Form Hud-646 - Worksheet For Reconcilement Of Insurance Charges From The Title I Monthly Statement

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OMB Approval No. 2502-0328

(exp. 06/30/2006)

Worksheet for Reconcilement of Insurance Charges from the Title I Monthly Statement

Public reporting burden for this collection of information is estimated to average 1 hour 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.

This information is being collected to permit more efficient risk management of the Title I loan portfolio as well as facilitate claims processing for loan defaults.

The information provides a more comprehensive basis for evaluating Title I lender underwriting practices and thereby improving risk management of the loan

portfolio and also enhances management’s ability to determine appropriate policy changes affecting the Title I portfolio as a whole. While no assurances of

confidentiality are pledged to respondents, HUD generally discloses this data only in response to a Freedom of Information request.

The use of this worksheet is optional. The worksheet is provided to assist Title I Lenders to make the proper deductions from their

monthly bill amount and assist them to make the proper electronic payment using the Automated Clearing House (ACH) system.

A.Total insurance charge on this statement

Contract Number

Statement Date (MM/YYYY)

B. Deductions: Schedule 1 $

Deductions: Schedule 2 $

Total Deductions from Schedules 1 and 2

C. Amount of Remittance (A-B)

Schedule 1. Loans Paid in Full Prior to Insurance Charge Due Date.

All other allowable deductions should be listed under Schedule 2.