Appendix B - Certificate of Incumbency and Signature  


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  • U.S. Department of Agriculture—Farmers Home Administration or its successor agency under Public Law 103-354

    I, (Name)______, (Title)———— of the Farmers Home Administration or its successor agency under Public Law 103-354, (FmHA or its successor agency under Public Law 103-354), an Agency of the United States Department of Agriculture, DO HEREBY CERTIFY that the following person holds the office of (State Director, State Program Loan Chief, District Director, or County Supervisor)______ of ____, for FmHA or its successor agency under Public Law 103-354 and that the signature appearing below and that the signatures appearing above that person's name on the following described document is the genuine signature of such person:

    1. Form(s) FmHA or its successor agency under Public Law 103-354 449-34, “Loan Note Guarantee,” dated___ relating to loan made by (Lender's Name)______ to (Borrower's Name)______, FmHA or its successor agency under Public Law 103-354 Loan Identification No._.

    2. Form(s) FmHA or its successor agency under Public Law 103-354 449-35, “Lender's Agreement,” dated___ relating to loan made by (Lender's Name)_______ to (Borrower's Name)_______, FmHA or its successor agency under Public Law 103-354 Loan Identification No._.

    3. Form(s) FmHA or its successor agency under Public Law 103-354 449-36, “Assignment Guarantee Agreement,” dated___ relating to loan made by (Lender's Name)_______ to (Borrower's Name)_______, FmHA or its successor agency under Public Law 103-354 Loan Identification No._.

    Signature_______ (Name

    Type)_______.

    In witness whereof, I have hereunto signed my name this __ day of ____, 19_.

    Farmers Home Administration or its successor agency under Public Law 103-354. By — (Title)