model docs

Exclusive Listing Period Purchase Addendum for
Governmental Entities and HUD-Approved Nonprofits
to Form HUD-9548, Sales Contract
Certification for Governmental Entities and HUD-Approved Nonprofits purchasing during
the Exclusive Listing Period
______________________________________________ (Name of Governmental Entity or
HUD-Approved Nonprofit), submits this offer to purchase the property located
at______________________________________________
______________________________________________________________________________
as a Governmental Entity or HUD-Approved Nonprofit buyer during the Exclusive Listing
Period. I certify that ______________________________________________ (Name of
Governmental Entity or HUD-Approved Nonprofit), has not purchased a HUD-owned property
during the Exclusive Listing Period within the past 24 months and that this offer is being
submitted with the representation that __________________________________________
(Name of Governmental Entity or HUD-Approved Nonprofit), will own the property for at least
12 months.
I certify that I have not knowingly submitted the HUD-9548, Sales Contract, for the above-listed
property, on behalf of an investor buyer. I further certify that I acknowledge that HUD will
prosecute false claims and statements and that conviction may result in criminal and/or civil
penalties.
The undersigned understands that any misrepresentations made on this form as to the agreed to
provisions may be subject to criminal and/or civil penalties including, but not limited to, fine or
imprisonment, or both, under the provisions of Title 18, United States Code, Sections 1001 and 1010.

______________________________________________________________________________
Name of Governmental Entity or HUD-Approved Nonprofit

_____________________________ _____________________________ ________________
Date
Name of Person Authorized to Sign Signature
Sales Contract on Behalf of the
Governmental Entity or HUD­
Approved Nonprofit

ref. Handbook 4000.1

(6/2018)