RD 1940-1 Request for Obligation of Funds

USDA
Form RD 1940-1
(Rev. 6-10)

FORM APPROVED
OMB No. 0575-0062
OMB No. 0570-0061

REQUEST FOR OBLIGATION OF FUNDS

INSTRUCTIONS-TYPE IN CAPITALIZED ELITE TYPE IN SPACES MARKED (
Complete Items 1 through 29 and applicable Items 30 through 34. See FMI.
1. CASE NUMBER
ST
CO
BORROWER ID

LOAN NUMBER

2. BORROWER NAME

3. NUMBER NAME FIELDS

)

FISCAL YEAR

(1, 2, or 3 from Item 2)

4. STATE NAME
5. COUNTY NAME
GENERAL BORROWER/LOAN INFORMATION
8. COLLATERAL CODE
7. TYPE OF APPLICANT

6. RACE/ETHNIC
CLASSIFICATION
4 - HISPANIC
5 - A/PI

1 - WHITE
2 - BLACK
3 - AI/AN

10. SEX CODE
1 - MALE
2 - FEMALE

1 - INDIVIDUAL
2 - PARTNERSHIP
3 - CORPORATION
4-PUBLIC BODY
5 - ASSOC. OF
FARMERS

3 - FAMILY UNIT
4 - ORGAN. MALE OWNED
5 - ORGAN. FEMALE OWNED
6 - PUBLIC BODY

14. DIRECT PAYMENT

6-ORG. OF FARMERS
7-NONPROFIT-SECULAR
8-NONPROFIT-FAITH BASED
9-INDIAN TRIBE
10-PUBLIC COLLEGE/UNIVERSITY
11-OTHER

11. MARITAL STATUS

1 - MARRIED 3 - UNMARRIED (INCLUDES
2 - SEPARATED WIDOWED/DIVORCED)

15. TYPE OF PAYMENT

(See FMI)

1 - REAL ESTATE
SECURED
2 - REAL ESTATE
AND CHATTEL
3 - NOTE ONLY OR
CHATTEL ONLY

12. VETERAN CODE

1 - EMPLOYEE
2 - MEMBER OF FAMILY
3 - CLOSE RELATIVE
4 - ASSOC.

13. CREDIT REPORT

1 - YES
2 - NO

1 - YES
2 - NO

1 -YES
2 - NO

18. USE OF FUNDS CODE

1 - 10,000 OR LESS (FOR SFH AND
2 - OVER 10,000
HPG ONLY)

(See FMI)

COMPLETE FOR OBLIGATION OF FUNDS
20. PURPOSE CODE
21. SOURCE OF FUNDS

19. TYPE OF
ASSISTANCE

9. EMPLOYEE
RELATIONSHIP CODE

16. FEE INSPECTION

1 -MONTHLY 3 - SEMI-ANNUALLY
2 - ANNUALLY 4 - QUARTERLY

17. COMMUNITY SIZE

4 - MACHINERY ONLY
5 - LIVESTOCK ONLY
6 - CROPS ONLY
7 - SECURED BY
BONDS
8 -RLF ACCT

22. TYPE OF ACTION
1 - OBLIGATION ONLY
2 - OBLIGATION/CHECK REQUEST
3 - CORRECTION OF OBLIGATION

2

(See FMI)

23. TYPE OF SUBMISSION

24. AMOUNT OF LOAN

25. AMOUNT OF GRANT

1 - INITAL
2 - SUBSEQUENT

26. AMOUNT OF IMMEDIATE
ADVANCE

27. DATE OF
APPROVAL
MO
DA
YR

28. INTEREST RATE

29. REPAYMENT TERMS

COMPLETE FOR COMMUNITY PROGRAM AND CERTAIN MULTIPLE-FAMILY HOUSING LOANS
30. PROFIT TYPE
1 - FULL PROFIT

2 - LIMITED PROFIT
3 - NONPROFIT

COMPLETE FOR EM LOANS ONLY
31. DISASTER DESIGNATION NUMBER

COMPLETE FOR CREDIT SALE-ASSUMPTION
32. TYPE OF SALE

(See FMI)

1 - CREDIT SALE ONLY

COMPLETE FOR FP LOANS ONLY

FINANCE OFFICE USE ONLY
33. OBLIGATION DATE
MO
DA
YR

4 - ASSUMPTION WITH
2. ASSUMPTION ONLY
3 - CREDIT SALE WITH SUBSEQUENT LOAN SUBSEQUENT LOAN

34. BEGINNING FARMER/RANCHER
(See FMI)

If the decision contained above in this form results in denial, reduction or cancellation of USDA assistance, you may appeal this decision and have a hearing or you may request a
review in lieu of a hearing. Please use the form we have included for this purpose.

Position 2

ORIGINAL - Borrower’s Case Folder

COPY 1 - Finance Office

COPY 2 - Applicant/Lender

COPY 3 - State Office

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 0570-0062. The time required to complete this information collection is estimated to average 15 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.