1
Exact Full Legal Name
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Enter the applicant’s exact full legal name and list all
current business aliases.
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2
Mailing Address
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Enter applicant’s complete mailing address; not physical
address. If operating as an entity, list where incorporated or
otherwise registered.
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3
Contact Info
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Enter the applicant’s phones numbers and email address as
applicable.
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PART B – GENERAL INFORMATION
Items 1 – are completed by the
applicant.
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1
Loan Purpose
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Select all that apply. Loan Staff will gather specifics during
underwriting.
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2
Loan Amount
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Enter the amount of each type of operating loan being requested.
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PART C – NOTIFICATIONS, CERTIFICATIONS AND
ACKNOWLEDGEMENT
Items 1 – 6 are completed by all
applicants.
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1
Changes to the Operation
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Check “YES”, if you have made significant
changes to the operation since you submitted your last Annual
OL. Insert of date of last OL application. If “YES”,
provide details in Item 7, otherwise check “NO”.
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2
Delinquent on Federal Debt
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Check “YES”, if you or any member of the
entity is delinquent on any federal debt (i.e. “Federal
Debt” includes but is not limited to education loans,
delinquent taxes, obligations at Natural Resources Conservation
Service, obligations to FCIC, etc.). If “YES”,
provide details in Item 7 otherwise check “NO”.
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3
Pending Litigation
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Check “YES”, if you or any member of the
entity or the entity itself is involved in any pending
litigation. If “YES”, provide details in
Item 7 otherwise check “NO”.
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4
Bankruptcy
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Check “YES”, if you or any member of the
entity has ever been in receivership, been discharged, or filed
a petition for reorganization in bankruptcy. If “YES”,
provide details in Item 7, otherwise check “NO”.
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5
Employee
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Check “YES”,
if you are an employee, related to an employee, or closely
associated with an employee of the Farm Service Agency. If not,
check “NO”.
If “YES”,
provide details in Item 7.
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6
Change in Annual Income
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Check “YES”,
if there have been any changes to annual income for you or any
member of the entity. If “YES”,
provide details in Item 7, otherwise check “NO”.
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7
Additional Answers
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Provide explanations to any “YES”
responses for Items 1 – 6. Use additional sheets if
necessary.
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8 – 15
Statements
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Read statements and certifications in
Items 8 – 15.
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16A
Signature
|
Enter the signature of the individual
applicant or the authorized entity representatives. For entity
members, all members should sign individually in Items 16 - 19.
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16B
Title/Relationship of
the Individual Signing
|
Enter Title and or Relationship of the
person signing the application.
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16C
Date
|
Enter the date the applicant signed.
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17A
Signature
|
Enter the signature of the entity member.
For entity members, all members should sign individually in
Items 16 - 19.
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17B
Title/Relationship of
the Individual Signing
|
Enter Title and or Relationship of the
person signing the application.
|
17C
Date
|
Enter the date the applicant signed.
|
18A
Signature
|
Enter the signature of the entity member.
For entity members, all members should sign individually in
Items 16 - 19.
|
18B
Title/Relationship of
the Individual Signing
|
Enter Title and or Relationship of the
person signing the application.
|
18C
Date
|
Enter the date the applicant signed.
|
19A
Signature
|
Enter the signature of the entity member.
For entity members, all members should sign individually in
Items 16 - 19.
|
19B
Title/Relationship of
the Individual Signing
|
Enter Title and or Relationship of the
person signing the application.
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19C
Date
|
Enter the date the applicant signed.
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PART D – FSA USE ONLY
Items 1 – 5 completed by FSA.
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1
Date Form
Received
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Enter the date the FSA-2314 received in the Office.
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2
Date Application Complete
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Enter the date the application is considered complete.
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3
Credit Report Fee
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Enter the amount of the credit report fee.
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4
Date Received
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Enter the date the credit report fee is received.
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5
Agency Official
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Enter the name of the Agency Official receiving the application.
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