HUD-50127-A Section 184A Native Hawaiian Loan Guarantee Program Endo

OMB Approval No.
(exp. date)

SECTION 184A NATIVE HAWAIIAN LOAN GUARANTEE PROGRAM
ENDORSEMENT SUBMISSION CHECKLIST – DIRECT GUARANTEE
(Acquisition of Existing Home and
Single Close New Construction and Rehabilitation Loans)
BORROWER(S):____________________________________________________________________________________________
ITEM

INCLUDED

Lender cover letter request for endorsement, identifying lender point of contact
Late Request for Endorsement - more than 60 days after closing (include letter and current payment history)
Payment of Loan Guarantee Fee via www.pay.gov
Transmittal for Loan Guarantee fee payment form, HUD-53038 (printed via www.pay.gov)
Firm Commitment, 184A form HUD-50143-A signed and dated by DG Underwriter – loan must close in compliance with firm
commitment
Mortgage Credit Analysis Worksheet, 184A form HUD-50132-A signed and dated by DG Underwriter
Loan Estimate (replaces Good Faith Estimate and Truth-in-Lending disclosure)
Final Signed and dated Uniform Residential Loan Application and 184A Addendum to URLA (184A form HUD-50111-A) executed by
borrower and lender
Initial Signed and Dated Uniform Residential Loan Application and 184A Addendum to URLA (184A form HUD-50111-A) executed
by borrower and lender
Fully Executed DHHL Certification of Eligibility
Note Instrument
DHHL recorded Mortgage Instrument with 184A Rider (184A form HUD-50149-A) and any additional applicable riders
DHHL’s recorded Consent to Mortgage
DHHL recorded Lease including any amendment, addendum, succession or assignment of lease documentation
DHHL recorded Section 184A Guarantee Rider (Rider to the Lease document and must be recorded as such)
Closing Disclosure (replaces HUD-1 Settlement Statement (form HUD-1))
Certificate of Homeowners Insurance Policy - equal to lesser of 100% of insurable value of improvements as established by property
insurer; or the unpaid principal balance of the loan or sufficient funds to compensate for damage or loss on a replacement cost basis
Sales Contract with FHA Real Estate Certification and Amendatory Clause (as applicable)
Lead Based Paint Addendum (if property built before 1978) signed by seller, buyer, and agent
Section 184A Homebuyer Notice Form, 184A form HUD-50124-A (not required for newly constructed homes)
Flood Certificate
Environmental Review documentation (to be completed and provided by HUD)
*For newly constructed properties less than 1 year old:
*Builder Permit issued prior to start of construction (evidence of “pre-approval” of the property)
*Certificate of Occupancy or its equivalent issued by local jurisdiction (In those jurisdictions that perform three local inspections
and issue a Certificate of Occupancy [or equivalent], this certificate is evidence of completion of the local inspections)
*If both items listed above are not submitted, either an Early Start Letter issued by the lender before start of construction plus
three inspections OR a HUD-approved 10-year warranty plan with a final inspection (by an FHA roster inspector or qualified
individual) is required to be submitted to obtain maximum financing (greater than 90% LTV)
*Warranty of Completion of Construction, 184A form HUD-50110-A
*Builder’s Certification of Plans, Specifications and Site, HUD-92541
*Subterranean Termite Soil Treatment Builder’s Guarantee, Form NPCA 99-A
*New Construction Subterranean Termite Soil Treatment Record, Form NPCA 99-B
*Local Health Authority well water analysis or septic report, where applicable
*Where financing is 90% LTV or less, submit: HUD-92541; NPCA 99a and 99b; Final Inspection by an FHA roster inspector;
Local Health Authority well water analysis or septic report, where applicable - property must be 100% complete.
Uniform Residential Appraisal Report (FNMA Form 1004/FHLMC Form 70)
Condition Sheet or explanation when appraisal subject to repairs/completion; Specific Condition(s) clearance documentation (e.g.,
Termite Inspection Report, Subterranean Termite Treatment, Local Health Authority Approval for Individual Water and Sewer
Systems, Improved Area, Inspection Reports, Manufacturers Warranties, Carpet Identification, etc.)
Termite Inspection Report (if required by Appraiser)
Well and Septic Inspection Report (if required by Appraiser)
Borrower Social Security Evidence
Credit Report
W-2s (2 years)
Pay stubs (most recent 30 day period)
Verifications of Employment
(Continue on next page)
Form HUD-50127-A (date)

OMB Approval No.
(exp. date)

SECTION 184A NATIVE HAWAIIAN LOAN GUARANTEE PROGRAM
ENDORSEMENT SUBMISSION CHECKLIST – DIRECT GUARANTEE
(Acquisition of Existing Home and
Single Close New Construction and Rehabilitation Loans) - Continued
Federal Income Tax Returns with all schedules (for self-employed borrowers)
IRS Tax Transcripts for most recent 2-year period for all applicants
IRS Form 4506T signed by borrowers
Bank Statement(s) (most recent 3-month period) and/or Verification of Deposit
24 Month Verification of Prior Rental or Mortgage Payment History
CAIVRS (on MCAW acceptable) – all borrowers must be screened
Limited Denial of Participation (LDP) and Entity Exclusion Records (via System for Award Management) – check against all parties to
transaction (borrower, seller, and settlement agent)
Gift Letter or other documentation on source of funds if other than on deposit
Letters of Explanation on Derogatory Credit signed by borrower
PROOF OF COMPLETION OF ANY ADDITIONAL FIRM COMMITMENT CONDITIONS NOT LISTED ABOVE
Copy of 184A case number assignment documentation from HUD, 184A form HUD-50131-A
For Single Close New Construction and Rehabilitation Loans ALSO INCLUDE:
Maximum Mortgage Worksheet for Rehabilitation and Single Close Construction Loans, 184A form HUD-50132-A
Section 184A Applicant Acknowledgement, 184A form HUD-50125-A
Construction Loan Agreement
Construction Loan Rider to the Mortgage and recorded as such, 184A form HUD-50112-A
Evidence of Establishment of Construction/Rehab Escrow Account (copy of deposit slip or bank statement)
Homeowner/Contractor Agreement
Construction Cost Estimate
Documentation of Builder Qualification

Privacy Act Statement. This statement is provided pursuant to the Privacy Act of 1974, 5 USC § 552a. The authority for collecting
personally identifiable information (PII) in the Regulatory Consistency Communication Board (RCCB) Electronic Feedback Form is
based in Section 313 of Public Law 112-95.
Public reporting burden for this collection of information is estimated to average .5 hours per response, including the time for
reviewing instructions, searching existing data sources, gather and maintaining the data needed, and completing and reviewing the
collection of information. HUD may not collect this information, and you are not required to complete this form, unless it displays a
currently valid OMB control number.
This information is required in order for an eligible homebuyer to obtain a benefit and for HUD to administer the Loan Guarantee
Program for low-income Native Americans, Alaska Natives, and native Hawaiians (24 CFR Parts1000 and 6000). The requested
information is necessary to determine the income and credit worthiness of low income homebuyers. If HUD did not collect this
information, it would prevent HUD from guaranteeing mortgages to eligible homebuyers. While no assurances of confidentiality are
pledged to respondents, HUD generally discloses this data only in response to a Freedom of Information request.

Form HUD-50127-A (date)