ࡱ>   8bjbj ;BA@KKKKK___8s_Z8O/"L{"{"{"j#J#,#a7c7c7c7c7c7c7<:<c7KS'j#j#S'S'c7KK{"{"8)))S'K{"K{"a7)S'a7))r=1T=2{"+_(d1M7*80Z81j={(j==2j=K=2#$|)"%d%###c7c7)###Z8S'S'S'S'j=######### : Application for Federal Housing Administration (FHA) Lender Approval U.S. Department of Housing and Urban DevelopmentOMB Approval Number 2502-0005 exp. 05/31/2010Section 1: Applicant Information Name:  FORMTEXT      DBA name(s), if applicable. Use separate sheet for any additional DBAs  FORMTEXT      TAX ID:  FORMTEXT      Date Incorporated, Organized or Chartered:  FORMTEXT      Geographic Address  FORMTEXT      Mailing Address (if different)  FORMTEXT      Fiscal Year End (Month):  FORMTEXT       County:  FORMTEXT      Phone:  FORMTEXT       Fax:  FORMTEXT      Web Site:  FORMTEXT      eMail:  FORMTEXT      Contact PersonName  FORMTEXT      eMail  FORMTEXT      Phone  FORMTEXT      Fax  FORMTEXT      Affiliation with Home Builder  FORMCHECKBOX  Yes  FORMCHECKBOX  No If yes, Name:  FORMTEXT       Tax ID:  FORMTEXT      Minority/Women-Owned Business (Optional)  FORMCHECKBOX  Minority-Owned  FORMCHECKBOX  Women-Owned  FORMCHECKBOX  Minority-Owned/Women-OwnedAll Applicants must provide the following information below for all officers, directors, partners, managers and owners. Please indicate which officer will be in charge of the day-to-day operations of the applicants planned FHA operations. Attach a separate sheet for any additional persons or owning entities.Name of Person or Owning EntityTitle (If Applicable)Officer in Charge?Social Security or TAX ID NumberPercent Ownership FORMTEXT       FORMTEXT       FORMCHECKBOX  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMCHECKBOX  FORMTEXT       FORMTEXT       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. Section 2: FHA Lender Approval Type, Loan Programs and Lender FunctionsFHA Lender Approval TypeFHA Loan ProgramsLender Functions FORMCHECKBOX  Nonsupervised Lender  FORMCHECKBOX  Supervised Lender  FORMCHECKBOX  Government Lender  FORMCHECKBOX  Investing Lender FORMCHECKBOX  Title II Single Family (Forward and Reverse Mortgage Programs)  FORMCHECKBOX  Title II Multifamily (Rental Housing, Nursing Homes, Hospitals, etc.)  FORMCHECKBOX  Title I (Property Improvement and Manufactured Home Loans) FORMCHECKBOX  Originate  FORMCHECKBOX  Underwrite***  FORMCHECKBOX  Service  FORMCHECKBOX  Own***See HUD Handbook 4155.2 for information on how to obtain Direct Endorsement (DE) Underwriting Approval for Single Family Loans.Supervised Applicants -- Examined and Supervised by:  FORMCHECKBOX  Federal Reserve System  FORMCHECKBOX  Federal Deposit Insurance Corporation  FORMCHECKBOX  Office of Thrift Supervision  FORMCHECKBOX  National Credit Union Administration  FORMCHECKBOX  Other:  FORMTEXT       Section 3: List of Supplemental Information to be Submitted with Application Form 92001-A Supplemental information required to be submitted with form HUD-92001-A to demonstrate that an applicant meets FHA requirements for approval. Details about each item are in HUD Handbooks 4060.1 and 4700.2, subsequent Mortgagee Letters and Title I Letters which are available at: HYPERLINK "http://www.hud.gov/offices/adm/hudclips/"http://www.hud.gov/offices/adm/hudclips/ Check the appropriate box to indicate that each required document has been included with the application package FORMCHECKBOX Nonsupervised Lender FORMCHECKBOX Supervised Lender FORMCHECKBOX Government Lender FORMCHECKBOX Investing Lender1State License or Registration FORMCHECKBOX  FORMCHECKBOX 2DBA Approval(s), If applicable FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX 3Commercial Credit or Dun & Bradstreet Business Report on Applicant  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX 4Audited Financial Report on Applicant  FORMCHECKBOX  FORMCHECKBOX 5LLC Articles of Organization and Operating Agreement, if applicable. FORMCHECKBOX  FORMCHECKBOX 6Partnership Agreement Information, if applicable.  FORMCHECKBOX  FORMCHECKBOX 7Evidence of Office Facilities FORMCHECKBOX 8Funding Program FORMCHECKBOX  FORMCHECKBOX 9Quality Control Plan  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX 10Copy of Fidelity Bond FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX 11Copy of Errors & Omissions Insurance FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX 12Resume(s) FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX 13Credit Reports on Principals FORMCHECKBOX  FORMCHECKBOX  Section 4: Certifications and Acknowledgments: Check the appropriate box next to each certification and/or acknowledgment. You must provide a detailed explanation for any certification where you mark the No box. The explanation must be on the applicants letterhead, and must be dated and signed by the same person who signs this application. 1. I certify I am a corporate officer and/or principal/owner of the above-named applicant with the authority to legally bind the applicant and to execute these certifications and acknowledgments on behalf of the applicant.Yes  FORMCHECKBOX 2. I certify the applicant is not subject to any assessments or contingent liabilities not disclosed in its financial statements. Yes  FORMCHECKBOX  No  FORMCHECKBOX 3. I certify any required application fee has been paidYes  FORMCHECKBOX  No  FORMCHECKBOX 4. I certify that neither the applicant nor any of its principals, partners, officers, individuals serving on its board of directors, managers, supervisors, loan originators, loan processors, loan underwriters, individuals acting as authorized signatories or other employees are:(a) Suspended, debarred, under a limited denial of participation (LDP), or otherwise restricted under Part 25 of Title 24 of the Code of Federal Regulations, 2 Code of Federal Regulations, Part 180 as implemented by Part 2424, or any successor regulations to such parts, or under similar provisions of any other Federal or State agencies;Yes  FORMCHECKBOX  No  FORMCHECKBOX (b) Under indictment for, have been convicted of, or charged with a felony offense that reflects adversely upon the applicants integrity, competence or fitness to meet the responsibilities of a FHA approved lender;Yes  FORMCHECKBOX  No  FORMCHECKBOX (c) Subject to unresolved findings contained in a Department of Housing and Urban Development or other governmental audit, investigation, or review;Yes  FORMCHECKBOX  No  FORMCHECKBOX (d) Engaged in business practices that do not conform to generally accepted practices of prudent lenders or that demonstrate irresponsibility, including, but not limited to, failure to satisfy debts due and owing to FHA/HUD, or associating or affiliating, for the purpose of conducting mortgage business, with a person or entity previously sanctioned/fined by HUD;Yes  FORMCHECKBOX  No  FORMCHECKBOX (e) Convicted of, or has pled guilty or nolo contendre (no contest) to, a felony related to participation in the real estate, mortgage loan, or financial services industry (1) During the 7-year period preceding the date of the application for licensing and registration; or (2) At any time preceding such date of application, if such felony involved an act of fraud, dishonesty, breach of trust, or money laundering;Yes  FORMCHECKBOX  No  FORMCHECKBOX (f) In violation of provisions of the S.A.F.E. Mortgage Licensing Act of 2008 (12 U.S.C. 5101 et seq.) or any applicable provision of state law;Yes  FORMCHECKBOX  No  FORMCHECKBOX (g) In violation of any other requirement established by the Secretary;Yes  FORMCHECKBOX  No  FORMCHECKBOX (h) Currently or presently suspended, terminated, debarred, sanctioned, fined, convicted, denied approval, or subject to a license/approval revocation by any federal, state, or local government agency, or a government-related entity, where the action is related to the responsibilities that are commensurate with those of the financial services industry; andYes  FORMCHECKBOX  No  FORMCHECKBOX (i) Currently involved in a proceeding or subject to an investigation that could result, or has resulted, in suspension, fine, debarment, or other sanction by a federal, state, or local government agency, conviction in a criminal matter, bankruptcy or loss of fidelity insurance or errors and omissions insurance coverage.Yes  FORMCHECKBOX  No  FORMCHECKBOX 5. I certify that no mortgage insurance companies, secondary marketing agencies, warehouse lenders, or broker/dealers have denied the applicant approval in the past three years from the date of these certifications.Yes  FORMCHECKBOX  No  FORMCHECKBOX 6. I certify the applicant, its principals, partners, officers, and/or directors, have not been subject to any past or present action by HUD, VA, Fannie Mae, Freddie Mac, or other government-related entity in which there has been a request to repurchase a loan or to indemnify the entity against loss.Yes  FORMCHECKBOX  No  FORMCHECKBOX 7. I certify the applicant is not currently subject to, previously been, or is proposed for regulatory or supervisory action by any regulatory entity. Regulatory actions include, but are not limited to, supervisory agreements, cease and desist orders, notices of determination, notices of proposed actions, formal memoranda of understanding, informal memoranda of understanding, unresolved audits, revocation of license(s) and investigations. Supervisory actions include, but are not limited to, the appointment of a trustee, receiver, conservator, or managing agent.Yes  FORMCHECKBOX  No  FORMCHECKBOX 8. I acknowledge on behalf of the applicant, its continuing obligation to notify HUDs Lender Approval and Recertification Division, in writing, within 5 days of any change to the information or documentation provided in connection with this application for approval while the this application is pending review. Yes  FORMCHECKBOX  9. I certify that neither the applicant nor any of its owners, principals, officers, managers or supervisors have been involved, through ownership or otherwise, with a previously defaulted Ginnie Mae issuer(s), an FHA-approved mortgagee that was subject to action by the Mortgagee Review Board, and/or an entity subject to a civil or criminal action by federal or state law enforcement.Yes  FORMCHECKBOX  No  FORMCHECKBOX 10. I certify that, upon the submission of this application, and with its submission of each loan for insurance or request for insurance benefits, the applicant has and will comply with the requirements of the Secretary of Housing and Urban Development, which include, but are not limited to, the National Housing Act (12 U.S.C. 1702 et seq.) and, HUDs regulations, FHA handbooks, mortgagee letters, and Title I letters and policies with regard to using and maintaining its FHA lender approval.Yes  FORMCHECKBOX 11. I acknowledge on behalf of the applicant, its continuing obligation to notify HUDs Lender Approval and Recertification Division, in writing, within 10 days of issuance of any notice (or proposed notice) of violation, revocation, sanction, suspension, or any other administrative action/proceeding initiated by a state or federal regulatory entity.Yes  FORMCHECKBOX I hereby certify that all of the information I have provided on this form and in any accompanying documentation is true and accurate to the best of my knowledge and belief. 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7$8$H$gdhs|kdv$$Ifl0( t0044 layt $7$8$H$Ifgd B133/P3214 Washington, DC 20410Overnight Delivery Dept of HUD FHA Lender Approval & Recertification Division 490 LEnfant Plaza East, SW, Suite 3214 Washington, DC 20024 Public Reporting Burden for this collection of information is estimated to average 2.0 hours 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. The information requested on this form is required by 24 CFR Part 202, HUD Handbook 4060.1 or HUD Handbook, 4700.2. The information collected assists FHA in determining which lenders should be approved to participate in the FHA single and multifamily insurance programs. It is used to help FHA minimize its risk in insuring single family and multifamily mortgages. Applicants are not required to respond to this collection of information unless a currently valid approved OMB control number is displayed on the form. Privacy Act Statement. Names and Social Security Numbers are requested in order for the Department to obtain positive identification of the applicants officers, directors, stockholders and employees who have authority to obligate the applicant. The information requested will be used solely to determine the eligibility of the individuals to participate in the Departments mortgage insurance programs. The Department is authorized to request this information by Executive Order 9397 and it will not be disclosed outside the Department without prior consent except as required or permitted by law. The Social Security Numbers are provided to HUD on a voluntary basis. Failure to provide this information could cause delay in processing of the applications. While no assurances of confidentiality are pledged to respondents, HUD generally discloses this data only in response to a Freedom of Information Act request Warning: It is a crime to knowingly make false statements to the United States on this or any other similar form. Penalties upon conviction can include a fine and imprisonment. For details, see: Title 18 U.S. Code, Sections 1001 and 1010.     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