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<br />USLlA-RD <br />. Form RD 1940-1 <br />(Automated 8-97) <br /> <br />RE("'l!:ST FOR OBLIGATION OF FUNf - <br /> <br /> INSTRUCTIONS-TYPE IN CAPITALIZED ELITE TYPE IN SPACES MARKED <br /> Complete Items I through 30 and applicable Items 31 through 43. See FMI. <br />I. CASE NUMBER LOAN NUMBER FISCAL YEAR <br />ST CO BORROWER ID I I <br />50 I 039 I 0756000633 <br />2. BORROWER NAME 3. NUMBER NAME FIELDS <br />CIIITIYI IOIFI IplAIRIIISI I I I I I 1 I (I, 2. or 3 from Item 2) <br /> 4. STATE NAME <br />, , , I I I I I I I I I I I I , , I T'XI I I I I I I I I I I I I I <br /> 5. COUNTY NAME <br />I I I I I I I I I I I I I I I I I I LIAIMIAIR' I I I I , I I I I I <br /> GENERAL BORROWER/LOAN INFORMATION <br />6. RACEIETHNIC 7. TYPE OF 4. PUBLIC BOD 8. COLLATERAL CODE 9. EMPLOYEE <br />CLASSIFICATION APPLICANT S-ASSOC.OF RELATIONSHIP CODE <br /> FARMERS 1- REAL ESTATE 4- MACHINERY ON <br /> I-WHITE 4. HISPANIC 6-0RG.OF SECURED S - LIVESTOCK ONL 1 . EMPLOYEE <br /> 2-BLACK S-AlPI I - INDIVIDUAL FARM 2 . REAL EST A iE 6 _ CROPS ONLY 2 - MEMBER OF FAMILY <br />I ).Al/AN 2 - PARTNERSHIP WORKERS 13 AND CHAlTEL7. SECURED BY I 3 -CLOSERELATlVE <br /> 4 I J - CORPORATION 7-0THER 3 . NOTE ONt Y OR BONDS 4-ASSOC <br /> CHA TIEL ONt y <br />to. SEX CODE J-FAMILYUNIT II. MARITAL STATUS 12. VETERAN CODE 13. CREDIT REPORT <br /> 4 . ORGAN. MALE OWNED I . MARRIED 3 . UNMARRIED (INCLUDES I <br />I I-MALE S - ORGAN. FEMALE OWNED I 2-SEPARATED WIDQWEDIDIVORCED) I-YES I I-YES <br />6 2 . FEMALE 6 - PUBLIC BODY Z-NQ 2 2-ND <br />14. DIRECT PA YMENT 15. TYPE OF PA YMENT 16. FEE INSPECTION 17. INTEREST CREDIT <br />3 I I I - MONTHLY J - SEMj.ANNUALL Y 2 I I.YES I I . YES (FRO SFH ONLY) <br />(.wefM/) 2 - ANNUALLY 4.QUARTERLY 2-NO 2-NO <br />18. COMMUNITY SIZE 19. DWELLING TYPE/USE OF FUNDS CODE <br />I I _ 10,000 OR LESS (FOR SFH AND I <br />2-0VER 10,000 HPG ONLY) (SeefM/) <br /> COMPLETE FOR OBLIGATION OF FUNDS <br />20. TYPE OF 21. PURPOSE CODE 22. SOURCE OF FUNDS 23. TYPE OF ACTION <br />ASSISTANCE I . OBLIGATION ONLY <br />081 I 2 I 1 I 2 - OBLIGA TIONfCHECK REQUEST <br />(Self/.M!) ) . CORRECfION OF OBLIGATION <br />24. TYPE OF SUBMISSION 25. AMOUNT OF LOAN 26. AMOUNT OF GRANT <br />1 , I-INITIAL $ 0.00 $ 0.00 <br />2 - SUBSEQUENT <br />27. AMOUNT OF IMMEDIATE 28. DATE OF 29. INTEREST RATE 30. REPAYMENT TERMS <br />ADVANCE APPROVAL <br /> MO DA YR <br /> I H I 1--1 I I <br /> COMPLETE FOR SINGLE FAMILY HOUSING ONLY <br />31. INCOME CATEGORY CODES 32. LOW INCOME 33. ADJUSTED FAMILY INCOME <br />I LIMIT-MAX. <br />I. VERY LOW ] - MODERATE <br />2-LOW 4 - ABOVE MODERATE <br />34. R.E.INSURANCE 35. R.E.TAXES 36. R.E. TAXES 37. NOTE INSTALLMENT INELIGIBLE <br /> 1st year 2nd year <br />38. TYPE OF UNIT <br />I I . FARM TRACT <br />2 - NON-FARM TRACT <br /> COMPLETE FOR COMMUNITY PROGRAM AND CERTAtN MULTIPLE-FAMILY HOUSING LOANS <br />39. PROFIT TYPE <br />I I - FULL PROFIT 2 - LIMITED PROFIT <br />) . NONPROFIT <br /> COMPLETE FOR EM LOANS ONLY COMPLETE FOR CREDIT SALE-ASSUMPTION <br />40. DISASTER DEStGNA TlON NUMBER 41. TYPE OF SALE 4 . ASSUMPTION WITH <br />I (.weFMI) I 2 - ASSUMPTION ONLY <br /> I . CREDIT SALE ONLY ). CREDIT SALE WITH SUB LOAN SUBSEQUENT LOAN <br /> FINANCE OFFICE USE ONLY COMPLETE FOR FP LOANS ONLY <br />42. OBLIGATION DATE 43. BEGINNING FARMER/RANCHER <br />~O I __ I ~A I __ I Y I I (Site/'M/) <br /> <br />If Ihe ,led.I'illll clmlllilled uh/ll'e inlhi_~ fll"'" re.\'IIII.I' ill det/iul, redlK/iulIllr nlllcel/u/;Of/ of U.\'f)A u.~_I'i,I'lu"':e, YIII/may appeal/hi.I' dechiofl and hm'e a heuring or <br />YOIIIIIUY reqlle.I'1 a rel'iew il/lief/I!I u heari/lg_ Pleal'e 11.I'e Ihe fiINII we hUI'e indlldedfilr Ih;.~ pllrpuw. <br />Position 2 <br />ORIGINAL - Borrower1s Case Folder COPY t - Finance Office COPY 2 - Applicant/Lender Copy 3 ~ State Office <br />