HUD 9548-a Certification of Law Enforcement Officer / Teacher / Fir

Certification of Law Enforcement Officer /
Teacher / Firefighter / Emergency Medical
Technician
Property Disposition Program
Officer / Teacher / Firefighter / Emergency Medical
Technician Next Door Sales Program
Public reporting burden for this collection of information is estimated to
average 10 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. HUD may not
collect this information, and you are not required to complete this form,
unless it displays a currently valid OMB control number.
This information is required in order to administer the Property
Disposition Sales Program (24 CFR Part 291). The collection of
information is required in order to provide a binding contract between the
property purchaser and HUD. A real estate broker or one of its agents
completes this form. This is an addendum to the Sales Contact and will
be used as part of the contract. If this information were not collected,

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

OMB Approval No. 2502-xxxx
(exp. xx/xx/xxxx)

HUD would not be able to administer the Property Disposition Sales
Program properly to avoid waste, mismanagement, and abuse. While no
assurances of confidentiality are pledged to respondents, HUD generally
discloses this data only in response to a Freedom of Information request.
Failure to provide this information could affect your participation in HUD’s
Property Disposition Program.
Warning: Falsifying information on this or any other form of the
Department is a felony. It is punishable by a fine not to exceed $250,000
and/or a prison sentence of not more than two years. Failure to adhere to
the residency and resale requirements may result in administrative
sanctions being taken against the Law Enforcement Officer / Teacher /
Firefighter / Emergency Medical Technician.

Applicant’s Employer’s Certification of Employment
Name of Law Enforcement Officer
/ Teacher / Firefighter /
Emergency Medical Technician
Print or type

I hereby certify that
________________________________________________________ is: (check the appropriate box)
a Law Enforcement Officer who, for purposes of this program, is defined as an individual who is
employed full-time by a Federal, State, county, or municipal government and is sworn to uphold, and make
arrests for violations of, Federal, State, county, or municipal law and is in good standing with the department;
a Teacher, who, for purposes of this program, is defined as an individual employed full time by a public
school, private school, or Federal, State, county, or municipal educational agency as a State-certified
classroom teacher or administrator in grades K through 12; or
a Firefighter or Emergency Medical Technician, who, for purposes of this program, is defined as an
individual who is employed as a full-time firefighter or emergency medical technician by a fire department or
emergency medical services responder unit of the federal government, a state, a unit of general local
government, or an Indian tribal government serving the area where the home is located.

Print or type your name
Print or type your title
Agency Name
Agency Address
Telephone Number
Your signature and date
(mm/dd/yyyy)

Certification of Law Enforcement Officer / Teacher / Firefighter / Emergency Medical Technician
Name of Law Enforcement Officer
/ Teacher / Firefighter /
Emergency Medical Technician
Print or type

This is to certify that

I, ___________________________________, will, for at least 3 years from the agreed-upon occupancy
start date, continuously own and use the property I am purchasing from HUD, as my sole residence. I further
certify that I will dispose of my ownership interest in any other residential real property prior to the purchase
of a HUD home under this program, and that I will not acquire or own any other residential real property for
the 3 year period described above. If I am a teacher, I also certify that the HUD home I intend to purchase is
located within the school district or jurisdiction served by my employer, or, in the instance that the employer
is a private school, then, that the employer serves students from the public school district where the home is
located. If I am a firefighter/emergency medical technician, I also certify that the HUD home I intend to
purchase is located in the jurisdiction where I am employed. My signature further acknowledges that, in
consideration of these conditions, I will receive a monetary benefit in the form of a 50% discount off HUD’s
appraised value of the home. I also certify that I will notify HUD within thirty days of any changes that will
affect the foregoing obligations.

Your signature and date
(mm/dd/yyyy)

Clear All
Previous editions obsolete

Print
ref. Handbook 4310.5

HUD-9548-A
(09/29/2005)