State Form 53265/form Lb 5 - Claim Of Exemption Page 3
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7Required Evidence for Claiming an Exemption
If claiming a:
Then evidence must include:
Fannie Mae (Federal National Mortgage
copy of letter from Fannie Mae stating the loan
Association) exemption
broker is “authorized to sell and service loans for
the Federal National Mortgage Association”
Freddie Mac (Federal Home Loan Mortgage
copy of letter from Freddie Mac stating the loan
Corporation) exemption
broker is “authorized to sell and service loans for
the Federal Home Loan Mortgage Corporation”
Ginnie Mae (Government National Mortgage
copy of letter from Ginnie Mae stating the loan
Association) exemption
broker is “authorized to issue securities backed by
the Government National Mortgage Association”
USDA (United States Department of Agriculture
copy of letter from USDA stating the loan broker
Rural Housing Service) exemption
is “authorized to make loans insured by the United
States Department of Agriculture Rural Housing
Service (or USDA)”
HUD Lender exemption (i.e. Supervised or Non-
copy of letter from HUD stating the loan broker is
supervised Mortgagee)
“authorized to make loans insured by the United
States Department of Housing and Urban
Development (or HUD)”
HUD Loan Correspondent exemption (i.e.
copy of letter from HUD stating the loan broker is
Supervised or Non-supervised Loan
“authorized to act as a correspondent of loans
Correspondent)
insured by the United States Department of
Housing and Urban Development (or HUD)”
-AND-
a statement of the number of HUD insured loans
that the loan broker has closed in the state of
Indiana during the last calendar year and during
the current year as of the last practicable date.
VA (United States Department of Veterans
Copy of letter from VA stating the loan broker is
Affairs) exemption
“authorized to act as a supervised lender of the
United States Department of Veterans Affairs (or
VA)”
Note: Pursuant to Indiana Code § 23-2-5-19(f) an
-or-
exemption that applies to a person under Indiana
copy of letter from VA stating the loan broker is
Code § 23-2-5-19(a)(8)(D) does not extend to a
“authorized to act as a nonsupervised automatic
registered United States Department of Veterans
lender of the United States Department of
Affairs agent.
Veterans Affairs (or VA)”
REST OF PAGE INTENTIONALLY LEFT BLANK
State Form 53265 (R3 / 4-08) / Form LB 5
Page 3 of 7
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