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16 <br /> USDA <br /> Form RD-1940-1 REQUEST FOR OBLIGATION OF FUNDS FORM APPROVED <br /> (Rev.06-10) OMB No.0570-0062 <br /> INSTRUCTIONS-TYPE IN CAPITALIZED ELITE TYPE IN SPACES MARKED( ) <br /> Complete Items 1 through 29 and applicable items 30 through 34.See FMI. <br /> 1.CASE NUMBER LOAN NUMBER FISCAL YEAR <br /> ST CO BORROWER I£] <br /> 38-068-566000327 00 <br /> 2.BORROWER NAME 3.NUMBER NAME FIELDS <br /> ORANGE COUNTY 3 I a.2,or 3 from Ilan 2J <br /> 4.STATE NAME <br /> 200 SOUTH CAMERON STREET NORTH CAROLINA <br /> 5.COUNTY NAME <br /> HILLSBOROUGH, NC 27278 ORANGE <br /> GENERAL BORROWER/LOAN INFORMATION <br /> 6.RACE/ETHNIC 7.TYPE OF APPLICANT 8.COLLATERAL CODE 9.EMPLOYEE <br /> CLASSIFICATION 1-INDIVIDUAL 9-ORD OF FARMERS 1-REAL ESTATE 4-MRCHINERY ONLY <br /> 2•PARTNERSHIP 7-NONPROFITSECDL,AR SECURED S-LIVESTOCKONLY RELATIONSHIP CODE <br /> 3-CORPORATION 8-NONPROFIT-FAITH BASED 1-EMPLOYEE <br /> 2-B 1 H 5=,H41�SPRN:C q•PUBLIC BODY <br /> 2-REAL ESTATE E-CROPS ONLY 2-MEMBER OF FAMILY• 9-L1EL!y TRIPE A{iD CHATTEL 7-SECURED BY <br /> 10-PUBLIC COLLEGBAIN NERSITY 1 3-NOTE ONLY CR PONDS <br /> 3-AVAN 4 ]S•ASSOG.OF 3-CLOSE RELATIVE <br /> 1 i FWih1ERA 11.-OTHER CHATTEL ONLY 8.RLFACCT <br /> 4•A$SOC <br /> 10.tSEX CODE ;_o"�L;';,;,gILEO hNEb 11.MARITAL STATUS 12.VETERAN CODE 13.CREDIT REPORT <br /> I 1-MALE 5--ORGAN FEMALE ORNEO I 1-MARRIED 2-UNMARR'Et)IINC IIDES 1•YE3 1-YES <br /> 4 2-FEMALE EPUELEC 9ODY 2-SEPARATED IYIDOVIEDIDIVORCEDI I2-NO ;ZS <br /> 14.DIRECT PAYMENT 15.TYPE OF PAYMENT 16.FEE INSPECTION <br /> F•6 <br /> MONTHLY 3. <br /> SEMI-ANNUALLY 1.V e <br /> s l See FMI <br /> 2-ANN <br /> DALLY 9-ODART <br /> ERLY <br /> 12-NO <br /> 17.COMMUNITY SIZE 18.USE OF FUNDS CODE <br /> 112-- 105 oR Lcss iFOR sFH ANp <br /> I z-OVER 10.000 HOC ONLY) (See FMI) <br /> COMPLETE FOR OBLIGATION OF FUNDS <br /> 19.TYPE OF 20.PURPOSE CODE. 21.SOURCE OF FUNDS i 22_TYPE OF ACTION <br /> ASSISTANCE <br /> I .1-Q9LIGg7EIN ONLY <br /> 694 (SOB FAR) it 2.CORRECTIO Cf1EC RSATION <br /> _ 6I 1 3-CORRIwCTION OF09 LlCrgTli]N <br /> 23.TYPE OF SUBMISSION 24.AMOUNT OF LOAN 25.AMOUNT OF GRANT <br /> 1-INITIAL <br /> 1 2-SUBSEQUENT <br /> $0.00 <br /> 26.AMOUNT OF 27.DATE OF 28.INTEREST RATE 29.REPAYMENT TERMS <br /> IMMEDIATE ADVANCE APPROVAL <br /> MO DAY YR <br /> . D % 0 I <br /> COMPLETE FOR COMMUNITY PROGRAM AND CERTAIN MULTIPLE-FAMILY HOUSING LOANS <br /> 30.PROFIT TYPE <br /> 2•L M17E❑PR rT <br /> t-FULL PROFIT NONPROFIT 3-NONPR <br /> I r <br /> PROF <br /> ,T <br /> COMPLETE FOR EM LOANS ONLY COMPLETE FOR CREDIT SALE-ASSUMPTION <br /> 31.DISASTER DESIGNATION NUMBER 32.TYPE OF SALE <br /> loon FM!) ] 1-CREDIT SALE ONLY 3 CRE f SALE L4[TH SUESEOVENT LOAN 4 SUBSEQUENT LOAN-ASSUMPTION WITH <br /> FINANCE OFFICE USE ONLY !! COMPLETE FOR FP LOANS ONLY <br /> 33.OBLIGATION DATE 34.BEGINNING FARMER/RANCHER <br /> MO DA YR <br /> I (See FMF] <br /> lfrdie decrsmn coma:ned shove rn tins results at denial reduction or cancellata m of USD 1 assistance.yon rnay appeal this decision and have a hearing Si-faa may request a rewew in lien of hearing. <br /> !lease rise the forma we bare lnclre:led for des propose <br /> Position 2 <br /> ORIGINAL-Borrower's Case Folder COPY 1 -Finance Office COPY 2-Applicant/Lender COPY 3-State Office <br /> diicardt•y;to the Paperwork Redazcnnn.du of 1995..rtr aget53 may trat conduct or sponsor.and 47 pC11022 I,e tau required ra respoIrd III collernou ofmforsMilen milers N rI splay>a a Wild 041$control number (lie voted <br /> OMB nntrni ailether fur ills rnfornrarimr collecton is 05 70-0062. The lime rrgrured to complete this atformatron collection I.i Csnmmctl In average 13+mmimics per resporse,inchirhng rho nme for revtewingirrstrnetror c <br /> searching ceistn g data sources,gathermg and rr:ainrarr:rug the data needed and complcnngamd rewc-wing the collection of rnjErruotion. <br />