Appendix VI-11Form Issuer’s Monthly Serial Note Remittance Advice

Ginnie Mae Mortgage-Backed Securities Programs

Appendix VI-11Form11714SN - 1.9.15

Ginnie Mae Mortgage-Backed Securities Programs

OMB: 2503-0033

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Issuer’s Monthly Serial

Note Remittance Advice

U.S. Department of Housing

and Urban Development

Government National Mortgage Association

OMB Approval No. 2503-0033 (Exp. 05/31/2016)


Public reporting burden for this collection of information is estimated to average 1 minute 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. Ginnie Mae agency may not collect this information, and you are not required to complete this form, unless it displays a currently valid OMB control number.


The information is required by Sec. 306(g) of the National Housing Act or by Ginnie Mae Handbook 5500.3, Rev. 1. The purpose of this information is to provide summary information to the holders of Serial Note securities with respect to the current month’s account transactions, calculation of interest and principal to be distributed, and data with respect to the redemption of Serial Units. The information will not be disclosed outside of the Department except as required by law.

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To the following Security Holder:


● ●

Ginnie Mae pool/commitment Number Date




Serial Note Certificate Number Reporting Month




● ●

Serial Units Number Security Interest Rate





Shape11 Shape8 Shape9 Shape10 The check for distribution of The check will be forwarded The remittance will be made electronically on The remittance includes payment for

interest for the above separately but no later than the 15th of the month or, if the 15th is not a Serial Unit(s) retired

reporting month is enclosed. the 15th of the month. business day, on the next business day. during the above reporting month.


A. Cash distribution due Security Holder for interest $



B. Less Federal income tax withheld from interest (if any) $ –



C. Cash distribution due Security Holder for retirement of _________ Serial Unit(s) No. ____________; at $25,000 each $



D. Total cash distribution due Security Holder $



E. Outstanding balance of this certificate after credit of the above distribution $



F. The last Serial Unit redeemed was number _____________ on _______________ 15, 20_____



G. The scheduled maturity date of such Serial Unit was ________________________ 15, 20_____



H. The number of outstanding Serial Units under this Serial Note is ____________

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Explanation for items above:





I hereby certify that all the information stated herein, as well as any information provided in the accompaniment herewith, is true and accurate.

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)


Issuer Authorized Signature



Street Address City and State


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form HUD-11714SN (01/2006)

Previous editions are obsolete. Page 1 of 1 ref. Ginnie Mae Handbook 5500.3, Rev. 1

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleCommitment to Guarantee
AuthorDianne Cooperman
File Modified0000-00-00
File Created2021-01-23

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