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16
<br /> USDA
<br /> Form RD 1940-1 REQUEST FOR OBLIGATION OF FUNDS FORM IPPRO E
<br /> Rev,Q - OMB Igo.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 FIVII.
<br /> 1.CASE NUMBER LOAN NUMBER FISCAL YEAR
<br /> ST CO .BORROWER ID
<br /> 38-068-566000327
<br /> . .._._.__Y....r
<br /> -P17._-- ._____.00 _PI.PIf___I 1. .,WL_,_,.,.,.,_,yr____ AIY 2.BORROWER NAME 3.NUMBER NAME FIELDS
<br /> O1 GE COUNTY #.2r or 3from Dm 2)
<br /> - ATIAH..
<br /> 4,STATE NAME
<br /> 1200 SOUTH CAMERON THE ET NORTH CAROLINA
<br /> - - .�W� A4.Y��1 1�1��1-1 - ,-P,fYir•
<br /> •..COUNTY NAME
<br /> i
<br /> HILLSBOROUGH r o 78
<br /> ORANGE
<br /> . �W .Tt■• . 1.,-.Me • ■• AR■bl■• .• ■l! . •■• ..TIW .Y■IJJ
<br /> GENERAL BORROWER/LOAN INFORMATION
<br /> 6.R CE11TH NIC _TYPE OF APPLICANT JiOLLATERAL CODE
<br /> T .EMPLOYEE -
<br /> CLASSIFICATION .1-INO 1vI&I AL $-OR G OF FAN mERS
<br /> - do C,fPRO IT ECUI R -REAL ESTATE -MAc fir ONLY RELATIONSHIP CODE
<br /> •PARTNE si-LiP sE )RED s-LIVESTOCK ONLY
<br /> -NONP R OF IT-FAJTH BASED 2-REAL ESTATE -CROPS ONLY 1-EMPLOYEE
<br /> -WHITE IJTE -HISPANIC - oRPOATfI`,I -INDIAN TRIBE
<br /> 2-EL. 5.-MP• • 4•F L�8LIC BODE' AND CHATTEL 7-SECURER RY -M r 18EF F FAMILY
<br /> 3-MAN
<br /> E•ASSOC.OF L0•PL ELUC COLLEGE UN ivERs fl 3-NOTE ONLY OR BONES 3-CLOSE RELATIVE
<br /> I ..r 4 FARf,1 ERS 11 OTH€R CI4ATThL ONLY a•RLP ACCT
<br /> SEX CODE 2-FAI A Ur E
<br /> ovvrqn) 11.MARITAL STATUS 12 VETERAN CODE 13.CREDIT REPORT
<br /> 7-HALE 5-ORGAN FEMALE OWNED Li.1-MAR R I EC, 3-UNMAfRRsO INC ES 1..•E 7-YES
<br /> -FEMAL E F-PUBLIC HODY • z-SEPAf ATED VVIDO', OiDivoRCED) 2 NO 2 O
<br /> 14.DIRECT PAYMENT 15.TYPE OF PAYMENT 16.FEE INSPECTION
<br /> I,MONTHLY 3•SEMI-ANNUALLY 1.Y
<br /> (See Fins
<br /> 2-AN NuALLY 4-RL IARTERLY ,NO
<br /> hEOMMUNITY SIZE •• 18. E OF FUNDS CODE
<br /> - FDR SF14 AND 00o HPC ONLY) (See E�h I)
<br /> 1■1 1 11 .TTr.ww• Tr COMPLETE FOR OBLIGATION OF FUNDS
<br /> 19.TYPE _.q��l 1111 �• � .-IT.iHYr• .-Irir'
<br /> OF : 2O PURPOSE CODE. • 21.SOURCE OF FUNDS :22_TYPE OF ACTION
<br /> ASSISTANCE
<br /> 1 $LIGATFO i ON LY
<br /> ...........-.-.-...,•• • L_L______ im..___LL,....._., _
<br /> 6 9 41 (see.FM!) 2.0Ei LJGATION/C IECK REQUEST
<br /> 1.3-CORRECTION DE OBLIGATION
<br /> 3
<br /> .TYPE OF susmissION :24.AMOUNT OF LOAN 25.AMOUNT OF GRANT ..1.17..
<br /> 1-IJ0T,r
<br /> 2-SU6SEQ LjENT
<br /> ._ _,..„_,.. _r_l $0.0 0
<br /> 26.AMOUNT OF T .DATE OF X28.INTEREST RATE T.R.EPA MENT TERMS
<br /> IMMEDIATE ADVANCE APPROVAL
<br /> • MO DAY YR
<br /> EL ii).4 ....
<br /> _ 1._ _ __,..
<br /> ......,_,_. ..._,_.
<br /> C
<br /> i..._. _i_...,_,,
<br /> OMPLETE FOR COMMUNITY PROGRAM AND CERTAIN MULTIPLE-FAMILY HOUSING LOANS
<br /> 30 PROFIT TYPE
<br /> i
<br /> 2.•L MATE O PROF PT
<br /> t=FULL PPOFrT
<br /> 3-?vDNPR FJ
<br /> O T
<br /> COMPLETE E FOR EM LOANS ONLY COMPLETE FOR CREDIT SALE-ASSUMPTION
<br /> 31.DISASTER DESIGNATION NUMBER 32.TYPE OF SALE
<br /> rS.FIR 2-ASSUMPTION ONLY 4-ASSUMPTION WITH
<br /> I-CREDIT SALE ONLY 3-CREDLT SALE UJLTH SUDSEOUERT LOA SGJ9 QUENT LOAD
<br /> FINANCE OFFICE USE ONLY COMPLETE FOR FP LOANS ONLY
<br /> 33.OBLIGATION DATE 34.BEGINNING FARMER/RANCHER
<br /> MO DA YR
<br /> See IMQ
<br /> L.. ..... ____ .____ _.... ._.....,_. .__,.._ _ _ „...,_. ,.._.„
<br /> ,..._ __. ._.„_,.. __....,_ ,....,_
<br /> 1_104 d rstr}rr currrrtttred above h9 Ors Nem r HrdIs tta LvLLaI reelu•rrr2r¢or cnneeffcIrion of L07),4 aulstarice,yrne may appcal ritrs detrsrr n will have rr hearing or.p.m may requusf a rowel,in fi.LL 0,01 he rfg.
<br /> ukase 2LSE`the form we ha+g mcirL,#etf far this prrr LL'r
<br /> FOsftEori 2
<br /> ORIGINAL-Borrower's Case Folder COPY 1 +Finance Office COPY 2-Applicant/Lender COPY 3-State Office
<br /> 4{.w d.,4%.to tie Paperwork ReLLLc rJxl.4'L-•I of 1995,an agemq fflay nut c•onduLL or.sponsor,and rr h,rst2a IN tart required rLL resprund I.t7 c'OlieeflOn ir•Oeormation rrtr/ers}i,firspkff a xrfrtd OMB control'u bed no twlRd
<br /> OMB CLutlrtxd'Timber for ryas rrLfLrthOir LL cL11feCIL00.as 0 70.0062 Mc fate reip,r-&10 c rtr)f fc LJrrs infe,,,,dion eollei rrrrrt is L.e.5rrr,IaLtxI in a verage.JM,qumires per yes x+nse,rx1efr6t.?LL •that.URIC far revtrw•rng nrsrruart ,s
<br /> '&1111"g r xrsrrt rJ ru sources,gtrrf,trrlrag OM.f rr:LLJIrrcrr#:rAg the rata need ,and errxrfi Ing and retix ,•irrg the CglieclILIrt,f rrjfry raxr fr m.
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