Exhibit K-1 to Subpart D of Part 1944

Date

SUBJECT: Verification of Domestic Farm Labor and Occupancy in Rent Free Housing

________(borrower's name or the farm's business name)

On______, _, I/We became the occupant(s) of the rent free dwelling owned by the above named borrower. The dwelling is provided as a condition of my farm labor employment.

If the rent free status changes, I/we will notify the Farmers Home Administration or its successor agency under Public Law 103-354 at:

____________ Office ____________ Phone number ____________ ____________ ____________, occupant ____________ ____________

Distribution:

Original to occupant.

1 copy for borrower's records to be kept available for inspection upon request by Farmers Home Administration or its successor agency under Public Law 103-354 for all current tenants.