form

FHA Loan Underwriting
and Transmittal Summary

U.S Department of Housing and
Urban Development

See back of page for Public Burden and Sensitive Information statements

Office of Housing Federal Housing Commissioner

expires (04/30/2017)

SOA

Borrower and Property Information FHA Case No.
SSN

Borrower Name
Co-Borrower Name
Property Address
Property Type (Check only 1)
1 unit
2 units
Condominium
Manufactured Housing

OBM Approval No. 2502 - 0059

SSN
Additional Property Information

Property Rights

$
Sales Price
Appraised Value $

3 - 4 units
Co-op

Construction
Existing
Proposed
New (less than 1 year)

Fee Simple
Leasehold

Mortgage Information
Loan Purpose (Check all that apply)

Amortization Type (Check only 1)
Fixed-Rate-Monthly Payments
ARM 1 3 5
7 or 10
ARM Index
ARM Margin
Int. Rate Buydown
Loan Information
Mortgage w/o UFMIP
Total UFMIP

$
$

Mortgage w/ UFMIP

$

Purchase
No Cash-Out Refinance
Cash-Out Refinance
Simple Refinance
Streamline Refinance

yr

Construction-to-Permanent
Energy Efficient Mortgage
Building On Own Land
HUD REO
203(k)
%

Interest Rate
Qualifying Rate
(1 Yr. ARM)

1.) Source/EIN
Gov’t
Other
Amount of Gift $
2.) Source/EIN
Gov’t
Other
Amount of Gift $

Standard
Limited

%

Secondary Financing
Source/EIN
Gov’t
NP
Family
Other
Amount of Secondary Financing
$
Gifts
Seller Funded DAP
Y/N

Other

Loan Term (in months)

NP

Family

NP

Family

Underwriting Information
Monthly Income
Base Income
Other Income

Co-Borrower
$
$

Net Rental Income

$

$

$

Total Income

$

$

$

Debts & Obligations

Monthly

Total Installment debt
Child Support
Negative Rental Cash Flow
All other monthly payments
Total Fixed Payment

Borrower Funds to Close
Required
Verified Assets
Closing Costs
Source of Funds
No. of Months in Reserves
Seller Contribution

Proposed Monthly Payments
Borrowers Primary Residence
First Mortgage P&I
Monthly MIP
HOA Fees
Lease/Ground Rent
Second Mortgage P&I
Hazard Insurance
Taxes & Special Assessments
Total Mortgage Payment

Total
$
$

Borrower
$
$

Unpaid Balance

$
$
$

$
$
$
$
$
$

Qualifying Ratios
LTV
CLTV (if 2nd permitted)
Mortgage Payment-to-income
Total Fixed Payment-to-Income

CAIVRS #
LDP/ SAM

%

$
$

Borrower

yes

%
%
%
%

Co-Borrower (s)

yes

Underwriter Comments

Underwriter’s signature & date (if required)

CHUMS ID #

X
Risk Assessment
Scored by TOTAL?

yes

no

Risk Class

A/A

or

Refer

CHUMS ID # for Reviewer of appraisal
(Required for loans scored by TOTAL with risk class A/A or loans where the appraisal and credit reviews are performed by different underwriters.)
form HUD-92900-LT (04/2015)

FHA Loan Underwriting
and Transmittal Summary

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

This information is required to determine the eligibility of FHA mortgage insurance applicants. 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 conduct or sponsor, and a person is not required to respond to, a collection information
unless that collection displays a valid OMB control number. 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 confidentiality. 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.

Borrower and Property Information
SOA:

Mortgagees must enter the Section of the Act under which the
mortgage is to be insured.

Mortgage Information
Interest Rate:

Mortgagees must enter the rate for fixed rate mortgages or the
initial rate for 3, 5, 7, and 10 year ARMs.

ARM Index:

Mortgagees must enter the name of the index used.

Total UFMIP:

Mortgagees must enter the amount being financed into the loan
(i.e. exclude cents).

Qualifying Rate:

Mortgagees must enter the interest rate used to qualify a borrower
for a 1 year ARM.

Loan Purpose:

Mortgagees must check all loan purpose types that apply (e.g. the
purchase of a property owned by HUD should have both the
Purchase and HUD REO boxes checked).

Secondary Financing:

Mortgagees must indicate the source type. If indicating a nonprofit
(NP) or government agency (Gov’t), they must also enter in
the Employer Identification Number (EIN) for the entity. When
indicating Other, lenders must identify the type, e.g. employer,
labor union, and enter in the EIN (if applicable).

Seller-Funded DAP:

Mortgagees must indicate whether any of the gift funds are derived
from such a program by entering Y.

Gifts:

Mortgagees must indicate the source type(s). If indicating a
nonprofit (NP) or government agency (Gov’t), they must also
enter in the Employer Identification Number (EIN) for the entity.
When indicating Other, lenders must identify the type(s), e.g.
employer, labor union, and enter in the EIN (if applicable).

Underwriting Information
Negative Rental Cash Flow:

If there is negative rental cash flow for the subject property
and/or other properties owned by the borrower, the lender must
enter the total dollar amount.

Total Fixed Payment:

All debts and obligations, including the propsed housing
payment.

Borrower Funds to Close Required:

Mortgagees must enter the total amount that the borrower is
required to pay at closing. If the borrower is receiving cash
back, the amount should be in parentheses.

Closing Costs:

Mortgagees must enter the amount being paid by the borrower,
which may include prepaid & non-recurring closing costs but not
discount points.

No. of Months in Cash Reserves:

Mortgagees must enter the number of months in reserves for
3 and 4 unit properties only.

Seller Contribution:

Mortgagees must enter as a percentage of the sales price.

CHUMS ID# for Review of Appraisal:

This captures the CHUMS ID of the underwriter who reviewed
the appraisal. Completing this field is applicable when the
underwriter who reviewed the appraisal is different from the
one who reviewed the credit package (e.g. an Automated
Underwriting System).

LDP/ SAM

Mortgagees must check box if Borrower/Co­Borrower name appears on list.
form HUD-92900-LT (04/2015)