Form Hud-305 - Hud Manufactured Home Retailer Report - Home Tracking Information

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HUD Manufactured Home Retailer Report –

U.S. Department of Housing and Urban Development

OMB Approval No. 2502-0578

Home Tracking Information

Office of Manufactured Housing Programs

Expires 04/30/2018

The Manufactured Housing Installation Program Regulations 24 CFR Chapter XX Part 3286 Section 113 requires manufactured home retailers and distributors to report specific information within 30 days

from the time a purchaser enters into a contract to purchase a manufactured home when the manufactured home will be sited in a state that HUD administers the installation program. The information

collected here will be used in conjunction with manufacturer production reports and other reports as appropriate under these Regulations. Public reporting burden for this collection is estimated to average

0.25 hours per response including the time for reviewing the instructions, searching existing data sources, gathering and maintaining the data as needed, and completing and reviewing the collection of

information. Response to the information collection is mandatory. This agency may not collect this information, and you are not required to complete this form, unless the form displays a currently valid

OMB control number.

Retailer Name & Address

Name

Street Address

City

State

Zip

Retailer/Distributor Representative (signature)

Date (mm/dd/yyyy)

Check box if report is for correcting previously reported information

Reporting Period:

(mm/dd/yyyy) __________________ through (mm/dd/yyyy) ___________________