Form Hud-11701 - Application For Approval Fha Lender And/or Ginnie Mae Mortgage-Backed Securities Issuer - 2003 Page 5
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5FHA Certification
The undersigned agrees to comply with the provisions of the HUD regulations and the requirements of the Secretary of HUD.
I certify that I am authorized to execute this application on behalf of the applicant.
Section D. Ginnie Mae I and/or II Applicants (Fannie Mae and/or Freddie Mac Approved)
1. FHA Mortgagee Number (If applicable)
5. On a separate sheet, please provide a description of any restric-
tions on the applicant’s activities that have been imposed by
Fannie Mae and/or Freddie Mac. Please also provide a copy of the
applicant’s annual eligibility certification report and the most
recent compliance report from Fannie Mae and/or Freddie Mac.
2. Fannie Mae Seller/Servicer Number(s)
6. For those applicants applying for approval in Ginnie Mae's multi-
family program, provide eligibility certification of multifamily ap-
proval by Fannie Mae and/or Freddie Mac.
3. FHLMC Seller/Servicer Number(s)
7. For those applicants who are not approved for Fannie Mae's and/
or Freddie Mac's multifamily program, provide two resumes show-
ing the relevant experience in multifamily origination and servicing
for the past ten years.
4. Total Dollar Amount of Mortgage Servicing Portfolio
(Servicing)
(Sub-servicing)
$
$
Section E. Ginnie Mae I and/or II Applicants (No Fannie Mae or Freddie Mac Approval)
1. FHA Mortgagee Number: (If applicable)
5. On a separate sheet, please list Investors to whom the applicant
sells mortgages.
6. On a separate sheet, please list at least four resumes (minimum
of three full-time officers and one full-time employee) for the key
2. On a separate sheet, please provide a brief description of the
officers and employees of the applicant. The resume must show
applicant’s history. Please include operating and business plans.
the employee’s name, Social Security Number, date of birth, and
3. On a separate sheet, please provide the following: Mortgage loan
the relevant experience pertaining to the mortgage banking indus-
operations and volume of originations segregated by loan type
try. Please include each employee’s employment history for the
(i.e., conventional, FHA/VA, RHS) during the last three years for
past ten years by name of the employer, date, title, supervisor, and
single-family residential and multifamily loans.
a brief description of the duties, responsibilities, and accomplish-
ments. Each resume must also include an original signature and
4. On a separate sheet, please list Investors, number of loans and
date.
dollar amount for whom the applicant services mortgages (sub-
servicing is to be identified and broken out separately using the
same format).
Section F. Ginnie Mae Certifications (All Ginnie Mae Applicants)
4. Agreements: The undersigned applicant by submitting this appli-
1. The financial statements submitted to Ginnie Mae are complete
cation agrees to issue and administer Ginnie Mae mortgage-
and accurate statements of the applicant’s financial condition.
backed securities and service pooled mortgages in accordance
2. To the best of its knowledge and belief, the information and data
with Section 306(g) of the National Housing Act, its applicable
contained herein are true and correct. Further, it is the opinion of
regulations; and the applicable “Government National Mortgage
the undersigned that it has powers and authority sufficient to act
Association Mortgage-Backed Securities Guide” (Ginnie Mae I:
as issuer of Ginnie Mae mortgage-backed securities.
Ginnie Mae II: Handbook 5500.3).
3. Each applicant warrants that while the application is pending
action by Ginnie Mae, the applicant will notify Ginnie Mae in
writing of a change in any material factor that could affect the
application decision.
All Applicants are required to sign and date the application.
Applicant
Date
Signature (must be original)
Name (printed or typed)
Title (must be President, Vice President, Partner, or Managing Member)
Approved
(HUD Use Only)
Title I ID Number
U.S. Department of Housing and Urban Development,
Director, Office of Lender Activities and Program Compliance
Title II ID Number
By: (Signature of Director, Lender Approval and Recertification Division)
Date
Previous editions are obsolete.
form HUD-11701 (07/2003)
Replaces HUD-92001, 92001-D and LD
Page 3 of 3
ref Handbooks 5500.3, Rev. 1 and 4060.1
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