U.S. USDA Form usda-rd-1951-4
USDA-RD
Form RD 1951-4
(Rev. 4-99)
(Intermediary Relending Program - Rural Development Loan Fund)
Name of Organization
1.
FORM APPROVED
OMB NO. 0570-0015
REPORT OF IRP/RDLF LENDING ACTIVITY
Report Period
Date
REPORT PERIOD
TO DATE
Amount of IRP/RDLF Loan .............................................................................. $ _________________
$ _________________
LOANS
2.
Principal of loans disbursed ............................................................................... $ _________________
3.
Principal of loans received ................................................................................. $ _________________
$ _________________
$ _________________
4.
$ _________________
Net Lending (line 2 minus 3) ............................................................................. $ _________________
GUARANTEES
REPORT PERIOD
Total Loan
Guar. Portionl
Total Loan
TO DATE
Guar. Portion1
5.
6.
Guarantees Made .................................................... $ ____________
Reduction of Guarantees2 ....................................... $ ____________
$ ____________
$ ____________
$ ____________
$ ____________
$ ____________
$ ____________
7.
Net Guarantees (Line 5 minus 6) ............................ $ ____________
$ ____________
$ ____________
$ ____________
AVAILABLE ASSETS
END OF PERIOD
8.
9.
10.
Total Assets (less furniture & equipment) .............................................................................................................. $ ________________
Loans Outstanding less Allowance for Bad Debts .................................................................................................. $ ________________
Estimated Losses on Loan Guarantees ................................................................................................................... $ ________________
11.
Funds Available for Relending/Guaranteeing (Line 8 minus lines 9 and 10) ......................................................... $ ________________
12.
Percent of Assets Available for Relending/Guaranteeing (Line 11 divided by Line 8) .......................................... $
%
INCOME & EXPENSE STATEMENT
REPORT PERIOD
INCOME
1.
Interest received from sub-loans ........................................................................ $ _________________
2.
Fees received on loan guarantees ....................................................................... $ _________________
3.
Interest received from deposits .......................................................................... $ _________________
4.
Other income (specify)
_________________________________________________________ ......... $ _________________
_________________________________________________________ ......... $ _________________
5.
TOTAL INCOME .............................................................................................. $ _________________
EXPENSES
6.
Administrative Costs ......................................
7.
Interest Paid RD ..............................................
8.
Bad Debt Expenses .........................................
9.
Other Expenses (specify) ................................
................................
BUDGETED
$ _________________
$ _________________
$ _________________
$ _________________
$ _________________
TO DATE
$ _________________
$ _________________
$ _________________
$ _________________
$ _________________
$ _________________
$ _________________
$ _________________
$ _________________
$ _________________
$ _________________
$ _________________
$ _________________
$ _________________
$ _________________
$ _________________
10. TOTAL EXPENSES ....................................... $ _________________
$ _________________
11. CHANGE IN FUND BALANCE (Income minus Expenses) ........................... $ _________________
_________________________
$ _________________
$ _________________
1
2
Guaranteed portion of loan may not exceed 80%.
Enter repaid principal in “Total Loan” column, multiply that amount by 80% (or less, if applicable) and enter in “Guar. Portion” column.
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid
OMB control number. The valid OMB control number for this information collection is 0570-0015. The time required to complete this informa­
tion collection is estimated to average 4 hours per response, including the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and reviewing the collection of information.
2
BALANCE SHEET
ASSETS
1.
Cash ......................................................................................................................................................
2.
Loans Outstanding. ...............................................................................................................................
3.
Allowance for Bad Debts ......................................................................................................................
4.
Interest-Bearing Deposits .....................................................................................................................
5.
Other Assets (specify) ...........................................................................................................................
________________________________________________________________________________
________________________________________________________________________________
6.
$ ____________________________
$ ____________________________
( __________________________ )
_____________________________
_____________________________
____________________________
____________________________
TOTAL ASSETS ................................................................................................................................... $ ____________________________
LIABILITIES
7.
Loan Payable to RD .............................................................................................................................. $ ____________________________
8.
Accounts Payable .................................................................................................................................. $ ____________________________
9.
Other Liabilities (specify)
________________________________________________________________________________ ____________________________
________________________________________________________________________________ ____________________________
10.
TOTAL LIABILITIES .......................................................................................................................... $ ____________________________
11.
FUND BALANCE (Assets minus Liabilities) ..................................................................................... $ ____________________________
Describe any encumbrances, liens, compensating balances, or assignments on any of the assets in the IRP/RDLF, including those pursuant to any
guarantees made.