| “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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OMB Control Number 0572-0015 |
| FINANCIAL REQUIREMENT & EXPENDITURE STATEMENT |
Expiration Date: 10/31/2015 |
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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 |
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. 10-2012 |
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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. Send comments regarding this burden estimate or any other aspect of this collection of information including suggestions for reducing burden to: USDA-RUS, Attn.: Director, PDRA, |
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| 1400 Independence Ave., S.W., STOP 1522, Washington, DC 20250-1522; and to the Office of Information and Regulatory Affairs, Paperwork Reduction Project (1910-1800), Office of Management and Budget, Washington, DC 20503. |
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| USDA - RUS |
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|
OMB Control Number 0572-0015 |
| FINANCIAL REQUIREMENT & EXPENDITURE STATEMENT |
Expiration Date: 10/31/2015 |
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| TO: U.S. DEPARTMENT OF AGRICULTURE, RUS, WASHINGTON, D.C. 20250 |
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|
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 |
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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 |
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| 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, |
|
|
|
|
|
|
| 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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|
|
|
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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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|
|
|
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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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|
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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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|
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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. 10-2012 |
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|
SHEET 2 |
| SEND THIS COPY TO RUS |
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|
| USDA - RUS |
|
|
OMB Control Number 0572-0015 |
| FINANCIAL REQUIREMENT & EXPENDITURE STATEMENT |
Expiration Date: 10/31/2015 |
|
|
|
|
|
|
|
| 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) |
|
|
|
|
|
|
| 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) |
|
|
|
|
|
|
| CLOSED BUDGET |
0.00 |
0.00 |
0.00 |
0.00 |
|
|
| ADJUSTED (RUS USE ONLY) |
|
|
|
|
|
|
| UNDER STOP ORDER OR CONDITIONAL AGREEMENTS, EXCLUSIVE OF CONCURRENT LOAN STANDARD CONDITIONAL AGREEMENT |
0.00 |
|
|
|
|
|
| ADJUSTED (RUS USE ONLY) |
|
|
|
|
|
|
| TOTALS |
0.00 |
0.00 |
0.00 |
0.00 |
0.00 |
$0.00 |
| ADJUSTED (RUS USE ONLY) |
|
|
|
|
|
|
|
|
|
|
|
|
|
| BREAKDOWN OF AMOUNT UNDER STOP ORDER OR CONDITIONAL AGREEMENT AS SHOWN ABOVE |
|
|
|
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 |
|
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 |
|
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. 10-2012 |
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|
SHEET 3 |
| SEND THIS COPY TO RUS |
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| USDA - RUS |
|
|
OMB Control Number 0572-0015 |
| FINANCIAL REQUIREMENT & EXPENDITURE STATEMENT |
Expiration Date: 10/31/2015 |
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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) |
|
|
|
|
|
|
| 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 |
|
|
| 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 |
|
|
| 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 |
|
|
|
|
|
|
|
|
|
STATUS OF THE |
0 |
LOAN UNDER WHICH THIS ADVANCE IS REQUESTED |
|
|
|
|
|
(RUS LOAN DESIGNATION) |
|
|
|
|
| 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 |
|
|
|
|
|
|
|
| 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. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 0 |
| NAME AND ADDRESS OF BORROWER |
|
|
|
|
|
|
|
|
|
|
|
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. 10-2012 |
|
|
|
|
|
SHEET 4 |
| RETAIN THIS COPY FOR YOUR FILES |
| UNITED STATES DEPARTMENT OF AGRICULTURE |
| RURAL UTILITIES SERVICE |
|
|
|
| ELECTRIC PROGRAM |
| FINANCIAL REQUIREMENT AND EXPENDITURE STATEMENT, FORM 595 |
|
|
|
|
|
NOTE: This form has been revised so that it may be used for requisitioning funds from, |
|
|
and reporting expenditures of, loans guaranteed by RUS as well as RUS and concurrent |
|
|
supplemental loans. |
|
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|
|
NOTE: No data entry is required on Sheets 2, 3, and 4 (carried forward from Sheet 1). |
|
|
|
|
|
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, |
|
|
should be made on this Statement in accordance with the instruction below and on the reverse |
|
|
side of Sheet 4. RUS Bulletin 26-1, "Budgetary Control and Advance of Loan Funds," describes |
|
|
in detail the procedure for the advance of loan funds. |
|
|
|
|
|
b) Whenever practical to do so, the amounts of the individual purposes entered in Column (7), |
|
|
Advance Now Requested, should be rounded so that the total of Column (7) adds to a sum |
|
|
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 |
|
|
your file copy. |
|
|
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|
|
d) Sheet 2 of the Financial Requirement and Expenditure Statement sent to RUS will be returned |
|
|
to the borrower showing the advances which have been approved and any adjustments made |
|
|
by RUS. |
|
|
|
|
|
e) Sheet 1 of the Financial Requirement and Expenditure Statement sent to RUS must bear the |
|
|
original signature, written in ink, of the corporate officer or manager authorized to sign by |
|
|
resolution of the Board of Directors. Erasures or corrections appearing on any of the copies |
|
|
to be submitted to RUS should be initialed by the person authorized to sign. |
|
|
|
|
|
f) Requests to RUS for revision of budgeted amounts with accompanying explanations and |
|
|
documents should, whenever possible, be submitted in advance of the Financial Requirement |
|
|
and Expenditure Statement. Such requests may, however, be included in the transmittal letter |
|
|
or explained by a separate sheet attached to the Statement. |
|
|
|
|
|
g) For Federal Financing Bank (FFB) loans guaranteed by RUS, attach completed "Advance |
|
|
Request" sheets from RUS Bulletin 1710B-1, Guide to Federal Financing Bank Loans |
|
|
Guaranteed by RUS", or a completed "Annex A to Future Advance Promissory Note" |
|
|
attached to the Note Purchase Commitment and Servicing Agreement included with the |
|
|
loan documents. |
|
| SUMMARY OF INSTRUCTIONS |
| (See RUS Bulletin 26-1 for detailed procedure) |
|
|
| EXPLANATION OF COLUMNS 1 THROUGH 7 |
|
|
|
| 1. PRIMARY BUDGET PURPOSES: Item Numbers 1 through 6 are the primary purposes established |
|
| in the Loan Budget, RUS Form 740c, for which loan funds may be used. |
|
|
|
| 2. CONSOLIDATED LOAN BUDGET: This column shows the amount of loan funds established in the |
|
| consolidated budget, including subsequent adjustments, for each respective budget purpose. |
|
| Borrowers may request transfer of funds from one budget purpose to another, accompanied by |
|
| justification for such transfer. RUS will evaluate requests and if approved will insert the adjusted |
|
| budget purpose amounts on the lines marked "Adjusted." |
|
|
|
| 3. AMOUNTS APPROVED FOR ADVANCE: Borrowers will insert in this column after each budget |
|
| purpose the sum of the amount appearing on the previous Financial Requirement and Expenditure |
|
| Statement returned to the borrower plus any amounts approved by RUS since the return of the |
|
| previous statement and prior to the preparation of a new Financial Requirement and Expenditure |
|
| Statement. RUS will consider a supplemental lender's funds approved for advance as soon as the |
|
| contractual obligations of the loans have been met. |
|
|
|
| 4. TOTAL ADVANCE: These amounts should be the sum of column 4 and column 7 of the previous |
|
| Financial Requirement and Expenditure Statement returned to the borrower. |
|
|
|
| 5. TOTAL EXPENDITURES TO DATE: This amount will be inserted by the borrower for each budget |
|
| purpose from the records it maintains for expenditures, refunds, etc. |
|
|
|
| 6. CASH BALANCE: This amount will be inserted by the borrower for each budget purpose from its |
|
| Cash Record on the date of this Statement. The total of the column must agree with the balance in |
|
| the "Cash-Construction Fund-Trustee" Account 131.2. The Cash Balance should also equal the |
|
| difference between column 4 "Total Advance" and column 5 "Total Expenditures to Date". |
|
|
|
| 7. ADVANCE NOW REQUESTED: These amounts should be inserted by the borrower opposite the |
|
| appropriate budget purpose. Should the sum of column 7 (Advance Now Requested) and column 4 |
|
| (Total Advance) for any budget purpose exceed the amount in column 2 (Consolidated Loan Budget), |
|
| the Financial Requirement and Expenditure Statement shall be accompanied by a request for transfer |
|
| of funds from some other budget purpose. The request shall contain (1) substantiating evidence |
|
| that the funds to be transferred will not be needed for the purpose for which the funds were originally |
|
| established and (2) the reason for insufficient funds in the purpose to which transfer is requested. |
|
| Budget transfer requests should also include a board resolution requesting RUS approval. |
|
|
|
| BREAKDOWN OF AMOUNT UNDER STOP ORDER OR CONDITIONAL AGREEMENT |
|
| AS SHOWN ABOVE |
|
|
|
| Under the above heading show any amounts which are under stop order or conditional agreement, |
|
| exclusive of the standard conditional agreement relating to the advance of funds under concurrent |
|
| loans, for Primary Budget Purposes 1 through 5. |
|
|
|
| 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. |
|
|
|
| STATUS OF DESIGNATED LOAN UNDER WHICH THIS ADVANCE IS REQUESTED Show in the |
|
| heading, the RUS designation of the loan under which this advance is to be made. For the lender(s) |
|
| included under the specified loan designation, show the following data: |
|
|
|
|
AMOUNT OF LOAN - The amount of the loan(s) from the lender(s) involved. For CFC loans |
|
show under OTHER the amount of the loan excluding any capital term certificate purchases. |
|
|
|
AMOUNT UNDER CONCURRENT LOAN CONTROL- As applicable, the amount of the RUS loan under |
|
concurrent loan standard conditional agreement, usually 50% of RUS loan. |
|
|
|
ADVANCED TO DATE- The amounts previously advanced under the RUS loan designation from the |
|
lender(s) involved. |