OPG 7.16 Certification of Mortgagor information

OMB No. 2502-0533
(Exp, 12/31/2017)

Mark-to-Market
CERTIFICATION OF MORTGAGOR INFORMATION

Form 7.16

Date:_________________________
FHA Project No. and Name:___________________________________________
Existing Mortgagor:
(Must match signature block
on the Note and, if TPA, the
Assignment

Contact Person:
Address:
Telephone Number:
Project Management
Company:
Contact Person:
Address:

Fax Number:

Telephone Number:
Mortgagor Tax ID #

Fax Number:

I certify that the above information is correct.
________________________________
Existing Mortgagor
If there will be a Transfer of Physical Assets (TPA)
(To be completed by new Mortgagor)
New Mortgagor:
(Must match signature block
on the Assignment)

Contact Person:
Address:
Telephone Number:
Project Management
Company:
Contact Person:
Address:

Fax Number:

Telephone Number:
Mortgagor Tax ID #
(must differ from old
Mortgagor ID# and
match W-9)

Fax Number:

I certify that the above information is correct.
____________________________________
New Mortgagor

_____________

Public reporting burden for this collection of information is estimated to average .25 hours 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
information is required to obtain benefits. The Office of Multifamily Housing, Office of
Recapitalization 451 7th Street SW, Room 6230 Washington, DC 20410. HUD may not collect this
information, and you are not required to complete this form, unless it displays a currently valid
OMB control number. Title V of the Departments of Veterans Affairs and Housing and Urban
Development and Independent Agencies Appropriations Act of 1988 (P.L.105-65, 111 Stat. 1384)
authorizes the FHA Multifamily Housing Mortgage and Housing Assistance Restructuring Program.
HUD implemented a statutory permanent program directed at FHA-insured multifamily projects
that have project- based Section 8contracts with above- market rents. The information collection is
used to determine criteria eligibility of FHA-insured multifamily properties for participation in the
Mark to Market program and the terms on which participation should occur. The purpose of the
program is to preserve low-income rental housing affordability while reducing the long-term costs
of Federal rental assistance. While no assurances of confidentiality are pledged to respondents,
HUD generally discloses this data only in response to a Freedom of Information request.

September 30, 2004

Form 7.16, Page 2