Customers who have established electronic
access credentials with FSA may electronically transmit this form to the FSA
servicing office.
If additional signatures are needed to complete the form, contact the
appropriate USDA servicing office for guidance on submission requirements.
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.
Items 1 - 12
|
Fld Name / |
Instruction |
|
1(a) Lender Name |
Enter the name of the Lender that is carrying out the write-down. |
|
1(b) Borrower Name(s) |
Enter the name of the borrower(s) liable for the debt. |
|
Fld Name / |
Instruction |
|
1(c) Effective Date |
Enter the date that the written down notes are executed as the effective date of the balances being written down. |
|
1(d) Effective Date Plus 5 Years |
Enter the date exactly 5 years from the date this form is signed. |
|
2A Date |
Enter the effective date of the balances that exist on the loan prior to the write-down. |
|
2B Principal Amount |
Enter the principal amount of the loan as of the date of this agreement, for each note owed by the borrower, before the loan is written down. |
|
2C Interest Rate |
Enter the interest rate that is being charged on the subject loan at the time of the write-down. |
|
2D Due Date |
Enter the date that the existing promissory note indicates that installments are due on the loan. |
|
2E Lender’s Loan Number |
Enter the loan number that the lender has assigned to the loan. |
|
3(a) Unpaid Principal |
Enter the total from the principal amounts listed in Item 2B. |
|
3(b) Unpaid Interest |
Enter the total amount of interest owed by the borrower on the loan(s) as of the date of this agreement, before write-down. |
|
3(c) Write-down Amount |
Enter the total amount of write-down calculated on the Form FSA-2252 that was completed, as required to complete this transaction. It should be the same as the total of the amounts entered in Item 5D. |
|
4 Security Value |
Enter the appraised dollar value of the real estate that is covered by this agreement. |
|
5A Date |
Enter the date of the write-down for each note written down. This should be the same date for each row as entered in Item 2A. |
|
5B Principal Amount |
Enter the principal dollar amount of the debt that remains on each loan after the new written down loan documents are executed. |
|
5C Interest Rate |
Enter the rate of interest to be charged on each loan after the write-down. |
|
5D Write-down Amount |
Enter the total amount of interest and principal that is being written down on each loan. |
|
5E Due Date |
Enter the date that the restructured promissory note indicates that installments are due on the loan. |
|
Fld Name / |
Instruction |
|
5F Lender’s Loan Number |
Enter the lender’s loan number for each loan being written down. |
|
6A Date of Security Instrument |
Enter the date of the mortgage or deed of trust securing the loan or loans being written down. |
|
6B Records of County and or State |
Enter the local or state government entity where the instrument securing the write-down and remaining guaranteed debts are filed. |
|
6C Reel |
Enter the location identification information for the security instrument securing the write-down and remaining guaranteed debts. |
|
6D Book or Page |
Enter the detailed filing or recording location identification information for the security instrument securing the write-down and remaining guaranteed debts. |
|
6E Grantor |
Enter the grantor's name from the subject security instruments. |
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Items 7 - 11 Lenders and Borrowers should read the Conditions of Agreement. |
|
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Item 12 for Lender's use as needed. |
|
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12 Remarks or Additions |
Enter in appropriate remarks or additions. |
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Items 13 - 14 are completed by the Guaranteed Borrower and Co-borrower (if any). |
|
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13A & B Borrower’s Signature and Date |
Enter the signature and date of the borrower who is receiving the write-down. 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. |
|
14A & B Co-Borrower’s Signature and Date |
Enter the signature and date of co-borrower, if applicable. 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. |
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Item 15 and 16 are completed by the Lender and Lender's Authorized Representative. |
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15 Lender’s Name |
Enter the name and title of the Lender's representative. |
|
16 Lender’s Authorized Representa-tive's Signature and Date |
Enter the signature and date of the authorized representative of the Lender. 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. |