Form Hud-92541 - Builder'S Certification Of Plans, Specifications, & Site - 2001 Page 2

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Affirmative Fair Housing Marketing Plan (AFHMP)
11.
Did you sell five (5) or more houses in the last twelve (12) months
or do you intend to sell five (5) or more houses within the next twelve (12) months with HUD mortgage insurance?
Yes
No
If "Yes," check either a, b, or c below.
a.
I am a signatory in good standing to a Voluntary Affirmative Marketing Agreement (VAMA).
b.
I have an AFHMP which HUD approved on (mm/dd/yyyy) __________________________.
c.
I have a contract with _________________________________________________________________ _____________ to market this house.
d.
I certify that I will comply with the following: (a) Carry out an affirmative program to attract all minority and majority groups to the housing for initial
sale or rental. Such a program shall typically involve publicizing to minority persons the availability of housing opportunities regardless of race, color,
religion, sex, handicap, familial status or national origin, through the type of media customarily utilized by the applicants; (b) Maintain a
nondiscrimination hiring policy in recruiting from both minority and majority groups; (c) Instruct all employees and agents in writing and orally in
the policy of nondiscrimination and fair housing; (d) Conspicuously display the Fair Housing Poster in all Sales Offices, include the Equal Housing
Opportunity logo, slogan and statement in all printed material used in connection with sales, and post in a prominent position at the project site a
sign which displays the Equal Opportunity logo, slogan or statement, as listed in 24 CFR 200.620 and appendix to subpart M to part 200. I understand
that I am obliged to develop and maintain records on these activities, and to make them available to HUD upon request.
Builder: I hereby certify that the site analysis information is true and accurate to the best of my knowledge and belief. On all properties eligible for maximum
LTV financing, I further certify that the plans and specifications submitted herewith have been reviewed by the individual signing above and that the
individual has the knowledge and experience necessary to determine whether such plans and specifications comply with the HUD/FHA requirements set
forth at 24 CFR 200.926d and with other applicable HUD requirements as determined in accordance with 24 CFR 200.926(d)(1) and (2). Any subsequent
changes to these plans and specifications shall comply with the aforementioned requirements. Upon sale or conveyance of the property, the undersigned
will promptly furnish to lender a Warranty of Completion of Construction, form HUD-92544 on all properties eligible for maximum LTV financing.
12 a. Name of Builder's Company (type or print)
13 a. Name & Title of Builder (type or print)
b. Street Address
b. Signature of Builder
Date (mm/dd/yyyy)
c. City, State, & Zip Code
c. Telephone Number (include area code)
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).
This form must be complete and legible and must be reproduced to include both sides of the document.
Public reporting burden for this collection of information is estimated to average 15 minutes 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 agency may not collect this information, and you are not
required to complete this form, unless it displays a currently valid OMB control number.
Executive Order 11988 and HUD environmental regulations (24 CFR Part 51) require builders who build newly constructed properties to ensure that the property is not affected
by: flood hazards, noise, runway clear zones, explosive/flammable materials storage hazards, toxic waste hazards, and other foreseeable hazards that may affect the site. HUD
requires this information to determine whether the site/location factors would adversely affect the dwelling or homeowner. A response is required whenever a builder builds new
properties. Confidentiality is not applicable.
Previous editions are obsolete.
Page 2 of 3
ref. Handbook 4145.1
form HUD-92541 (4/2001)

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