Submit the original of the completed form in hard copy or facsimile to the appropriate USDA office. Customers who have established electronic access credentials with USDA may electronically transmit this form to the USDA office, provided that the customer submitting the form is the only person required to sign the transaction.
Features for transmitting the form electronically are available to those customers with access credentials only. If you would like to establish online access credentials with USDA, follow the instructions provided at the USDA eForms web site.
Attorney or Title Company Agent must complete Items 1 through 10.
Fld Name /
|
Instruction |
1 Applicant Name |
Enter the applicant’s exact full legal name. |
2 Address |
Enter the address of the property being taken as security. |
3 County |
Enter the name of the county in which the property is located. |
4(a) Date |
Enter the date the final title opinion covers. |
4(b) Time |
Enter the time, then check AM or PM to indicate the time the final title opinion covers, including the time the current security instrument was filed. |
5(a)(1) Name |
Enter the full legal names of the current property owners. |
5(a)(2) Title |
Enter the type of title held by the current property owners. |
5(b)(1) Lien Position |
Enter the lien position priority held by FSA. |
5(b)(2) Date |
Enter the date the FSA security instrument was filed. |
5(b)(3) Time |
Enter the time, then check AM or PM to indicate the time the current FSA security instrument was filed. |
5(b)(4) County/State |
Enter the County and State in which the FSA security instrument is filed. |
6 Water Rights |
Enter information to specify the manner in which water rights were transferred to the new owners. |
7 Explanation |
Read explanation of term “encumbrances, reservation, exception, and defects.” |
8 Opinion |
Read statement. |
9 Signature |
Enter attorney or title agent’s signature. If you are mailing or faxing this form, print the form and manually enter your signature. If this form is approved for electronic transmission and you have established credentials with USDA to submit forms electronically, use the buttons provided on the form for transmitting the form to the USDA servicing office. |
10 Date |
Enter the date the attorney or title agent signed form. |
Page
File Type | application/msword |
File Title | Template Users: Select the text for each of the instruction components below and type over it without changing the font type, |
Author | Preferred Customer |
Last Modified By | Linda.Baker |
File Modified | 2007-05-10 |
File Created | 2006-02-27 |