Form HUD-9250 Funds Authorizations

Funds Authorizations

OMB Approval No. 2502-0555
(exp. 02/28/2007)

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

Public reporting burden for this collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining 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.
The regulations at 24 CFR Part 880.601 and 24 CFR Part 880.602 authorizes the Secretary of the Department of Housing and Urban Development to
effectively monitor withdrawals from the Reserve for Replacements and/or Residual Receipts Funds. This information collection sets forth the
information that must be reviewed and approved by HUD in order to withdraw funds from these accounts. While no assurances of confidentiality are
pledged to respondents, HUD generally discloses this data only in response to a Freedom of Information Act request.

Instructions: Indicate the Fund for the request and provide the information for each section as requested.
Project Number:
Reserve for
Residual Receipts Fund
Replacements Fund
Mortgagee Loan Number: (Optional)
Property Address: (Include City, State, and Zip Code)

To: (Mortgagee)

Comments: (Optional)

This is your authority to release the following amounts from the reserve:
Purpose:

Amount
$
$
$
$
$
$
$
$
$
$
$

Total Amount
0.00
Check (X) appropriate box:
An inspection made on the date of (mm/dd/yyyy)
revealed satisfactory replacement and/or installation.
An inspection will be made on the next visit to the property. Satisfactory replacement and/or installation will be determined at that
time.
This Office has approved (Check (X) appropriate boxes.) This is your authority to adjust the Reserve requirements accordingly. This
authority is revocable upon written notice from HUD.
A suspension of Deposits to the Reserve from the date of (mm/dd/yyyy)
to the date of (mm/dd/yyyy)
A suspension of Deposits to the Reserve so long as a balance of $
___ is maintained.
A change in the Monthly Deposit to the Reserve from $
to $
effective the date of (mm/dd/yyyy)
through the date (mm/dd/yyyy)
Remarks (optional)

To: (Mortgagor/Managing Agent)

Name of Hub Director or Program Center Director: (please type or print)
Signature

Mortgagee: Retain this record for three years.
Distribution: One copy to Mortgagor and HUD files.

City

State

Clear All

Print

Date (mm/dd/yyyy)

form HUD-9250
Ref. Handbook 4350.1
11/1/2006