27029 Title I Refinancing Report

1. Contract Number
of Lending Instution

2.
Record
ID

U.S. Department of Housing and Urban Development
Albany Financial Operations
Premium Branch
52 Corporate Circle
Albany, NY 12203

To

From (name & address of lending institution)

A. Data on New Note

OMB Approval No. 2502-0328
(exp. 08/31/2009)

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

Title I
Refinancing Report

Notice: The loan reported on this form will not be in an
insured status until it appears on your monthly statement
and insurance charges are paid as billed. Before submitting this report, verify that your contract number entered in
block 1 is correct.

See the back of this form for codes and additional instructions.
3.
Names of Borrowers
(last, first)

4.
Institution Loan Number
(optional-11 digits max.)

5.
6.
7. No. of
Loan Disbursement Payment Payments
MM
DD YYYY
Mode
to Maturity

8.
Loan Amount

9.
10.
First Payment Date Interest
MM
DD YYYY Rate (%)

R
11.
Record
ID

Type of:
Property Location
12.
13.
14.
15.
Property Improvement State
County

16.
Race
Code

17.
Ethnicity
Code

18. Sex of
Borrowers
Code

19. Dealer
Loan?
(Y or N)

20.
Dealer's Name
(if block 18 is Yes)

21. Originated by
Another Lender?
(Y or N)

22. Contract Number of
Originating Lender
(if block 21 is Yes)

D
23. Amount of Additional Advance at Time of Refinancing

B. Data on Oldest Note Being Refinanced
Code 24. Title I Case Number

25. Date of Loan Disbursement
MM DD YYYY

26. Unpaid Balance

27. Monthly Statement on which
acknowledged (MM / YYYY)

F
C. Data on Second Oldest Note If two notes are being refinanced into one loan
Code 28. Title I Case Number

29. Date of Loan Disbursement
MM DD YYYY

30. Unpaid Balance

31. Monthly Statement on which
acknowledged (MM / YYYY)

F
D. Data on Third Oldest Note If three notes are being refinanced into one loan
Code 32. Title I Case Number

33. Date of Loan Disbursement
MM DD YYYY

34. Unpaid Balance

35. Monthly Statement on which
acknowledged (MM / YYYY)

F
For HUD Use Only

Mark the applicable box

This loan is being reported within 31 days after the date of
disbursement of the loan proceeds.
This loan is being reported more than 31 days after the date
of disbursement of the loan proceeds. I certify that this
loan is not in default.
Previous editions are obsolete

Signature of Authorized Official

Date Submitted

X
Name & Title of Authorized Official

Telephone Number

ref. Handbook 1060.2

form HUD-27029 (06/2003)

Public reporting burden for this collection of information is estimated to average 6 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 agency 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 being collected to permit more efficient risk management of the Title I loan portfolio as well as facilitate claims processing for loan defaults. The information provides a more
comprehensive basis for evaluating Title I lender underwriting practices and thereby improving risk management of the loan portfolio and also enhances management’s ability to determine appropriate
policy changes affecting the Title I portfolio as a whole. Responses are required in order to obtain benefits. No assurance of confidentiality is provided.
Sensitive Information: The information collected on this form is considered sensitive and is protected by the Privacy Act. The Privacy Act requires that these records be maintained with appropriate
administrative, technical, and physical safeguards to ensure their security and confidentially. In addition, these records should be protected against any anticipated threats or hazards to their security
or integrity which could result in substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom the information is maintained.
Instructions: This form is used for reporting refinancing within 31 days from the date the loan is made. The interest rate in block 10 must be shown to two decimal places. State and county codes
for blocks 14 and 15 are found in the HUD/FHA Title I Property Location Codes by State and County. Codes for blocks 6, 12, 13, 16, 17, and 18 are given below.
Block 6: Mode of Payment Code
1
Monthly
2
Quarterly
3
Semiannually
5
Twice a month
6
Every two weeks
7
Weekly
Block 12: Type of Property Code
O
New Manufactured Home - Single Module Structure
A
Existing Manufactured Home - Single Module Structure
B
New Manufactured Home - Double Module Structure
C
Existing Manufactured Home - Double Module Structure
D
New Manufactured Home - Triple Module Structure
E
Existing Manufactured Home - Triple Module Structure
H
Manufactured Home Lot
1
Single Family Residence (including a manufactured home
that qualifies as real property)
R
Single Family Residence with Business
2
Multifamily Residence
T
Multifamily Residence with Business
4
Retail Store
S
Service Shop, Automobile Repair, Filling Station
5
Commercial other than Retail, Office Building, Hotel, Restaurant, Theatre
6
Industrial or Manufacturing Building, Factory, Warehouse
7
Farm Home, Barn, Silo, Stable, Service Building on farm
property
8
Institution, Hospital, Nursing Home, Health Care Facility,
School, College, Club, Fraternity Organization
M
Nursing Home, Intermediate Care Facility, Extended
Health Care Facility. For use only with "95" in block 13
9
Other Property

Previous editions are obsolete

Block 13: Type of Improvement
Manufactured Home Residence
01
Financing of a manufactured home
03
Financing of a developed manufactured home lot -- site
preparation expenses included
05
Financing of a manufactured home and developed lot
11
New Nonresidential Building
Detached garages, sheds, car shelters on residential properties
Manufacturing or industrial buildings, retail stores, service
shops, other commercial buildings
Barns, silos, stables, and service buildings on farm properties
19
Preservation of Historic Structure
Historic site preservation or restoration
21
Structural Additions and Alterations
Attached garages, carports, porches, covered patios
Added rooms, baths, closets
New doors, windows, fireplaces, chimneys
Other structural additions or alterations, including new
fronts, display windows
31
Exterior Finishing
Painting and waterproofing
Aluminum, vinyl, composition, wood shingles or siding;
brick, cement, metal, stone, stucco finishing
41
Interior Finishing
Painting and papering
Plastering, wallboard, wood paneling, and acoustical, ceramic, plastic and metal tile
Kitchen remodeling, including cabinets
Composition, vinyl, slate, ceramic tile and wood flooring
51
Roofing - Repair or Replacement
Asphalt, built-up, metal, slate, tile, fiberglass, and wood
shingle

61

71

76

81

91

95

Gutters and downspouts
Plumbing - Installation or Replacement
Bathroom fixtures and connections
Domestic water heaters, softeners and connections
Wells, pumps and disposal systems
Heating, Cooling and Ventilating
Furnaces, heat pumps, pipes, ducts, radiant heating
Air conditioning systems
Evaporative coolers, exhaust and ventilating fans
Solar Systems
Systems that utilize solar energy to reduce the energy
requirements of that structure from other conventional
sources
Insulation
Blanket, batt, reflective, loose-fill types
Storm doors and windows, insulating glass
Weatherstripping, awnings, blinds and other insulation
Miscellaneous
Electrical wiring
Fences and walls
Paving, driveways, porch and window screens, termite
control, and other miscellaneous work not classified elsewhere
Fire Safety Equipment: For use only with "M" in block 12

ref. Handbook 1060.2

form HUD-27029 (06/2003)

Block 16: Race
For Block 16, please select the code from the following list that best reflects
the choices made by the applicant on the credit application.
All possible combinations are listed in the following 32 codes.
1
2
3
4
5
8

White
Black or African American
American Indian or Alaska Native
Asian
Native Hawaiian or other Pacific Islander
Information not provided by Applicant

A
B
C
D
E
F
G
H
I

White & Black or African American
White & American Indian or Alaska Native
White & Asian
White & Pacific Islander
White & Black or African American & American Indian or Alaska Native
White & Black or African American & Asian
White & Black or African American & Hawaiian or other Pacific Islander
White & American Indian or Alaska Native & Asian
White & American Indian or Alaska Native & Hawaiian or other Pacific
Islander
White & Black or African American & American Indian or Alaska Native &
Asian
White & Black or African American & American Indian or Alaska Native &
Hawaiian or other Pacific Islander
White & Black or African American & Asian & Hawaiian or other Pacific
Islander
White & American Indian or Alaska Native & Asian & Hawaiian or other
Pacific Islander
White & Asian & Hawaiian or other Pacific Islander
White & Black or African American & American Indian or Alaska Native &
Asian & Hawaiian or other Pacific Islander
Black or African American & American Indian or Alaska Native
Black or African American & Asian
Black or African American & Native Hawaiian or other Pacific Islander
Black or African American & American Indian or Alaska Native & Asian
Black or African American & American Indian or Alaska Native & Hawaiian
or other Pacific Islander

J
K
L
M
N
O
P
Q
R
S
T

Previous editions are obsolete

U
V
W
X
Y
Z

Black or African American & Asian & Hawaiian or other Pacific Islander
Black or African American & American Indian or Alaska Native & Asian &
Hawaiian or other Pacific Islander
American Indian or Alaska Native & Asian
American Indian or Alaska Native & Hawaiian or other Pacific Islander
American Indian or Alaska Native & Asian & Hawaiian or other Pacific
Islander
Asian & Hawaiian or other Pacific Islander

Block 17: Ethnicity
Pick One:
0
Information not reported by Applicant
1
Hispanic
2
Not Hispanic
Block 18: Sex of Borrowers Code
M
Male only
F
Female only
B
Both sexes

ref. Handbook 1060.2

form HUD-27029 (06/2003)