Download:
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pdfCredit Application for
Property Improvement Loan
OMB Approval No. 2502-0328
(exp. 05/31/2015)
U.S. Department of Housing
and Urban Development
Office of Housing
See Public Reporting Burden and Privacy Act Statements on the last page before completing this application
This application is submitted to obtain credit under the provisions of Title I of the National Housing Act. Please answer all questions.
I/We hereby apply for a loan of $
(net) to be repaid in
months
Date
1. Do you have any past due obligations owed to or insured by any agency of the Federal Government?
(If the answer is "Yes," you are not eligible to apply for an FHA Title I loan until the existing debt has been brought current.)
Yes
No
3. Are you refinancing a Title I loan?
Yes
No
2. Have you any other application for an FHA Title I loan pending at this time?
Yes
If "Yes," enter
If "Yes," with whom?
No
... the loan number
... and balance owing $
4. Are there any unsatisfied judgments against you?
Yes
No
6. Have you been declared bankrupt in the last seven years?
Yes
No
Explain any "Yes" answers to items 4 thru 7.
5. Are you a party in a pending lawsuit?
Yes
No
7. Has your property been foreclosed upon
Yes
No
in the last seven years?
Applicant
Co-Applicant
Name of Applicant
Name of Co-Applicant (if any)
Social Security Number
Telephone Number
Social Security Number
Present Address
Present Address
How long
Own or Rent
How long
Previous Address
Own or Rent
How long
Marital Status
Own or Rent
Marital Status
Separated
Sex
Unmarried (incl. Single, Divorced, Widowed)
Date of Birth
Male
Own or Rent
Previous Address
How long
Married
Telephone Number
No. of Dependents
Female
Separated
Unmarried (incl. Single, Divorced, Widowed)
Date of Birth
Male
No. of Dependents
Female
Ethnicity: (select only one )
Ethnicity: (select only one )
Hispanic or Latino
Married
Sex
Hispanic or Latino
Not Hispanic or Latino
Not Hispanic or Latino
Race: (select one or more)
Race: (select one or more)
American Indian or Alaska Native
Asian
American Indian or Alaska Native
Asian
Black or African American
White
Black or African American
White
Native Hawaiian or Other Pacific Islander
Native Hawaiian or Other Pacific Islander
Name and Address of Nearest Relative Not Living with You
Name and Address of Nearest Relative Not Living with You
Relationship
Relationship
Previous editions are obsolete
Telephone No.
Page 1 of 4
Telephone No.
ref. Handbook 1060.2
form HUD-56001 (06/2003)
Employment & Income. If self-employed, submit a current financial statement. (Note: Alimony, child support, or separate maintenance income need
not be reported unless you will rely upon it for repaying this loan.)
Applicant
Co-Applicant
Employer's Name & Business Address
Employer's Name & Business Address
Business Phone
Type of Work or Position
Number of Years
Salary Per Week or Month
$
Business Phone
Number of Years
Type of Work or Position
Salary Per Week or Month
$
per
per
Previous Employer's Name & Business Address (if less than two years earlier)
Previous Employer's Name & Business Address (if less than two years earlier)
Business Phone
Type of Work or Position
Business Phone
Type of Work or Position
Number of Years
Salary Per Week or Month
Number of Years
Salary Per Week or Month
$
$
per
Other Income Source
Amount Per Week or Month
$
Amount Per Week or Month
$
per
Bank Accounts
Checking
per
Other Income Source
per
Bank Accounts
Savings
None
Checking
Name & Address of Bank or Branch
Savings
None
Name & Address of Bank or Branch
Debts. List all fixed obligations, installment accounts, FHA loans, and debts to banks, finance companies and Government agencies.
If more space is needed, list additional debts on separate pages and attach them to this form.
Automotive Lienholder
Automotive Lienholder
Real Estate Lienholder
Real Estate Lienholder
To Whom Indebted
To Whom Indebted
To Whom Indebted
To Whom Indebted
To Whom Indebted
To Whom Indebted
To Whom Indebted
To Whom Indebted
To Whom Indebted
To Whom Indebted
To Whom Indebted
Previous editions are obsolete
Year & Make
Year & Make
FHA Insured (yes/no)
FHA Insured (yes/no)
Account No.
Account No.
Account No.
Account No.
Account No.
Account No.
Account No.
Account No.
Account No.
Account No.
Account No.
Page 2 of 4
Original Amount of Debt
Present Balance
Monthly Payment
$
$
$
Original Amount of Debt
Present Balance
Monthly Payment
$
$
$
Original Amount of Debt
Present Balance
Monthly Payment
$
$
$
Original Amount of Debt
Present Balance
Monthly Payment
$
$
$
Original Amount of Debt
Present Balance
Monthly Payment
$
$
$
Original Amount of Debt
Present Balance
Monthly Payment
$
$
$
Original Amount of Debt
Present Balance
Monthly Payment
$
$
$
Original Amount of Debt
Present Balance
Monthly Payment
$
$
$
Original Amount of Debt
Present Balance
Monthly Payment
$
$
$
Original Amount of Debt
Present Balance
Monthly Payment
$
$
$
Original Amount of Debt
Present Balance
Monthly Payment
$
$
$
Original Amount of Debt
Present Balance
Monthly Payment
$
$
$
Original Amount of Debt
Present Balance
Monthly Payment
$
$
$
Original Amount of Debt
Present Balance
Monthly Payment
$
$
$
Original Amount of Debt
Present Balance
Monthly Payment
$
$
$
ref. Handbook 1060.2
form HUD-56001 (06/2003)
Property to be Improved
Type of Property
Single family
Multifamily (No. of units ______________ )
Nonresidential (Type of use ________________________)
Manufactured home (not classed as realty)
Historic residential structure (No. of units _____________)
Health care facility
Is this property
Owned by you?
Leased from someone else?
Being purchased on a land installment contract?
Is there a mortgage or deed of trust on this property?
Address (number, street, city, State & zip code)
Year Built
Yes
Yes
Yes
No
No
No
Yes
No
Yes
No
Name & Address of Property Owner (if different from the applicant)
Date of Purchase
Monthly Lease Payment
Lease Expiration Date
$
Purchase Price
$
If this is a new residential structure, has it been
completed and occupied for 90 days or longer?
Present Value
$
Improvements (itemized cost breakdown must be attached)
Description of Improvements
Name & Address of Dealer / Contractor
Estimated Cost
$
Notice: If this structure was built before 1978, it may contain lead-based paint which, if eaten, may cause mental retardation, blindne
ss, paralysis, or even
death. Symptoms may include stomach aches, vomiting, headaches, a loss of appetite, crankiness or frequent tiredness. A child
who is suspected of having
eaten lead-based paint should be taken immediately to your local doctor, clinic or hospital for screening or treatment. The be
st way to prevent lead-based
paint poisoning is to keep your home in good condition and remove any lead-based paint hazards. For detailed information on
e prevention
th
and elimination
of lead-based paint hazards, please contact your local HUD office for a free pamphlet entitled "Lead Poisoning: Watch Out for Lead-Based Paint."
Important! Applicant, Read this before Signing.
Note to Salesperson. If the loan proceeds will be disbursed to a
I /We certify that the above statements are true, accurate, and
complete to the best of my (our) knowledge and belief. This
application shall remain the property of the lending institution to
which it is submitted for the purpose of obtaining a loan.
I /We hereby consent to and authorize the lending institution or
HUD, after giving reasonable notice, to enter the improved property
to determine that the improvements specifed in this application
have been completed.
I /We understand that the selection of a dealer or contractor and
the acceptance of the materials used and the work performed is my
(our) responsibility, and HUD does not guarantee the quality or
workmanship of the property improvements.
dealer or contractor, the person selling the improvements must
sign the following certification:
I certify that: 1) I am the person who sold the job; 2) the
Contract contains the whole agreement with the borrowers; 3)
the borrowers have not been given or promised any cash payment, rebate, cash bonus, sales commission, or anything of value
in excess of $25 as an inducement to enter into this loan transaction; 4) the improvements have not been misrepresented; 5)
no promises have been made that are impossible of attainment,
encourage trial purchase, or imply that the improvements will be
used as a model for advertising or other demonstration purposes;
and 6) no offer of debt consolidation has been made.
Applicant's Signature
Salesperson's Name
X
Salesperson's Signature
X
Co-Applicant's Signature
Name of Dealer/Contractor
X
If this application is prepared by someone other than the applicants, that person must sign below. I certify that the statements made herein
are based upon information given to me by the applicants and are true, accurate and complete to the best of my knowledge and belief.
Warning: HUD will prosecute false claims and statements. Conviction may result in criminal and/or civil penalties. (18 U.S.C. 1001, 101
0, 1012; 31 U.S.C. 3729, 3802)
Prepared by
Address
X
Representing
Previous editions are obsolete
Page 3 of 4
ref. Handbook 1060.2
form HUD-56001 (06/2003)
Information verified with applicant by
Name & Address of the Lending Institution
Face-to-face interview
Telephone interview
By (Signature of Loan Officer)
X
Social Security Number Verification
Credit Alert Access Code
Applicant
Applicant
Co-Applicant
Co-Applicant
Reserved for use by the Lending Institution
Public reporting burden for this collection of information is estimated to average 30 minutes per response, including the time for reviewing instructi
ons,
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.
Privacy Act Statement: The Department of Housing and Urban Development (HUD) is authorized to collect this information by Title I, section 2 of the
National Housing Act (12 U.S.C. 1703), and to obtain and verify your Social Security Number (SSN) by section 165 of the Housing and Community
Development Act of 1967 (42 U.S.C. 3543). You must provide all of the information requested. This information will be used to determine your
creditworthiness and to assist HUD in accounting for and monitoring the use of Title I funds. Your SSN is a unique identifier which may be used to conduct
computer matches to verify the information you provide. This information may be given to Federal, State, or local agencies when revelant to civil, criminal,
or regulatory investigations or prosecutions. It will not be otherwise disclosed or released outside of HUD or the lending ins
titution which will provide the
loan funds, except as required or permitted by law. Failure to provide any of the requested information may result in delay or rejection of your application.
General Information: You are required to answer the questions on sex, race and ethnic background. Your answers are needed to determine the
characteristics of Title I program beneficiaries, and willl not affect consideration of your application. By providing this in formation, you will assist us in
ensuring that this program is administered in a nondiscriminatory manner. If you feel you have been discriminated against and you want to report it, the
Fair Housing and Equal Opportunity Hotline Number is (800) 424-8590.
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.
Previous editions are obsolete
Page 4 of 4
ref. Handbook 1060.2
form HUD-56001 (06/2003)
| File Type | application/pdf |
| File Modified | 2014-02-05 |
| File Created | 2011-02-06 |