RD 3555-20 Rural Housing Guarantee Report of Loss

Form RD 3555-20		UNITED STATES DEPARTMENT OF AGRICULTURE					Form Approved
(Rev. 0-00)		RURAL DEVELOPMENT					OMB. NO. 0575-0179
	RURAL HOUSING GUARANTEE REPORT OF LOSS
INSTRUCTIONS --USE CAPITALIZED TYPE IN SPACES PROVIDED ______
Items 1 through 22 are to be completed by the Lender.
1. Report Type Code =				2. Date of Claim =
3. Case No. =				4. Borrower Name			5. Loan No=
6. Date of Settlement		7. Lender ID No.			8. Branch No.	9. Lender Name
GUARANTEED LOAN ITEMS:
10. Principal Balance Owed on Debt					11. Accrued Interest Owed *
12. Principal Balance Owed on Protective Advance					13. Accrued Interest on Protective Advance
14. Total (items 10 through 13)
					*The lender should attach documentation of these items per FMI.
Section A RECOVERY FROM COLLATERAL SOLD					Section B RECOVERY FROM OTHER ITEMS
15. Amount Property Sold For					18. Funds in escrow account(s)
16. Lender's Liquidation Cost					19. Other Recovery
17. Net Proceeds From Collateral					20. Cost of Collection
					21. Net Recovery
					(Item 18 and 19 less Item 20)
Section C Completed by Lender if property was acquired at foreclosure or by deed-in-lieu of foreclosure
22. Lender's Liquidation Costs
Section D- VALUE OF COLLATERAL ACQUIRED. Completed by Rural Housing Service(RHS) if Lender acquired property
at foreclosure or by deed-in-lieu of foreclosure. Do not complete if Section A above has been completed.
23. Appraised Value					25. Appraised Value Factor
					(Item 23 x Item 24)
24. Acquisition Management,					26. Net Proceeds from Collateral
Resale Factor					(Item 23 less Items 22 and 25)
Section E
Loss guaranteed:
27. Lesser of Original Note					28. Maximum Loss Payable
Amount or Principal Actually					(90% of Item 27)
Advanced
29. Authorized Lender Signature				Title				Date
								Page 1 of 2
REVERSE OF FORM 1980-20		BORROWER NAME		________________________________________________
ADJUSTMENTS TO LOSS:
30. Reduced Claim Amount *					31. Denied Claims Amounts *
32. Total Adjustments (Item 30+31)
	* The Agency approval official should attach documentation of these items per FMI
33. Total Debt - Net Proceeds		(Item 14, less line 17 or 26, less item 21, less item 32) (If <= 0, Enter 0)
34. 35% of Item 27
35. Amount of Loss in Excess of 35% of Loan (item 33 less item 34)(If <=Zero, leave blank)
36. Amount from Item 35 X 85% (if zero or less, enter zero and skip to item 38)
37. Amount of Loss (Item 34 PLUS Item 36)
38. Total Computed Loss Payable (LESSER of Item 33 or Item 37, if Item 37 is blank,
		enter the amount from Item 33)
39. Release of Liability Code (Y=Yes,N=No)
40. Adjustment Reason Code				41. Additional Interest			(Y=Yes,N=No)
42. Amount Due Agency				43. Balance Due Lender
Authorized Agency Signature					Title			Date
FINANCE OFFICE USE
45. Unsatisfied Principal						46. Interest Rate
47. Basis						48. Number of Days
49. Additional Interest
Adjusted Loss Payable with Additional Interest
50. Total debt - Net Proceeds (Item 33 PLUS Item 49)
51. Loss (up to 35% of Item 27)
52. Amount of Loss In excess of 35% of Loan (Item 50 LESS Item 51)
53. Amount from Item 52 X 85%
54. Amount of Loss (Item 51 plus Item 53)
55. Loss payable with Additional Interest (Lesser of Item 50 OR Item 54)
56. Check amount					57. Check Issue Code
						1 = Systems Generated		3=No check Issued
						2 = Manual Check		4=Refund
58. Date of Manual Check		|__|__|-|__|__|-|__|__|			59. Date of Deposit		|__|__|-|__|__|-|__|__|
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