Fsa2201ins_10-24-16v01

FSA-2201 Date of Modification: 10-24-16

LENDER’S AGREEMENT
INSTRUCTIONS FOR PREPARATION
Purpose: Used to establish the lender as an approved participant in the Guaranteed Loan Program of Farm Service Agency and establish the lender’s status.
Handbook Reference: 2-FLP	Number of Copies: Original and multiple copies.
Signatures Required: Lender and FSA approval official.
Distribution of Copies: Original to FSA approval office, copy to each FSA servicing office approved for lender, copy to lender.
Automation-Related Transactions: N/A

Part A, Items 1 through 6:

Fld Name / Item No.	Instruction
1 Lender’s Name and Address	Enter the Lender’s name and mailing address.
2 Tax Identification Number	Enter the Lender’s 9 digit Internal Revenue Service Tax Identification number.
3 Telephone Number	Enter the Lender’s telephone number (Include Area Code).
4 Lender’s Status	Check the Lender’s status as approved by Agency. (Preferred Lender, Certified Lender, Standard Eligible Lender and Micro Lender).
5 Lender Offices Covered Under Agreement	Enter all branches covered by agreement, including complete address.
6 Address of FSA Offices Where Lender is Authorized To Submit Applications	Enter the address for all FSA Offices where lender is authorized to submit applications.

Lenders must complete Part J, Items 1 through 3:

Fld Name / Item No.	Instruction
1 Name and Title of Lender Representative	Enter the name and title of Lender Representative.
2 Signature of Authorized Lender Representative	Enter the signature of the authorized Lender Representative and date signed.
3 Date	Enter the date the form is signed.

FSA must complete Part K, Items 1 through 5:

Fld Name / Item No.	Instruction
1 Name and Title of FSA Official	Enter the name and title of FSA Official.
2 FSA Official’s Signature	Enter FSA Official’s signature.
3 Date	Enter Date the FSA Official signed the document.
4 Effective Date of Agreement	Enter effective date of agreement.
5 Agreement Expiration Date	Enter agreement expiration date (MLP, CLP and PLP only).

Page 2