5001-9 Guaranteed Loan Closing Report

GUARANTEED LOAN CLOSING REPORT

Form RD 5001-9
(00-00)
1. CASE NUMBER

ST

CO

FORM APPROVED
OMB NO. 0572-0155

3. LENDER ID NO.

4. BRANCH
NUMBER

BORROWER’S ID

5. LENDER NAME AND ADDRESS

2. BORROWER NAME

6. SERVICING OFFICE

7. AMOUNT OF GUARANTEE FEE PAID

8. AMOUNT OF LOAN

9. AMOUNT ADVANCED AT CLOSING

11. MATURITY DATE OF LOAN
(MO/DA/YR)

15. INTEREST BASIS
(ACTUAL 360, 360 Days, and 365 Days)

12. PERCENT OF LOAN
GUARANTEED

.0 0 0 0 %

16. VARIABLE/FIXED
1- SINGLE VARIABLE
2- SINGLE FIXED
3- MULTI VARIABLE
4- MULTI FIXED

18. AUTHORIZED LENDER’S SIGNATURE I certify that all conditions of the Conditional Commitment have been
met and that this report accurately describes the subject loan.

13. LENDER’S NOTE INTEREST
RATE ON GUARANTEED
PORTION

%

10. CLOSING DATE (MO/DA/YR)

14. LENDER’S NOTE INTEREST
RATE ON
NONGUARANTEED
PORTION

17. Variable: Source of Base Rate Publication : __________________
Guaranteed Rate: _____ Current Base Rate______ +Incremental
Difference_____ Rate Change Period: ______ Rate Cap: ______ Rate Floor:
______
Unguaranteed Rate: ______ Current Base Rate______ +Incremental
Difference______ Rate Change Period: ______ Rate Cap: _____ Rate Floor:
______
19. TITLE

20. DATE

23 TITLE

24 DATE

COMPLETED BY AGENCY SERVICING OFFICE
21. OBLIGATED LOAN NUMBER

22. SIGNATURE OF AGENCY REPRESENTATIVE I have reviewed this report and the information is consistent
with the Conditional Commitment and the supporting
documentation provided by the lender.

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.