91022 Mortgagee Notice of Foreclosure

OMB Control # 2502­0347
Exp. 01/30/2014

U.S. Department of Housing
and Urban Development
Office of Housing
Federal Housing Commissioner

Mortgagee Notice
of Foreclosure Sale
Single Family Housing

Public reporting burden for this collection of information is estimated to average 1 hour 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. Send comments regarding this burden estimate or any
other aspect of this collection of information, including suggestions for reducing this burden, to the Reports Management Officer, Office of Information Policies and Systems,
U.S. Department of Housing and Urban Development, Washington, D.C. 20410-3600 and to the Office of Management and Budget, Paper work Reduction Project (25020347), Washington, D.C. 20503. Do not send this completed form to either of these addressees.
Privacy Act Statement: The Department of Housing and Urban Development (HUD) is authorized to collect this information, including Social Security Numbers (SSN),
by the U.S. Housing Act of 1937, as amended, and by the Housing and Community Development Act of 1987, 42 U.S.C. 3543. The information is being collected by HUD
for use in expediting the foreclosure process or alternatives to foreclosure that HUD may authorize. The SSN is used as a unique identifier. HUD may disclose this information
to Federal, State and local agencies when relevant to civil, criminal, or regulatory investigations and prosecutions. It will not be otherwise disclosed or released outside
of HUD, except as permitted or required by law. Providing the SSN is mandatory.
Part A. Mortgagee's Instructions: When authorized by the Department, the Mortgagee must complete Part A of this form when foreclosure of an FHA insured mortgage
is begun. Mail the form to the local HUD Office (Single Family Loan Management) that has jurisdiction over the mortgaged property. The form must be delivered to HUD
at least 45 days before the estimated foreclosure sale date, but no later than on or before the date of the first publication, posting, or other standard legal notice of sale, whichever
is earlier. HUD may return the Commissioner's Adjusted Fair Market Value (CAFMV) of the property to the mortgagee no later than five (5) days prior to the foreclosure sale.
1. Mortgagee's Name & Address :

3a. Name of Mortgagee Contact Person :

3b. Signature of Authorized Mortgagee Official :

2. Telephone No. (include area code) :

X
4. Mortgagor's Name & Property Address :

6. Mortgagor's Last Known Mailing Address :

5. Mortgagor's Last Known Telephone No. :

7. Mortgagor's Social Security No. :

8. Original Mortgage :

9. Mortgage Interest Rate :

10a.

14. Full Name of Selected Appraiser (or check appropriate box ) :

%

$

Unpaid Principal Balance

$

Pre-Foreclosure Appraisal Attached

(as of the date shown in block A16.)
10b.

Unpaid Mortgage Interest

$

(as of the date shown in block A16 )
10c.

Other Costs Incurred to Date

$
17a. The Property Is :

(Itemize these in block 21 on the back of this form)
10d.

Estimated Outstanding Indebtedness

$

12. Mortgage Loan No.

17b. The Owner Is :

Occupied
Vacant

(enter the total of blocks 10a + 10b + 10c)
11. FHA Case No.

HUD Staff Assigned

15. Estimated Date of Foreclosure Sale:
16. Date this Form was Completed:
(at least 45 days from date form is mailed to HUD)

19.

Occupant
Non-Occupant

18. Check this block if
entry to the property
is a problem.

Check here if Default/Foreclosure Action was reported to Credit Bureau.

20. Check one of the following:

Deficiency Judgment
Other (Specify)

13. Conditional Commitment or Property Appraisal Date

Part B. HUD Data to Mortgagee
1.

Pre-Foreclosure Sale

3.

Check here if additional advertising is required.

4.

Estimated Outstanding Indebtedness

HUD Field Office (name & address) :

$

( enter as indicated in Part A, 10d. )
5.

Fair Market Value (FMV) of Property

$

(enter FMV determined by Valuation Division)
6.
2.

Less Adjustments

$

(estimate post-acquisition & property disposition costs)

Mortgagee's Name & Address :
7.

Commissioner's Adjusted Fair Market
$
Value of Property (CAFMV) (subtract B6 from B5)

8.

Actual Foreclosure Sale Date:
(if applicable, from a copy of the Notice of Sale
or other legal notice furnished by the Mortgagee)

Name & Signature of HUD Personnel Completing this form :

Name, Title & Signature of Authorized HUD Official :

Date Signed :

X
Previous editions are obsolete.

X
form HUD-91022 (08/2002)
ref. Handbook 4330.1

21. List other costs incurred to date and transfer the total to block A.10c. on the front of this form.

Description of Incurred Cost Item

Amount
$

$

Total

(enter in part A, block 10c on the front of the form)

Mortgagee's Remarks Section:

Previous editions are obsolete.

form HUD-91022 (08/2002)
ref. Handbook 4330.1