5001-8 Guaranteed Loan Borrower Default Status

Form Approved OMB No. 0572-0155
UNITED STATES DEPARTMENT OF
AGRICULTURE RURAL DEVELOPMENT

USDA

Form RD 5001-8
(XX-XX)

GUARANTEED LOAN BORROWER DEFAULT STATUS

Report Month:_______
Complete all items for each delinquent loan. Monthly reports due while loan is delinquent. See FMI for Instuctions.
Agency Program Type: ___Community Facilities ___Water and Waste ___Business and Industry ___Rural Energy for America Program

1. GLS BORROWER ID

2. BORROWER NAME

3. Agency Assigned Identification #:

4. LENDER ID NUMBER

5. LENDER BRANCH NUMBER

6. LENDER NAME

7. LENDER LOAN NUMBER

8. AGENCY LOAN NUMBER

9. DATE LOAN BECAME DELINQUENT

10. UNPAID PRINCIPAL ON LOAN

11. UNPAID INTEREST

$

ACCRUED$

12. TOTAL AMOUNT PAST DUE

13. AS OF DATE

$
14. DELINQUENT CODE
01 - DELINQUENT-DISPOSITION FORTHCOMING
02 - BORROWER WILL PAY DELINQUENT AMOUNT
03 - NOT VALID FOR THIS PROGRAM
*04 - FORCED LIQUIDATION PENDING
*05 - VOLUNTARY LIQUIDATION PENDING
*06 - FORCED LIQUIDATION PENDING, ESTIMATED LOSS CLAIM FILED
*Requires Rural Development
*07 - VOLUNTARY LIQUIDATION PENDING ESTIMATED LOSS CLAIM FILED
concurrence prior to final lender action.
*08 - TEMPORARY LOAN BY LENDER TO BRING ACCOUNT CURRENT
*09 - BORROWER RESTRUCTURING PENDING
10 - NOT VALID FOR THIS PROGRAM
*11 - REAMORTIZATION OR RESCHEDULING OF PAYMENTS COMPLETED
*12 - PRINCIPAL/INTEREST PAYMENTS DEFERRED COMPLETED
13 - LOAN REINSTATED AND CURRENT
14 - BANKRUPTCY LIQUIDATION FILED BY BORROWER
15 - BANKRUPTCY REORGANIZATION FILED BY BORROWER
16 - BANKRUPTCY REORGANIZATION COMPLETE, LOAN CURRENT AS PER BANKRUPTCY PLAN
17 - BANKRUPTCY REORGANIZATION COMPLETE, COURT ORDERED INTEREST RATE REDUCTION IN EFFECT AS PER BANKRUPTCY PLAN

15. COMMENTS ON STATUS OF BORROWER LOAN ACCOUNT INCLUDING ACTIONS TAKEN TO BRING ACCOUNT CURRENT:

16. AUTHORIZED LENDER NAME:

17. SIGNATURE:

18. TITLE

19. DATE

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 currently valid OMB control number. The valid OMB control number for this collection is 0572-0155. The time required to
complete this information collection is estimated to average 1 hour 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. Responses to this collection of information
are mandatory (7 CFR 5001). Send comments on the agency's need for this information, the accuracy of the provided burden estimates, and any suggested
methods for minimizing respondent burden, including through the use of automated collection techniques to InnovationCenterRegulations@usda.gov.
Include the OMB control number in any correspondence. Do not send the completed form to this address.