Family Self-Sufficiency (FSS) Program Coordinator Fundiing

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HUD Office of Native American Programs: Section 184 Loan Guarantee Program
Case Number Request Form

 All case requests should be emailed to [email protected] or faxed to 202-401-2475. 
All appraisals should be sent to [email protected].

									        
    1. Lender Name & TIN #______________________________________________________________
    2. Lender Contact Name: __________________________Email_____________________________
    3. Lender Telephone: _______________________   Lender Fax: ____________________________
    4. Please Indicate Purpose of  Loan: (check or circle)
­­­­­­­­­­­­Refinance:                                       Acquisition:                                    Construction:
 Streamline with appraisal             Acquisition of existing                 Single Close Proposed 
 Streamline without appraisal        Acquisition/Rehab of exist 
 New- Less than 1 year                  Acquisition-Less than 1 year
 Credit Qualifying with cash out 
 Credit Qualifying with no cash out
 Credit Qualifying with escrow
    5. Prior Case Number REQUIRED for Streamline Refinances: ________________________________
    6. Please Check:   Direct Guarantee Underwritten	 HUD Underwritten
    7. Borrower Name & Tribe:____________________________________________________________
    8. Co-Borrower Name & Tribe:_________________________________________________________
 Documentation from borrower(s) that evidences current enrollment with a federally recognized tribe or Alaskan Native Corp
    9. Property Street Address:   _________________________________________________________
City: _____________County_______________ State: ________   Zip Code: _____________
    10. Proposed Mortgage Amount: $___________________Loan Term ________________________
    11. Please Indicate Land Status of Property:
 Fee Simple (If entire State Approved, No Land Status Form Required)

Tribal Trust Land  					 Allotted or Individual Trust Land  
(For Tribal Trust/Allotted land only) BIA Reservation # ____________ BIA Track # __________
Name of Tribe with Land Jurisdiction: ________________________________________________
 Condominium			FHA Condo ID #:____________	Submission #: __________

Condominium Name: ______________________________________________________________