Addendum To Hud-1 Settlement Statement

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ADDENDUM TO HUD-1 SETTLEMENT STATEMENT
FHA Case Number:
Property Address:
NOTICE TO ALL PARTIES: If information is obtained which indicates that the source of the borrower’s financial
investment is other than from the borrower or other than stated by the lender in its closing instructions, the settlement agent is to
obtain written instructions from the lender before preceding with settlement.
CERTIFICATION OF BORROWER IN AN FHA-INSURED TRADITIONAL OR REFINANCE HECM
LOAN TRANSACTION(s)
I (we) have carefully reviewed the HUD-1 Settlement Statement, and to the best of my knowledge and belief, it is a true and
accurate statement of all receipts and disbursements made on my account or by me in this transaction. I further certify that I
have received a copy of the HUD-1 Settlement Statement.
________________________________________
Borrower
________________________________________
________________________
Borrower (s)
Date
_______________________________
Power of Attorney
________________________
Date
WARNING:
Federal law provides that anyone who knowingly or willfully makes or uses a document containing any false,
fictitious, or fraudulent statement or entry may be criminally prosecuted and may incur civil administrative liability.
CERTIFICATION OF BUYER IN AN FHA-INSURED HECM FOR PURCHASE LOAN TRANSACTION
I (we) certify that the sales price is _________. I (we) certify that I (we) have provided a down payment of __________. I
certify that the down payment has been provided by me (us) from my (our) own funds or from an approved FHA funding source
as disclosed in my (our) mortgage application. I (we) certify that no part of the down payment has been provided by the seller or
anyone else with a financial interest or financial connection to this transaction. I certify that I have no knowledge of any loans
that have been or will be made to me (us) or loans that have been or will be assumed by me (us) for purposes of financing this
transaction, other than those described in the sales contract dated _____________(including addenda). I certify that I (we) have
not been paid or reimbursed for any part of the monetary investment. I certify that I have not received and will not receive any
payment or reimbursement for any of my (our) closing costs which have not been previously disclosed in the sales contract
(including any addenda) and/or my application for mortgage insurance submitted to my (our) mortgage lender. I (we) certify
that no cash or its equivalent, in whole or in part, was or will be received from the seller and/or other third party before, during,
or after loan closing. I further certify that I (we) received a copy of the HUD-1 Settlement Statement.
________________________________________
Borrower
________________________________________
________________________
Borrower (s)
Date
_______________________________
Power of Attorney
________________________
Date
WARNING:
Federal law provides that anyone who knowingly or willfully makes or uses a document containing any false,
fictitious, or fraudulent statement or entry may be criminally prosecuted and may incur civil administrative liability.
pg. 1

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