Application for Federal Housing Administration (FHA)
OMB Approval Number 2502-0005
Lender Approval
exp. 07/31/2019
Name:
U.S. Department of Housing and Urban Development
Section 1: Applicant Information
TAX ID:
NMLS ID of Applicant:
DBA name(s), if applicable. Use separate sheet for any additional DBAs
Date Incorporated, Organized or Chartered:
Geographic Address
Mailing Address (if different)
Fiscal Year
End (Month):
County:
Phone:
Fax:
Web Site:
eMail:
Name:
eMail:
Contact
Person
Phone:
Fax:
Affiliation with Home Builder
Minority/Women-Owned Business (Optional)
Yes
No
If yes,
Minority-Owned
Women-Owned
Name:
Minority-Owned/Women-Owned
Tax ID:
Offices and Owners
. Please see Mortgagee Letter 2011-34 for details on which owners and officers must be listed. In
addition, please indicate which officer will be in charge of the day-to-day operations of the applicant’s planned FHA operations.
Attach a separate sheet for any additional persons or owning entities.
Name of Person or Owning Entity
Title (If Applicable)
Officer in
Social Security or
Percent
TAX ID Number
Ownership
Charge?
FHA Lender Approval Types: Please read the following to determine which approval type to apply for.
Nonsupervised Lender: Correspondent lenders and mortgage lenders should apply for this type of approval if
they want to underwrite, service, and/or own FHA insured loans. This type of approval also allows them to apply
for approval to originate all types of FHA insured loans, including multifamily loans.
Supervised Lender: Banks, savings banks, savings & loans and credit unions should apply for this type of
approval if they want to underwrite, service, and/or own FHA insured loans. This type of approval also allows them
to apply for approval to originate all types of FHA insured loans, including multifamily loans.
Government Lender: Federal, State and local government agencies should apply for this type of approval if they
want to underwrite, service, and/or own FHA insured loans. This type of approval also allows them to apply for
approval to originate all types of FHA insured loans, including multifamily loans.
Investing Lender: Any entity that only wants to own FHA insured loans should apply for this type of approval.
Form HUD-92001-A (08/16)
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