HUD-305 HUD Manufactured Home Retailer Report -Home Installation

HUD Manufactured Home Retailer Report –
Home Tracking Information

U.S. Department of Housing and Urban Development
Office of Manufactured Housing Programs

OMB Approval No. 2502-0578
Expires 04/30/2018

The Manufactured Housing Installation Program Regulations 24 CFR Chapter XX Part 3286 Section 113 requires manufactured home retailers and distributors to report specific information within 30 days
from the time a purchaser enters into a contract to purchase a manufactured home when the manufactured home will be sited in a state that HUD administers the installation program. The information
collected here will be used in conjunction with manufacturer production reports and other reports as appropriate under these Regulations. Public reporting burden for this collection is estimated to average
0.25 hours per response including the time for reviewing the instructions, searching existing data sources, gathering and maintaining the data as needed, and completing and reviewing the collection of
information. Response to the information collection is mandatory. This agency may not collect this information, and you are not required to complete this form, unless the form displays a currently valid
OMB control number.

Retailer Name & Address
Name

Street Address

City

Retailer/Distributor Representative (signature)

State

Zip

Date (mm/dd/yyyy)

Check box if report is for correcting previously reported information

Reporting Period: (mm/dd/yyyy) __________________
Certification
Label Number

Manufacturer’s
Serial Number

(include all zeros and
agency prefix)

(Including all letters
and numbers)

Name of
Home
Manufacturer

through (mm/dd/yyyy) ___________________

Date of
purchase or
lease
agreement
(mm/dd/yyyy)

Page _____ of _____

Home Installation Site Information
Name of Purchaser or
Lessee

Street Address

City

State

Zip

Distribution:
HUD
Retailer/Distributor

Form HUD-305

Local Authority
Having
Jurisdiction

HUD Manufactured Home Retailer Report –
Home Tracking Information

U.S. Department of Housing and Urban Development
Office of Manufactured Housing Programs

OMB Approval No. 2502-0578
Expires 04/30/2018

The Manufactured Housing Installation Program Regulations 24 CFR Chapter XX Part 3286 Section 113 requires manufactured home retailers and distributors to report specific information within 30 days
from the time a purchaser enters into a contract to purchase a manufactured home when the manufactured home will be sited in a state that HUD administers the installation program. The information
collected here will be used in conjunction with manufacturer production reports and other reports as appropriate under these Regulations. Public reporting burden for this collection is estimated to average
0.25 hours per response including the time for reviewing the instructions, searching existing data sources, gathering and maintaining the data as needed, and completing and reviewing the collection of
information. Response to the information collection is mandatory. This agency may not collect this information, and you are not required to complete this form, unless the form displays a currently valid
OMB control number.

Distribution:
HUD
Retailer/Distributor

Form HUD-305