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.
Applicant must complete Items 1 through 5.
Fld Name /
|
Instruction |
1a Attorney/ Title Agent Name |
Enter the name of the Attorney, or Title Company you chose to conduct the loan closing. |
1b Address |
Enter the address of the Attorney, or Title Company you chose to conduct the loan closing. |
1c Telephone Number |
Enter the telephone number (including area code) of the Attorney, or Title Company you chose to conduct the loan closing. |
2 Read |
Please read. |
3 Name |
Enter the applicant’s name. |
4 Signature |
Enter the applicant’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. |
5 Date |
Enter the date the applicant signed the 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 | 2007-04-30 |
| File Created | 2007-04-25 |