2003 - 04-07-03 Regular Meeting - Laserfiche WebLink

Home Browse Search

' USDA -RD Position J o9 FacF Form RD 1910 -I1 (Rev. 09 -02) UNITED STATES DEPARTMENT OF AGRICULTURE • RURAL DEVELOPMENT APPLICANT CERTIFICATION FEDERAL COLLECTION POLICIES FOR CONSUMER OR COMMERCIAL DEBTS The Federal Government is authorized to check credit information about the applicant(s) including using the federal Credit Alert Interactive Voice Response System (CAIVRS) or its successors to check to see if the applicant(s) are delinquent or in default on a Federal debt. The Federal Government is also authorized by law to take any or all of the following actions in the event your loan payments become delinquent or you default on your loan: • Report your name and account information to a credit reporting agency, and the Credit Alert Interactive Voice ResponseSystem (CAIVRS). • Assess interest and penalty charges for the period of time that payment is not made. • Assess charges to cover additional administrative costs incurred by the govemment to service your account. • Offset amounts to be paid to you from your Federal income tax refund. • Offset amounts to be paid to you under other Federal Programs. • Refer your account to a private collection agency to collect the amount due. • Foreclosure on any security you have given for the loan. • Pursue legal action to collect through the courts. • Report any written off debt to the Internal Revenue Service as taxable income. • If you are a current or retired Federal employee, take action to offset your salary, or civil service retirement benefits. • Debar or suspend you from doing business with the Federal Government either as a participant or principal throughout the executive branch of the Federal Government for the period of debarment or suspension. • Refer any debt that is delinquent to the Treasury Offset Program (TOP) in accordance with the Debt Collection • Improvement Act of 1996. Refer any debt that is 180 days delinquent to the Treasury for cross servicing in accordance with the Debt Collection Improvement Act of 1996 • Garnish your wages as allowed by the Debt Collection Improvement Act of 1996. Any or all of these actions may be used to recover any debts owed when it is determined to be in the interest of the Government to do so. CERTIFICATION: Uwe have read and I /we understand the actions the Federal Government may take in the event that I /we fail to me my /our scheduled payments in accordance with the terms and conditions of my /our agreement. Uwe understand that the above list is not a inclusive and that the Federal Govemment may deem additional actions necessary to collect should Uwe become delinquent (Signature -Individual(s)) (SEAL) A EST: (Si anrre of Attesting tei l) • Gaynell M. Lee Clerk, Board of Commissioners ("title of Attesting Official) (Date) (Signature- Individual(s))) (Date) 7, 2003 Lee County Water & S ver Dis 'ct No. Y Date (Nat C Appli t) (Signature of Authorize Entity Official) Herbert A. Hincks Chairman (Title of Authorized Entity Official). Lee County Government Center (Address) Sanford NC 27330 (City, State, and Zip Code) RD 1910 -I1 (Rev 09 -02)