCE |
|
LOAN BUDGET |
APPROVED |
ADVANCE |
EXPENDITURES |
BALANCE |
NOW |
|
|
FOR ADVANCE |
|
TO DATE |
|
REQUESTED |
| (1) |
(2) |
(3) |
(4) |
(5) |
(6) |
(7) |
| 1 DISTRIBUTION |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
$0.00 |
| ADJUSTED (RUS USE ONLY) |
|
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| 2 TRANSMISSION |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
| ADJUSTED (RUS USE ONLY) |
|
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| 3 GENERATION |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
| ADJUSTED (RUS USE ONLY) |
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| 4 HEADQUARTERS FACILITIES |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
| ADJUSTED (RUS USE ONLY) |
|
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| 5 ACQUISITIONS |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
| ADJUSTED (RUS USE ONLY) |
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| 6 ALL OTHER |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
| ADJUSTED (RUS USE ONLY) |
|
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| CLOSED BUDGET |
0.00 |
0.00 |
0.00 |
0.00 |
|
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| ADJUSTED (RUS USE ONLY) |
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| UNDER STOP ORDER OR CONDITIONAL AGREEMENTS, EXCLUSIVE OF CONCURRENT LOAN STANDARD CONDITIONAL AGREEMENT |
0.00 |
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| ADJUSTED (RUS USE ONLY) |
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|
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| TOTALS |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
$0.00 |
| ADJUSTED (RUS USE ONLY) |
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| BREAKDOWN OF AMOUNT UNDER STOP ORDER OR CONDITIONAL AGREEMENT AS SHOWN ABOVE |
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TOTAL AMOUNT OF NOTES EXECUTED |
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|
| A. DISTRIBUTION |
0.00 |
D. HEADQUARTERS |
0.00 |
A. RUS |
0.00 |
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| B. TRANSMISSION |
0.00 |
E. ACQUISITIONS |
0.00 |
B. FFB |
0.00 |
|
| C. GENERATION |
0.00 |
F. OTHER |
0.00 |
C. OTHER |
0.00 |
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STATUS OF THE |
0 |
LOAN UNDER WHICH THIS ADVANCE IS REQUESTED |
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|
(RUS LOAN DESIGNATION) |
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| ITEM |
RUS |
FFB |
OTHER |
TOTAL |
| AMOUNT OF LOAN |
|
0.00 |
0.00 |
0.00 |
$0.00 |
| AMOUNT UNDER CONCURRENT LOAN CONTROL |
|
0.00 |
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| ADVANCED TO DATE |
|
0.00 |
0.00 |
0.00 |
0.00 |
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| CERTIFICATION |
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| Balance in “Cash-Construction Fund-Trustee” account (total of column 6) at the close of the period covered by this report is |
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$0.00 |
| Subject to approval of RUS, the corporation requests that total of column 7 be advanced under the loan contract. All references herein to “Loan Contract” shall include, |
|
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|
|
|
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| in addition to the RUS loan contract, any Federal Financing Bank – RUS loan commitment agreement with related commitment notice and correspondence concerning |
|
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|
|
|
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| loan terms and conditions. I certify that this amount is required for the purposes designated in accordance with provisions of said loan contract and that proceeds will |
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|
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| be deposited in the “Cash-Construction Fund-Trustee” account of the |
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0 |
| bank which is a member of the FDIC and will be disbursed only as herein specified in accordance with the provisions of said contract. I further certify that I have checked |
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| the cash balance shown on this statement in column 6 with the books and records of the corporation and said balances are true and correct and expenditures reported |
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| in Column 5 were used for the purposes and in the amounts authorized by the loan contract and previously approved Financial Requirement and Expenditure Statement. |
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| With respect to concurrent loan funds included in this requisition, if any, the total amount of funds advanced to date under this designated concurrent loan is as |
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| shown above and this request is now made to |
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0 |
in accordance with the established procedures for |
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|
|
Name of Lender |
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|
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| requisitioning and advancing funds under concurrent loans. All loan contract conditions concerning advance of funds under concurrent loans have been met. |
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| 0 |
| NAME AND ADDRESS OF BORROWER |
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0 |
| SIGNATURE |
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TITLE - AUTHORIZED CORPORATE OFFICER OR MANAGER |
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| RUS USE ONLY |
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THE ADJUSTMENTS WHICH MADE THE CHANGES SHOWN AS THE ADJUSTED AMOUNTS ABOVE ARE LISTED ON |
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THE ENCLOSED PHOTOCOPY OF RUS FORM 605 AND REFERRED TO AS REGISTER NO. |
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THESE CHANGES SHOULD BE RECORDED ON YOUR RECORDS. |
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THERE HAVE BEEN NO BUDGET ADJUSTMENTS SINCE YOUR LAST STATEMENT WAS PROCESSED. |
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THE AMOUNT REQUESTED (COLUMN 7) HAS BEEN REDUCED FOR THE FOLLOWING REASONS: |
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| RUS FORM 595 REV. 10-2002 |
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|
SHEET 2 |
| SEND THIS COPY TO RUS |
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| USDA - RUS |
|
|
FORM APPROVED |
| FINANCIAL REQUIREMENT & EXPENDITURE STATEMENT |
OMB NO. 0572-0015 |
|
|
|
|
|
|
|
| TO: U.S. DEPARTMENT OF AGRICULTURE, RUS, WASHINGTON, D.C. 20250 |
|
|
1. BORROWER DESIGNATION |
|
|
|
| INSTRUCTIONS - SUBMIT ORIGINAL AND TWO COPIES TO RUS, FOR |
|
|
0 |
|
|
| DETAILED INSTRUCTIONS, SEE INSTRUCTION SHEETS & RUS BULLETIN 26-1 |
|
|
2. STATEMENT NO. |
|
3. DATE SUBMITTED |
|
| THIS SPACE FOR RUS USE ONLY |
|
|
| DATE RECEIVED |
REGISTER NO. |
|
4. PERIOD ENDING (MONTH & YEAR) |
|
5. EFFECTIVE DATE OF ADJUSTED AMOUNTS |
|
|
|
|
|
|
|
|
|
|
|
|
|
| PRIMARY BUDGET PURPOSES |
CONSOLIDATED |
AMOUNTS |
TOTAL |
TOTAL |
CASH |
ADVANCE |
|
LOAN BUDGET |
APPROVED |
ADVANCE |
EXPENDITURES |
BALANCE |
NOW |
|
|
FOR ADVANCE |
|
TO DATE |
|
REQUESTED |
| (1) |
(2) |
(3) |
(4) |
(5) |
(6) |
(7) |
| 1 DISTRIBUTION |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
$0.00 |
| ADJUSTED (RUS USE ONLY) |
|
|
|
|
|
|
| 2 TRANSMISSION |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
| ADJUSTED (RUS USE ONLY) |
|
|
|
|
|
|
| 3 GENERATION |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
| ADJUSTED (RUS USE ONLY) |
|
|
|
|
|
|
| 4 HEADQUARTERS FACILITIES |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
| ADJUSTED (RUS USE ONLY) |
|
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|
|
|
|
| 5 ACQUISITIONS |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
| ADJUSTED (RUS USE ONLY) |
|
|
|
|
|
|
| 6 ALL OTHER |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
| ADJUSTED (RUS USE ONLY) |
|
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|
|
| CLOSED BUDGET |
0.00 |
0.00 |
0.00 |
0.00 |
|
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| ADJUSTED (RUS USE ONLY) |
|
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|
|
|
|
| UNDER STOP ORDER OR CONDITIONAL AGREEMENTS, EXCLUSIVE OF CONCURRENT LOAN STANDARD CONDITIONAL AGREEMENT |
0.00 |
|
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|
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| ADJUSTED (RUS USE ONLY) |
|
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|
|
|
|
| TOTALS |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
$0.00 |
| ADJUSTED (RUS USE ONLY) |
|
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|
|
| BREAKDOWN OF AMOUNT UNDER STOP ORDER OR CONDITIONAL AGREEMENT AS SHOWN ABOVE |
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|
|
TOTAL AMOUNT OF NOTES EXECUTED |
|
|
| A. DISTRIBUTION |
0.00 |
D. HEADQUARTERS |
0.00 |
A. RUS |
0.00 |
|
| B. TRANSMISSION |
0.00 |
E. ACQUISITIONS |
0.00 |
B. FFB |
0.00 |
|
| C. GENERATION |
0.00 |
F. OTHER |
0.00 |
C. OTHER |
0.00 |
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|
STATUS OF THE |
0 |
LOAN UNDER WHICH THIS ADVANCE IS REQUESTED |
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(RUS LOAN DESIGNATION) |
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| ITEM |
RUS |
FFB |
OTHER |
TOTAL |
| AMOUNT OF LOAN |
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0.00 |
0.00 |
0.00 |
$0.00 |
| AMOUNT UNDER CONCURRENT LOAN CONTROL |
|
0.00 |
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| ADVANCED TO DATE |
|
0.00 |
0.00 |
0.00 |
0.00 |
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| CERTIFICATION |
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| Balance in “Cash-Construction Fund-Trustee” account (total of column 6) at the close of the period covered by this report is |
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$0.00 |
| Subject to approval of RUS, the corporation requests that total of column 7 be advanced under the loan contract. All references herein to “Loan Contract” shall include, |
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| in addition to the RUS loan contract, any Federal Financing Bank – RUS loan commitment agreement with related commitment notice and correspondence concerning |
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| loan terms and conditions. I certify that this amount is required for the purposes designated in accordance with provisions of said loan contract and that proceeds will |
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| be deposited in the “Cash-Construction Fund-Trustee” account of the |
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0 |
| bank which is a member of the FDIC and will be disbursed only as herein specified in accordance with the provisions of said contract. I further certify that I have checked |
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| the cash balance shown on this statement in column 6 with the books and records of the corporation and said balances are true and correct and expenditures reported |
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| in Column 5 were used for the purposes and in the amounts authorized by the loan contract and previously approved Financial Requirement and Expenditure Statement. |
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| With respect to concurrent loan funds included in this requisition, if any, the total amount of funds advanced to date under this designated concurrent loan is as |
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| shown above and this request is now made to |
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0 |
in accordance with the established procedures for |
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Name of Lender |
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| requisitioning and advancing funds under concurrent loans. All loan contract conditions concerning advance of funds under concurrent loans have been met. |
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| 0 |
| NAME AND ADDRESS OF BORROWER |
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0 |
| SIGNATURE |
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TITLE - AUTHORIZED CORPORATE OFFICER OR MANAGER |
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| RUS USE ONLY |
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THE ADJUSTMENTS WHICH MADE THE CHANGES SHOWN AS THE ADJUSTED AMOUNTS ABOVE ARE LISTED ON |
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THE ENCLOSED PHOTOCOPY OF RUS FORM 605 AND REFERRED TO AS REGISTER NO. |
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THESE CHANGES SHOULD BE RECORDED ON YOUR RECORDS. |
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THERE HAVE BEEN NO BUDGET ADJUSTMENTS SINCE YOUR LAST STATEMENT WAS PROCESSED. |
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THE AMOUNT REQUESTED (COLUMN 7) HAS BEEN REDUCED FOR THE FOLLOWING REASONS: |
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| RUS FORM 595 REV. 10-2002 |
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SHEET 3 |
| SEND THIS COPY TO RUS |
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| USDA - RUS |
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FORM APPROVED |
| FINANCIAL REQUIREMENT & EXPENDITURE STATEMENT |
OMB NO. 0572-0015 |
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| TO: U.S. DEPARTMENT OF AGRICULTURE, RUS, WASHINGTON, D.C. 20250 |
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1. BORROWER DESIGNATION |
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| INSTRUCTIONS - SUBMIT ORIGINAL AND TWO COPIES TO RUS, FOR |
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0 |
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| DETAILED INSTRUCTIONS, SEE INSTRUCTION SHEETS & RUS BULLETIN 26-1 |
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2. STATEMENT NO. |
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3. DATE SUBMITTED |
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| THIS SPACE FOR RUS USE ONLY |
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| DATE RECEIVED |
REGISTER NO. |
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4. PERIOD ENDING (MONTH & YEAR) |
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5. EFFECTIVE DATE OF ADJUSTED AMOUNTS |
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| PRIMARY BUDGET PURPOSES |
CONSOLIDATED |
AMOUNTS |
TOTAL |
TOTAL |
CASH |
ADVANCE |
|
LOAN BUDGET |
APPROVED |
ADVANCE |
EXPENDITURES |
BALANCE |
NOW |
|
|
FOR ADVANCE |
|
TO DATE |
|
REQUESTED |
| (1) |
(2) |
(3) |
(4) |
(5) |
(6) |
(7) |
| 1 DISTRIBUTION |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
$0.00 |
| ADJUSTED (RUS USE ONLY) |
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| 2 TRANSMISSION |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
| ADJUSTED (RUS USE ONLY) |
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| 3 GENERATION |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
| ADJUSTED (RUS USE ONLY) |
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| 4 HEADQUARTERS FACILITIES |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
| ADJUSTED (RUS USE ONLY) |
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| 5 ACQUISITIONS |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
| ADJUSTED (RUS USE ONLY) |
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| 6 ALL OTHER |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
| ADJUSTED (RUS USE ONLY) |
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| CLOSED BUDGET |
0.00 |
0.00 |
0.00 |
0.00 |
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| ADJUSTED (RUS USE ONLY) |
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| UNDER STOP ORDER OR CONDITIONAL AGREEMENTS, EXCLUSIVE OF CONCURRENT LOAN STANDARD CONDITIONAL AGREEMENT |
0.00 |
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| ADJUSTED (RUS USE ONLY) |
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| TOTALS |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
$0.00 |
| ADJUSTED (RUS USE ONLY) |
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| BREAKDOWN OF AMOUNT UNDER STOP ORDER OR CONDITIONAL AGREEMENT AS SHOWN ABOVE |
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TOTAL AMOUNT OF NOTES EXECUTED |
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| A. DISTRIBUTION |
0.00 |
D. HEADQUARTERS |
0.00 |
A. RUS |
0.00 |
|
| B. TRANSMISSION |
0.00 |
E. ACQUISITIONS |
0.00 |
B. FFB |
0.00 |
|
| C. GENERATION |
0.00 |
F. OTHER |
0.00 |
C. OTHER |
0.00 |
|
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|
STATUS OF THE |
0 |
LOAN UNDER WHICH THIS ADVANCE IS REQUESTED |
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|
(RUS LOAN DESIGNATION) |
|
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|
|
| ITEM |
RUS |
FFB |
OTHER |
TOTAL |
| AMOUNT OF LOAN |
|
0.00 |
0.00 |
0.00 |
$0.00 |
| AMOUNT UNDER CONCURRENT LOAN CONTROL |
|
0.00 |
|
|
|
|
| ADVANCED TO DATE |
|
0.00 |
0.00 |
0.00 |
0.00 |
|
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|
| CERTIFICATION |
|
|
|
|
|
|
|
| Balance in “Cash-Construction Fund-Trustee” account (total of column 6) at the close of the period covered by this report is |
|
|
|
|
$0.00 |
| Subject to approval of RUS, the corporation requests that total of column 7 be advanced under the loan contract. All references herein to “Loan Contract” shall include, |
|
|
|
|
|
|
| in addition to the RUS loan contract, any Federal Financing Bank – RUS loan commitment agreement with related commitment notice and correspondence concerning |
|
|
|
|
|
|
| loan terms and conditions. I certify that this amount is required for the purposes designated in accordance with provisions of said loan contract and that proceeds will |
|
|
|
|
|
|
| be deposited in the “Cash-Construction Fund-Trustee” account of the |
|
|
0 |
| bank which is a member of the FDIC and will be disbursed only as herein specified in accordance with the provisions of said contract. I further certify that I have checked |
|
|
|
|
|
|
| the cash balance shown on this statement in column 6 with the books and records of the corporation and said balances are true and correct and expenditures reported |
|
|
|
|
|
|
| in Column 5 were used for the purposes and in the amounts authorized by the loan contract and previously approved Financial Requirement and Expenditure Statement. |
|
|
|
|
|
|
|
|
|
|
|
|
|
| With respect to concurrent loan funds included in this requisition, if any, the total amount of funds advanced to date under this designated concurrent loan is as |
|
|
|
|
|
|
| shown above and this request is now made to |
|
0 |
in accordance with the established procedures for |
|
|
|
|
Name of Lender |
|
|
|
| requisitioning and advancing funds under concurrent loans. All loan contract conditions concerning advance of funds under concurrent loans have been met. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
| 0 |
| NAME AND ADDRESS OF BORROWER |
|
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|
|
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|
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|
0 |
| SIGNATURE |
|
TITLE - AUTHORIZED CORPORATE OFFICER OR MANAGER |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| RUS USE ONLY |
|
|
|
|
|
|
|
|
|
THE ADJUSTMENTS WHICH MADE THE CHANGES SHOWN AS THE ADJUSTED AMOUNTS ABOVE ARE LISTED ON |
|
|
|
|
|
THE ENCLOSED PHOTOCOPY OF RUS FORM 605 AND REFERRED TO AS REGISTER NO. |
|
|
|
|
|
THESE CHANGES SHOULD BE RECORDED ON YOUR RECORDS. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
THERE HAVE BEEN NO BUDGET ADJUSTMENTS SINCE YOUR LAST STATEMENT WAS PROCESSED. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
THE AMOUNT REQUESTED (COLUMN 7) HAS BEEN REDUCED FOR THE FOLLOWING REASONS: |
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| RUS FORM 595 REV. 10-2002 |
|
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|
|
SHEET 4 |
| RETAIN THIS COPY FOR YOUR FILES |
| UNITED STATES DEPARTMENT OF AGRICULTURE |
| RURAL UTILITIES SERVICE |
|
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|
| ELECTRIC PROGRAM |
| FINANCIAL REQUIREMENT AND EXPENDITURE STATEMENT, FORM 595 |
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NOTE: This form has been revised so that it may be used for requisitioning funds from, |
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and reporting expenditures of, loans guaranteed by RUS as well as RUS and concurrent |
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supplemental loans. |
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NOTE: No data entry is required on Sheets 2, 3, and 4 (carried forward from Sheet 1). |
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NOTE: "Cell Protection" has been provided in areas where no data entry is required. |
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a) Requests for the advance of loan funds, and reports of the expenditure of loan funds advanced, |
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should be made on this Statement in accordance with the instruction below and on the reverse |
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side of Sheet 4. RUS Bulletin 26-1, "Budgetary Control and Advance of Loan Funds," describes |
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in detail the procedure for the advance of loan funds. |
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b) Whenever practical to do so, the amounts of the individual purposes entered in Column (7), |
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Advance Now Requested, should be rounded so that the total of Column (7) adds to a sum |
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of rounded thousands. |
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c) Sheets 1, 2, and 3 should be submitted to RUS as indicated. Sheet 4 should be retained as |
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your file copy. |
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d) Sheet 2 of the Financial Requirement and Expenditure Statement sent to RUS will be returned |
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to the borrower showing the advances which have been approved and any adjustments made |
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by RUS. |
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e) Sheet 1 of the Financial Requirement and Expenditure Statement sent to RUS must bear the |
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original signature, written in ink, of the corporate officer or manager authorized to sign by |
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resolution of the Board of Directors. Erasures or corrections appearing on any of the copies |
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|
to be submitted to RUS should be initialed by the person authorized to sign. |
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f) Requests to RUS for revision of budgeted amounts with accompanying explanations and |
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documents should, whenever possible, be submitted in advance of the Financial Requirement |
|
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and Expenditure Statement. Such requests may, however, be included in the transmittal letter |
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|
or explained by a separate sheet attached to the Statement. |
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g) For Federal Financing Bank (FFB) loans guaranteed by RUS, attach completed "Advance |
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Request" sheets from RUS Bulletin 1710B-1, Guide to Federal Financing Bank Loans |
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Guaranteed by RUS", or a completed "Annex A to Future Advance Promissory Note" |
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attached to the Note Purchase Commitment and Servicing Agreement included with the |
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loan documents. |
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| SUMMARY OF INSTRUCTIONS |
| (See RUS Bulletin 26-1 for detailed procedure) |
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| EXPLANATION OF COLUMNS 1 THROUGH 7 |
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| 1. PRIMARY BUDGET PURPOSES: Item Numbers 1 through 6 are the primary purposes established |
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| in the Loan Budget, RUS Form 740c, for which loan funds may be used. |
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| 2. CONSOLIDATED LOAN BUDGET: This column shows the amount of loan funds established in the |
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| consolidated budget, including subsequent adjustments, for each respective budget purpose. |
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| Borrowers may request transfer of funds from one budget purpose to another, accompanied by |
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| justification for such transfer. RUS will evaluate requests and if approved will insert the adjusted |
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| budget purpose amounts on the lines marked "Adjusted." |
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| 3. AMOUNTS APPROVED FOR ADVANCE: Borrowers will insert in this column after each budget |
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| purpose the sum of the amount appearing on the previous Financial Requirement and Expenditure |
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| Statement returned to the borrower plus any amounts approved by RUS since the return of the |
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| previous statement and prior to the preparation of a new Financial Requirement and Expenditure |
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| Statement. RUS will consider a supplemental lender's funds approved for advance as soon as the |
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| contractual obligations of the loans have been met. |
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| 4. TOTAL ADVANCE: These amounts should be the sum of column 4 and column 7 of the previous |
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| Financial Requirement and Expenditure Statement returned to the borrower. |
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| 5. TOTAL EXPENDITURES TO DATE: This amount will be inserted by the borrower for each budget |
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| purpose from the records it maintains for expenditures, refunds, etc. |
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| 6. CASH BALANCE: This amount will be inserted by the borrower for each budget purpose from its |
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| Cash Record on the date of this Statement. The total of the column must agree with the balance in |
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| the "Cash-Construction Fund-Trustee" Account 131.2. The Cash Balance should also equal the |
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| difference between column 4 "Total Advance" and column 5 "Total Expenditures to Date". |
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| 7. ADVANCE NOW REQUESTED: These amounts should be inserted by the borrower opposite the |
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| appropriate budget purpose. Should the sum of column 7 (Advance Now Requested) and column 4 |
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| (Total Advance) for any budget purpose exceed the amount in column 2 (Consolidated Loan Budget), |
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| the Financial Requirement and Expenditure Statement shall be accompanied by a request for transfer |
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| of funds from some other budget purpose. The request shall contain (1) substantiating evidence |
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| that the funds to be transferred will not be needed for the purpose for which the funds were originally |
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| established and (2) the reason for insufficient funds in the purpose to which transfer is requested. |
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| Budget transfer requests should also include a board resolution requesting RUS approval. |
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| BREAKDOWN OF AMOUNT UNDER STOP ORDER OR CONDITIONAL AGREEMENT |
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| AS SHOWN ABOVE |
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| Under the above heading show any amounts which are under stop order or conditional agreement, |
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| exclusive of the standard conditional agreement relating to the advance of funds under concurrent |
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| loans, for Primary Budget Purposes 1 through 5. |
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| TOTAL AMOUNT OF NOTES EXECUTED Show by designated lender or OTHER supplemental |
|
| lender, the total of notes executed by the board of directors and the lender. |
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|
| STATUS OF DESIGNATED LOAN UNDER WHICH THIS ADVANCE IS REQUESTED Show in the |
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| heading, the RUS designation of the loan under which this advance is to be made. For the lender(s) |
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| included under the specified loan designation, show the following data: |
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AMOUNT OF LOAN - The amount of the loan(s) from the lender(s) involved. For CFC loans |
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show under OTHER the amount of the loan excluding any capital term certificate purchases. |
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|
AMOUNT UNDER CONCURRENT LOAN CONTROL- As applicable, the amount of the RUS loan under |
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concurrent loan standard conditional agreement, usually 50% of RUS loan. |
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ADVANCED TO DATE- The amounts previously advanced under the RUS loan designation from the |
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lender(s) involved. |