The form is used by FSA to list and describe real
estate, crops, and chattels taken as security when providing
financial assistance to applicants and borrowers. FSA completes the
form and the applicant or borrower signs it.
Please do not attempt to complete this form. It
is provided on this web site for information purposes only.
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of 1
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,