Eligibility of a Nonprofit Corporation/Housing Consultant Certification

HOUSING CONSULTANT’S CERTIFICATE

U. S. Department of Housing and Urban Development Office of Housing Federal Housing Commissioner

Exempt from OMB approval. Form is a certification. 5 C.F.R. 1320.3(h)(1)

Public burden for this collection of information is estimated to average 5 minutes 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.

Section 207(b)(1) and (2) of the National Housing Act authorizes the Secretary of the Department of Housing and Urban Development to make a determination that the sponsor and/or mortgagor is truly a nonprofit and demonstrates probable success in project development and continuing operation. HUD uses the information collected to determine that a Housing Consultant’s efforts are directed exclusively toward serving the nonprofit sponsor and tenants. HUD may disclose this information to Federal, State, and local agencies when relevant to civil, criminal, or regulatory investigations and prosecutions. The information will not be otherwise disclosed or released outside of HUD, except as required and permitted by law as required by the Freedom of Information Act.

TO: The Secretary of Housing and Urban Development

c/o

SUBJECT: Project No.

Project Name

Location

The undersigned, as Housing Consultant, hereby certifies:

1. That I have not been and will not be during the term of my Contract with the Sponsor an employee, official or member of the Sponsor or Owner of this project except as Housing Consultant and Management Agent, (delete reference to Management Agency, if not applicable) and I have not obtained and will not obtain any financial interest in the project, not the operation thereof;

2. That, except for the fee specified in my Contract with the Sponsor for Housing Consultant Services and Management Agent (delete reference to Management Agent, if not applicable), I have neither accepted not shared and will neither accept nor share any compensation or remuneration, directly, or indirectly, in any form whatsoever, from or with any party interested in the development or operation of this project, including, but not limited to, the seller of the land, attorney, architect, mortgagee, surety, title company, general contractor, and subcontractor or material man; and

3. That I have not, not to the best of my knowledge and belief has any person employed by me to perform Housing Consultant services or Management Services (delete preferences to Management Services if not applicable), accepted compensation or remuneration contrary to the intention of the aforesaid Contract, and that I understand the intent of the Contract is to prohibit the Housing Consultant and its employees from any transaction which would create a conflict of interest with other persons or entities participating in the development and operation of the project.

______________________________ _________________________________

(Date) (Housing Consultant)

WARNING

Section 1010 of Title 18 of the United States Code (Criminal Code and Criminal Procedure, 72 Stat. 967) shall apply to such statements. (18 U.S.C. 1010, among other things, provides that whoever knowingly and willfully makes or uses a document or writing containing any false, fictitious, fraudulent statement or entry, in any matter within the jurisdiction of any department or agency of the United States, shall be fined not more than $10,000 or imprisoned for not more than five years, or both.)

Replaces FHA-2531, which is obsolete form HUD-92531 (12/11/2006)