HUD-3435 Certificate of Contractual Relationship

Certificate of
Contractual Relationship
(See Note at bottom of page)

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

OMB Approval No. 2502-0057
(exp. 05/31/2012)

Public reporting burden for this collection of information is estimated to average 30 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 conduct or sponsor, and a person is not required to respond to, a collection information unless that collecton displays a valid OMB control number.
Privacy Act Statement. The Department of Housing & Urban Development (HUD) is authorized to collect all the information on this form by the U.S.
Housing Act of 1937, as amended, and by the Housing & Community Development Act of 1987, 42 U.S.C 3543 which authorizes HUD to collect Social
Security Numbers (SSN). The information you provide will be used to determine the relationship between the nonprofit sponsor and mortgagor and other
parties standing to derive a profit or gain from the development or management of the project. HUD may disclose this information to Federal, State and
local agencies when relevant to civil, criminal, or regulatory investigations and prosecutions. It will not be otherwise disclosed or released outside of HUD,
except as required and permitted by law. You must provide all of the information requested in this application, including your SSN or EIN. Failure to provide
the information will result in your disapproval of participation in this program and/or delay action on your proposal.

Instructions:

Complete the project identification at right

Project Number

Provide a full disclosure of the contractural relationship in the
space below (attach additional sheets if more space is needed
Submit a separate certificate for each of the following: General
Contractor, suppliers of the land, architectural services, legal and
organizational services, and management of the project

Project Name

Send to:

Location

The undersigned, being interested in the development and/or management of the housing project described above certifies that any
contractual relationship, direct or indirect, between the undersigned and the sponsors and mortgagor is as follows:

Name, title, and signature

Company Name and Address

Date

Warning: HUD will prosecute false claims and statements. Conviction may result in criminal and/or civil penalties. (18 U.S.C. 1001, 1010, 1012; 31 U.S.C. 3729, 3802)
form HUD-3435 (12/91)
Note: Applicable to all Insured Multifamily Programs Authorized under the
ref. Handbook 4470.1
National Housing Act Involving Nonprofit Sponsors and/or Mortgagors