Application for FHA-Insured Mortgage

CERTIFICATION OF BUYER IN AN FHA-INSURED LOAN TRANSACTION

I certify that I have no knowledge of any loans that have been or will be made to me (us) or loans that have been or will be assumed by me (us) for purposes of financing this transaction, other than those described in the sales contract dated __________(including addenda).  I certify that I (we) have not been paid or reimbursed for any of the cash downpayment.  I certify that I (we) have not and will not receive any payment or reimbursement for any of my (our) closing costs which have not been previously disclosed in the sales contract (including addenda) and/or my application for mortgage insurance submitted to my (our) mortgage lender.

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Borrowers                                           Date

CERTIFICATION OF SELLER IN AN FHA-INSURED LOAN TRANSACTION

     I certify that I have no knowledge of any loans that have been or will be made to the borrower(s), or loans that have been or will be assumed by the borrower(s), for purposes of financing this transaction, other than those described in the sales contract dated ____________ (including addenda).  I certify that I have not and will not pay or reimburse the borrower(s) for any part of the cash downpayment.  I certify that I have not and will not pay or reimburse the borrower(s) for any part of the borrower's closing costs which have not been previously disclosed in the sales contract (including any addenda).

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Sellers                                             Date

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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CERTIFICATION OF SETTLEMENT AGENT IN AN FHA-INSURED LOAN TRANSACTION

To the best of my knowledge, the HUD-1 Settlement Statement which I have prepared is a true and accurate account of the funds which were (i) received, or (ii) paid outside closing, and the funds received have been or will be disbursed by the undersigned as part of the settlement of this transaction.  I further certify that I have obtained the above certifications which were executed by the borrower(s) and seller(s) as indicated.

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Settlement Agent                                     Date