HUD 92001-F Application Fee for Title II

Application Fee for Title II Mortgagee Approval, Additional Branch(es), or Conversion of Mortgagee Type

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

OMB Approval No. 2502-0005 (exp. _______)

This form MUST accompany all application fee payments. Mail this form and your check to: HUD, P. O. Box 198619, Atlanta, GA 30384. A copy should be included with your application.

Mortgagee Name:

Federal Tax Identification Number: (10 digits)

HUD/FHA Title II Identification Number: (10 digits)

(if applicable)

Type of application: (please check the appropriate box)

Initial Application ($1,000)

Additional Branch ($300)

Conversion of Mortgagee Type ($300)

Mortgagees seeking first time approval (initial applications) must enter their federal tax identification number in the memo portion of the check. Mortgagees filing all other types of applications should put their Title II 10-digit HUD/FHA identification number in the memo portion of the check.

Public Reporting Burden for this collection of information is estimated to average 0.05 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. 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 to minimize its risk. Applicants are not required to respond to this collection of information unless a currently valid approved OMB control number is displayed. While no assurances of confidentiality are pledged to respondents, HUD generally discloses this data only in response to a Freedom of Information Act request.

Replaces HUD-11701-B Form HUD-92001- F (1/15/09)