Form Hud-2205-A - Mortgagor'S Certificate Of Actual Cost

Download a blank fillable Form Hud-2205-A - Mortgagor'S Certificate Of Actual Cost in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Hud-2205-A - Mortgagor'S Certificate Of Actual Cost with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

U.S. Department of Housing and

Mortgagor's Certificate

OMB No. 2502-0044 (Exp. 12/31/2009)

Urban Development

of Actual Cost

Office of Housing

Federal Housing Commissioner

(Section 207 Pursant to Section 223f)

Public reporting burden for this collection of information is estimated to average 4 hours per response, including the time for reviewing instructions, searching

existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This information is required to

obtain benefits. HUD may not collect this information, and you are not required to complete this form, unless it displays a currently valid OMB Control

Number.

Section 227 of the National Housing Act (Section 126 of the Housing Act of 1954, Public Law 560, 12 U.S.C., 1715r) authorizes the collection of this informa-

tion. This information is required for a general contractor when an identity of interest exists between the general contractor and the mortgagor or when the

mortgagor is a non-profit entity and a cost plus contract has been used. The information is required for the Section 223(f) program which involves the

purchase or refinance of an existing project. The information is used by HUD for Section 223(f) projects only to determine if actual cost of improvements

equaled or exceeded the proceeds of the loan and the amount by which the proceeds of loan exceeded actual cost.

Privacy Act Notice. The United States Department of Housing and Urban Development, Federal Housing Administration, is authorized to solicit the

information requested in this form by virtue of Title 12, United States Code, Section 1701 et seq., and regulations promulgated thereunder at Title 12, Code of

Federal Regulations. While not assurances of confidentiality is pledged to respondents, HUD generally discloses this data only in response to a Freedom of

Information request.

Secretary of Housing and Urban Development

To:

Project No.

c/o

Project Name

Location

The actual cost to the undersigned of labor, materials and necessary services for the purchase/ or refinancing of the existing property (land and improvements)

in connection with the subject loan, after excluding any kickbacks, rebates, adjustments made or to be made are as follows:

Item

Paid

To be Paid at

Total

Endorsement

Purchase Price or Existing Indebtedness

Repairs (Itemize on Schedule A on the back of this form)

HUD Fees

Lender's Fee (Loan origination and closing)

Recording Expenses

Legal and Organizational Expense (Attach an itemized schedule)

Other Expense (Itemize on Schedule C on the back of this form)

Total Cost

This certification is made, presented and delivered for the purpose of influencing an official action on behalf of the Secretary of Housing and Urban Development.

This certification may be relied upon as a true statement of the facts contained herein.

Signature of Borrower

Date

Warning: U.S. Code, Title 31, Section 3729, False Claims, provides a civil penalty of not less than $5,000 and not more than $10,000, plus 3 times the amount

of damages for any person who knowingly presents, or causes to be presented, a false or fraudulent claim; or who knowingly makes, uses, or causes to be

used, a false record or statement; or conspires to defraud the Government by getting a false or fraudulent claim allowed or paid.

Warning: U.S. Criminal Code, Section 1010, Title 18, U.S.C., “Department of Housing and Urban Development and Federal Housing Administration

transactions”, Provides in part: “Whoever, for the purpose of . . . influencing in any way the action of such Department . . . makes, passes, utters, or publishes

any statement, knowing the same to be false . . . shall be fined not more than $5,000 or imprisoned not more than two years or both.”

To Lender: Maximum Insurable Loan (For Completion by HUD)

Total Per Line Item 8

$ ____________________

Less Disallowed Amounts

_____________________

Subtotal

$ ____________________

Mortgage Amount

A. ________ % of Item 3 (Enter 85% if Acquisition; 100% if Refinanced)

$ ____________________

B. Amount Committed for Insurance