Loan Note Guaranteed Report of Loss

USDA
Form RD 449-30
(Rev. 11/07)

GUARANTEED LOAN REPORT OF LOSS

FORM APPROVED
OMB NO. 0575-0137

TRANSACTION 4041

INSTRUCTIONS-TYPE IN CAPITALIZED ELITE TYPE IN SPACES MARKED
(
)
Complete Items 1-6, 10-12, 15-34,
36-40, and 46-52 when report type is 1. Complete items 1-6, 10-15, 30-34, and 36-52 when report type is 2. See Reverse, 3 TABS & 2 SPACES.
3B. IS THE FINAL ESTIMATED
1. CASE NO.
2A. AGENCY
2B. LOAN TYPE
3A. REPORT
LOSS PAYMENT UNDER THE
ST CO
BORROWER'S ID
LOAN NO.
TYPE CODE
TYPE CODE CHECKED?
YES

5. LENDER ID NO.

4. BORROWER NAME

7. CHECK ISSUE CODE
1 = SYSTEM GENERATED
2 = MANUAL CHECK
3 = NO CHECK ISSUED
4 = REFUND

6. AGENCY'S LENDER
BRANCH NO.

(IRS Tax No)

(F.O.
Only)

GUARANTEED LOAN ITEMS:

8. DATE MANUAL CHECK
YR ISSUED
MO
DA
(F.O.

10. DATE OF SETTLEMENT

9. DATE OF DEPOSIT
MO

DA

YR

Only)

(F.O.
Only)

LOSS GUARANTEED:

$ DOLLARS

NO

11. PRINCIPAL BALANCE

31. PERCENT OF LOSS
GUARANTEED

12. ACCRUED INTEREST
OWED

32. AMOUNT TO BE PAID

13. PRINCIPAL BALANCE OWED ON
PROTECTIVE ADVANCES

33. (Sum of Prin. Advance +

14. ACCRUED INTEREST ON
PROTECTIVE ADVANCES

34. MAXIMUM LOSS ALLOWED
(Lessor of items 32 or 33)

MO

DA

YR

$ DOLLARS
(Percent)

(item 30 X item 31)

item 12) X item 31)

15. TOTAL (Add items 11 - 14)

$0.00

35. ALLOWANCES TO LENDER
LIQUIDATION COST

$0.00

(F.O.
Only)

PRIOR LIEN AMOUNTS OWED TO SETTLEMENT DATE:

ADJUSTMENTS TO PROTECTIVE ADVANCES & INTEREST

16. REAL ESTATE DEBTS

36. PROTECTIVE ADVANCES PLUS
INTEREST (Items 13 + 14) X item 31)

17. PERSONAL PROPERTY DEBTS

GUARANTEE (Item 34 minus 36)

18. UNPAID TAXES, ASSESSMENTS,
GROUND RENTS, ETC.

$0.00
(Percent)

38. PERCENT OF GUARANTEED
PORTION HELD BY LENDER

19. TOTAL PRIOR LIENS
(Add items 16-18)

$0.00

37. REMAINING BALANCE LOSS

$0.00

39. LOSS ON GUARANTEED PORTION
HELD BY LENDER OR HOLDER
(Item 37 X item 38)

$0.00

COLLATERAL:

40. UNPAID ANNUAL/LATE FEES

20. REAL PROPERTY
VALUE

41. AMOUNT DUE LENDER

21. CHATTEL PROPERTY
VALUE

AMOUNT DUE LENDER OR USDA: (If Applicable)
42. PAID ON ANNUAL/LATE FEES

22. VALUE OF PERSONAL AND
CORPORATE GUARANTEES

43. AMOUNT PAID ON ESTIMATED LOSS

23. TOTAL (Add items 20 - 22)

44. BALANCE DUE LENDER

$0.00
$0.00

24. NET COLLATERAL
(Item 23 minus item 19)

25. BASIC LOSS
(See Reverse for Instructions)

$0.00

(Accrued interest due USDA)

46. AMOUNT DUE USDA BY LENDER

$0.00

[(Item 42 + Item 43) minus Item 41 + Item 45]

47. AMOUNT DUE USDA BY LENDER FOR
RECOVERY AFTER FINAL LOSS CLAIM

26. FUNDS BEING HELD

48. LENDER LOSS UNGUARANTEED

27. INCOME TO BE APPLIED TO DEBT

49. NAME OF LENDER
50. BY

28. BORROWER'S DEBT PAYMENT
ABILITY - PRESENT VALUE

51. TITLE

29. TOTAL DEDUCTIONS

$0.00

30. ADJUSTED BASIC LOSS
(Item 25 minus item 29)

(Item 40 minus Item 41, (If positive)

45. INTEREST ON OVERPAYMENT

$0.00

ADJUSTMENT TO BASIC LOSS:

(Add items 26 - 28)

$0.00

(Item 36 + item 39 minus Item 40)

52. DATE

53. TENTATIVE APPROVAL - USDA OFFICIAL:
BY
54. TITLE
55. DATE

$0.00

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