Va Form 26-1802a Hud-92900-A (04/2004) Addendum To Uniform Residential Loan Application

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HUD/VA Addendum to Uniform Residential Loan Application
OMB Approval No.
VA: 2900-0144
HUD: 2502-0059 (expires 7/31/2004)
2. Agency Case No: (include any suffix)
3. Lender's Case Number:
4. Section of the Act:
Part I - Identifying Information
(mark the type of application)
(for HUD case)
VA
HUD/FHA
1.
Application for
Application for Insurance
Home Loan Guaranty
under the National Housing Act
5. Borrower's Name & Present Address (include zip code)
7. Loan Amount (include the UFMIP if
8. Interest Rate:
9. Proposed Maturity:
for HUD or Funding Fee if for VA)
$
%
yrs.
mos.
10. Discount Amount.:
11. Amount of Up
12a. Amount of Monthly
12b. Term of Monthly
(only if borrower is
Front Premium:
Premium:
Premium:
6. Property Address (including name of subdivision, lot & block no. & zip code):
permitted to pay)
$
$
/mo.
months
13. Lender's I.D. Code:
14. Sponsor/Agent I.D. Code:
15. Lender's Name & Address (include zip code)
16. Name & Address of Sponsor/Agent:
17. Lender's Telephone Number:
Type or Print all entries clearly
VA: The veteran and the lender hereby apply to
the Secretary of Veterans Affairs for Guaranty of the loan described here under Section 3710,
Chapter 37, Title 38, United States Code, to the full extent permitted by the veteran's entitlement and severally agree that the Regulations
promulgated pursuant to Chapter 37, and in effect on the date of the loan shall govern the rights, duties, and liabilities of the parties.
VA Only:
18. First Time
19.
20. Purpose of Loan (blocks 9 - 12 are for VA loans only)
Homebuyer ?
Title will be Vested in:
Construct Home (proceeds to be paid out during
1)
Purchase Existing Home Previously Occupied
7)
construction)
2)
Finance Improvements to Existing Property
8)
Finance Co-op Purchase
9)
a.
Yes
Veteran
3)
Refinance (Refi.)
Purchase Permanently Sited Manufactured Home
10)
b.
No
Veteran & Spouse
4)
Purchase New Condo. Unit
Purchase Permanently Sited Manufactured Home & Lot
11)
Other (Specify):
5)
Purchase Existing Condo. Unit
Refi. Permanently Sited Manufactured Home to Buy Lot
12)
6)
Purchase Existing Home Not Previously Occupied
Refi. Permanently Sited Manufactured Home/Lot Loan
Part II - Lender's Certification
21. The undersigned lender makes the following certifications to induce
E. The
Uniform
Residential
Loan Application
and
this
Addendum were
the Department of Veterans Affairs to issue a certificate of commitment
signed by the borrower after all sections were completed.
to guarantee the subject loan or
a Loan Guaranty Certificate under Title
F. This proposed loan to the named borrower meets the income and credit
38, U. S. code, or to induce the Department of Housing and Urban
requirements of the governing law in the judgment
of the
undersigned.
Development -
Federal Housing Commissioner
to issue a
firm commit-
G.To the best of my knowledge and belief,
I and my firm and its
ment for mortgage
insurance
or a Mortgage Insurance Certificate
principals:
(1)are
not
presently
debarred,
suspended,
proposed for
under the National Housing Act.
debarment,
declared
ineligible,
or
voluntarily excluded
from
covered
A. The loan terms furnished in the Uniform Residential Loan Application
transactions by any Federal department or agency; (2)have not, within
and this Addendum are true, accurate and complete.
a three-year period preceding this proposal, been convicted of or had
B. The
information
contained
in
the
Uniform
Residential
Loan
a civil judgment rendered against them for (a) commission of fraud or
Application and this Addendum was obtained directly from the
a criminal offense
in connection with obtaining,
attempting
to
obtain,
borrower by a full-time employee of the undersigned lender or its
or performing a public
(Federal, State or local)
transaction or
contract
duly
authorized agent
and is true
to the best of the lender's
under a public transaction; (b) violation of Federal or State antitrust
knowledge and belief.
statutes or commission of embezzlement,
theft,
forgery,
bribery,
C. The
credit
report
submitted
on
the
subject
borrower (and
falsification or destruction of records, making false statements, or
co-borrower, if any) was ordered by the undersigned lender or its
receiving stolen property;
(3)are not presently indicted for or otherwise
duly authorized agent directly from the credit bureau which prepared
criminally or civilly charged
by a governmental entity
(Federal, State or
the report and was received directly from said credit bureau.
local) with commission of any of the offenses enumerated in
paragraph
D. The
verification of employment
and
verification
of
deposits
were
G(2) of this certification;
and (4) have not,
within a three-year period
requested and received by the lender or its duly authorized agent
preceding this application/proposal, had one or more public transactions
without passing through the hands of any third persons and are true
(Federal, State or local) terminated for cause or default.
to the best of the lender's knowledge and belief.
Items "H" through "J" are to be completed as applicable for VA loans only.
H. The names and functions of any duly authorized agents who developed on behalf of the lender any of the information or supporting credit data submitted are as
follows:
Name & Address:
Function:(e.g. obtained information
on
the Uniform Residential Loan
Application,
ordered
credit
report,
verifications
of
employment,
deposits, etc.)
If no agent is shown above, the undersigned lender affirmatively certifies that all information and supporting credit data were obtained directly by the lender.
I.
The undersigned lender understands and agrees that it is responsible for the omissions, errors, or acts of agents identified in item H as to the functions
with which they are identified
J. The proposed loan conforms otherwise with the applicable provisions of Title 38, U.S. Code, and of the regulations concerning guaranty or insurance of loans
to veterans.
Signature of Officer of Lender
Title of Officer of Lender
Date(mm/dd/yyyy)
X
form HUD-92900-A (04/2004)
VA Form 26-1802a (3/98)
page 1
Calyx - fhavaa1.frm (04/2004)

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