Form HUD-9250 - Funds Authorization REDLINE

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

OMB Approval No. 2502-0555 (exp. 2/29/2020)

For Instructions, Public Burden Statement, and Privacy Act requirements: See Page 2.
Reserve for Replacements Fund	Residual Receipts Fund	Project Number:
Is this withdrawal request to replace appliances and/or major components with energy efficient products/systems? Yes No		Lender/Servicer Loan Number: (Optional)
		Property Address: (Include City, State, and Zip Code)
To: (Mortgagee)		Comments: (Optional)
This is your authority to release the following amounts from the reserve: Purpose:			Amount
			$
			$
			$
			$
			$
			$
			$
			$
			$
			$
Total Amount			$
Check (X) appropriate box: ☐An inspection made on the date of Click or tap to enter a date. revealed satisfactory replacement and/or installation. ☐An inspection will be made on the next visit to the property. Satisfactory replacement and/or installation will be determined at that time.

This office has approved (Check (X) appropriate box). This is your authority to adjust the reserve requirements accordingly. This authority is revocable upon written notice from HUD.

☐ A suspension of deposits to the reserve from Click or tap to enter a date. to Click or tap to enter a date..

☐A suspension of deposits to the reserve so long as a balance of $Click or tap here to enter text. Is maintained.

☐ A change in the monthly deposit to the reserve from $ Click or tap here to enter text. to $Click or tap here to enter text. effective Click or tap to enter a date. through Click or tap to enter a date.

Remarks (optional)
To: (Owner/Managing Agent)	Name of Lender/Servicer, Regional Center or Satellite Office Director: (please type or print)
	Signature
	City	State	Date (mm/dd/yyyy)

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

OMB Approval No. 2502-0555 (exp. 09/30/2016)

Instructions: Indicate the escrow fund for the request and provide the information for each section as requested. Owner/Agent must also submit the following with this form:

1. A narrative providing a detailed description of the work performed or to be performed;

2. Copies of paid invoices if the withdrawal request is for reimbursement for work that has been performed;

3. If a bid exceeds $25,000 then copies of bids may be required. Please refer to HUD Handbook 4350.1 Chapter for detailed guidance;

4. Owner Certification (refer to HUD Handbook 4350.1, REV-1); and,

5. A list of appliances and/or major components that will be replaced along with a notation of whether the replacement items will be energy efficient products. If replacement items are not energy efficient products, the owner/agent must provide a justification.

Public reporting burden for this collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining data needed, and completing and reviewing the collection of information. This information is required to obtain benefits. 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 collection sets forth the information that must be reviewed and approved by HUD in order to withdraw funds from these accounts. While no assurances of confidentiality are pledged to respondents, HUD generally discloses this data only in response to a Freedom of Information Act request.

Lender/Servicer: Retain this record for three years. Page 2 form HUD-9250

Distribution: One copy to Mortgagor and HUD files. Ref. Handbook 4350.1, REV-1

1/2008