Form Hud-56001-Mh - Credit Application For Manufactured (Mobile) Home - U.s. Department Of Housing And Urban Development Page 2

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8a. Employment and Salaries (

8b. Co-Applicant

if Self-Employed, Submit Current Financial Statement.)

Applicant Employer Name & Business Address

Co-Applicant Employer Name & Business Address

Business Phone Number

Type of Work or Position

Business Phone Number

Type of Work or Position

Number of Years

Salary per week or month (Gross)

Number of Years

Salary per week or month (Gross)

per

Applicant Previous Employer Name & Business Address

Co-Applicant Previous Employer Name & Business Address

Business Phone Number

Type of Work or Position

Business Phone Number

Type of Work or Position

Number of Years

Salary per week or month (Gross)

Number of Years

Salary per week or month (Gross)

per

9. Applicants' Debts.

List all fixed obligations, installment accounts, FHA loans, and debts to banks, finance companies and Government agencies outstanding or Paid in Full.

If more space is needed, list all additional debts on separate pages and attach them to this form.

Present

Monthly

Amount

Automotive Liens

Balance

Payment

Past Due

Lien Holder

Year & Make

Lien Holder

Year & Make

Other Liens (to whom indebted)

FHA Insured

Date

Original

Present

Monthly

Amount

Name & Account Number

City & State

Yes

Incurred

Amount

Balance

Payment

Past Due

Monthly Rent

Monthly Utilities

10. The Manufactured Home will be located in

Manufactured Home Park

(name & address)

Type of Ownership

Private Site

Land Contract

(address)

Mortgage or Trust Deed

11. Proceeds of This Loan Will Be Used to Purchase a Manufactured (Mobile) Home Furnishings and Other Accessories as

Year

Manufacturer's Name

Model Name & Number Manufacturer's Serial No Length

Width

Color

Cost

Describe Optional Equipment

I (We) certify that the above statements are true, accurate, and complete to the

I / We certify that: (1) I / We am/are the person(s) who sold the Manufactured (Mobile)

Home. (2) The Contract contains the whole agreement with the borrower. (3) The

best of My (Our) knowledge and belief. This Application shall remain the property

borrower has not been given or promised a cash payment or rebate nor has it been

of the Lending Institution to which submitted for the purpose of obtaining a loan.

represented to the borrower that he/she will receive a cash bonus or commission on

I (We) hereby consent to and authorize the Lending Institution or the HUD-FHA,

future sales as an inducement for the consummation of this transaction; no encour-

after the giving of reasonable notice, to enter the secured property for the purpose

agement of trial purchase; no promise that the Manufactured (Mobile) Home will be

of determining that the Manufactured (Mobile) Home specified in this Application

used as a model for advertising or other demonstration purposes; and no offer of debt

has been delivered and installed.

consolidation.

Applicant's Name & Signature

Dealer's Name & Signature

Co-Applicant's Name & Signature

Dealer Representative's Name & Signature

Warning: HUD will prosecute false claims and statements. Conviction may result in criminal and/or civil penalties. (18 U.S.C. 1001, 1010, 1012; 31 U.S.C. 3729,3802)

If application is prepared by any other than the applicant, the person preparing the application must sign below. I (we) certify that the statements made herein are

based upon information given to me (us) by the borrower(s) and are accurate to the best of my (our) knowledge and belief.

Signature & Address of Preparer other than Borrower

Previous editions are obsolete.

Page 2 of 2

ref Handbook 4700.1

form HUD-56001-MH (5/93)