Addendum To Hud-1 Settlement Statement Page 2

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CERTIFICATION OF SELLER IN AN FHA-INSURED HECM FOR PURCHASE LOAN TRANSACTION
I certify that I have no knowledge of any loans that have been or will be made to the borrower(s), or loans that have been
or will be assumed by the borrower(s), for purposes of financing this transaction, other than those described in the sales contract
dated _____________(including addenda). I certify that I have not and will not pay or reimburse the borrower(s) for any part of
the monetary investment. I certify that I have not provided and will not pay or reimburse the borrower(s) for any part of the
borrower's closing costs which have not been previously disclosed in the sales contract (including any addenda). I certify that I
have not provided and will not provide cash or its equivalent, in whole or in part, to the borrower (s) before, during or after loan
closing. I (we) certify that the above statements are true and accurate.
_______________________________________
Seller
_______________________________________
________________________
Seller(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 SETTLEMENT AGENT IN AN FHA-INSURED HECM LOAN TRANSACTION(s)
To the best of my knowledge, the HUD-1 Settlement Statement which I have prepared is a true and accurate account of the
funds which were (i) received, or (ii) paid outside of closing, and the funds received have been or will be disbursed by the
undersigned as part of the settlement of this transaction. I further certify that I (we) have obtained the above certifications
which were executed by the borrower(s) and seller(s) as indicated.
____________________________________
Settlement Agent
____________________________________
Attorney at Law
___________________________
Date
[The certifications contained herein may be obtained from the respective parties at different times or may be obtained on
separate addenda]
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. 2

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