HUD-52649 Statement of Homeowner Obligations Housing Choice Homeow

Statement of Homeowner Obligations
Housing Choice Homeownership
Voucher Program

U.S. Department of Housing OMB Approval No. 2577-0169
and Urban Development
(Exp.04/30/2018)
Office of Public and Indian Housing

Public Reporting Burden for this collection of information is estimated to average 0.25 hours per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed and completing and re viewing the collection of
information. This agency may not conduct or sponsor, and a person is not required to respond to, a
This collection of information is authorized under Section 8(y) of the U.S. Housing Act. The information sets forth the family's obligations
when participating in the homeownership program under the Housing Choice Voucher Program.
Privacy Act Statement. The Department of Housing and Urban Development (HUD) is authorized to collect the information required on this
form by Section 8 of the U.S. Housing Act of 1937 (42 U.S.C. 1437f). Collection of family members’ names and address is mandatory. The
information sets forth the family’s obligations when participating in the homeownership program under the Housing Choice Voucher Program.
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. Failure to provide any of the
information may result in delay or rejection of family participation in the voucher homeownership program.

1. Homeowner Obligations. A family participating in the
homeownership voucher program of the undersigned public
housing agency (PHA) must follow the rules listed below in order
to receive homeownership assistance. Any information the family
supplies must be true and complete. Each family member (plus
any PHA-approved live-in aide for rules associated with criminal
activity or alcohol abuse) must:
A. Disclose and verify social security numbers and employer
identification numbers, sign and submit consent forms for obtaining
information (including criminal conviction records of adult
household members), and supply any other information that the
PHA or HUD determines to be necessary (including evidence of
citizenship or eligible immigration status, information for use in
determining eligibility to receive homeownership assistance, and
information for use in a regularly scheduled reexamination or
interim reexamination of family income and composition).
B. Submit any PHA-required reports on the family’s progress in
finding and purchasing a home.
C. Attend and satisfactorily complete any PHA-required
homeownership and housing counseling.
D. Select and pay for a pre-purchase inspection by an
independent professional inspector. The inspection must be
conducted in accordance with PHA requirements.
E. Enter into a contract of sale with the seller of the unit and
promptly provide a copy of the contract of sale to the PHA. The
provisions of the contract of sale must comply with PHA
requirements.
F. Obtain and maintain flood insurance for homes in special
flood hazard areas.
G. Comply with the terms of any mortgage securing debt
incurred to purchase the home (or any refinancing of such
debt).
H. Promptly notify the PHA in writing when (1) the family is away
from the home for an extended period of time in accordance with
PHA policies, and (2) before the family moves out of the home.
Supply any information or certification requested by the PHA to
verify that the family is living in the home or information related to
family absence from the home.

I. Only use the assisted home for residence by the PHAapproved family members, live-in aide or foster child. No other
person may reside in the home. The home must be the family’s
only residence and no family member may have any ownership
interest in any other residential property. Any legal profit making
activities in the home must be incidental to the primary use of the
home as a residence. The family must not lease any portion of
the home or grounds.
J. Promptly notify the PHA in writing of the birth, adoption, or
court-awarded custody of a child, and request PHA written
approval to add any other family member as an occupant of the
home. Promptly notify the PHA in writing if any family member no
longer lives in the home.
K. Supply any information as required by the PHA or HUD
concerning: (1) any mortgage or other debt incurred to purchase
the home, any refinancing of such debt (including information
needed to determine whether the family has defaulted on the
debt, and the nature of any such default), and information on any
satisfaction or payment of the mortgage debt; (2) any sale or
other transfer of any interest in the home; or (3) the family’s
homeownership expenses.
L. Promptly notify the PHA in writing if the family defaults on
a mortgage securing any debt incurred to purchase the home.
M. Not commit fraud, bribery, or any other corrupt or criminal act
in connection with any Federal housing program. Not engage in
drug-related criminal activity or violent criminal activity. Not
engage in other criminal activity that threatens the health, safety
or right to peaceful enjoyment of other residents and persons
residing in the immediate vicinity of the premises. Not abuse
alcohol in a way that threatens the health, safety or right to
peaceful enjoyment of other residents and persons
residing in the immediate vicinity of the premises. Not engage in
or threaten abusive or violent behavior toward PHA staff. Not
engage in other criminal activity which may threaten the health or
safety of persons performing a contract administration function or
responsibility on behalf of the PHA (including PHA staff and PHA
contractor/subcontractor/agent staff).

form HUD-52649
(04/2015)
ref. Handbook 7420.8

N. Not lease, let, transfer or convey the home except to grant
a mortgage on the home for debt incurred to finance purchase
of the home or any refinancing of such debt.
O. Not receive homeownership voucher program assistance
while receiving another housing subsidy for the same home or
a different unit under any duplicative Federal, State or local
housing assistance program.
P. Comply with any additional PHA requirements for family
search and purchase of a home and continuation of
homeownership assistance for the family. The PHA must
attach to this document a list of any such requirements.
2. Termination of assistance. Homeownership assistance
may only be paid while the family is residing in the home. The
PHA may deny or terminate homeownership assistance for
any of the reasons listed below:
A. The family violates or has violated any family obligation
under section 1.
B. Any member of the family has been evicted from federally
assisted housing in the last five years, or any household
member has been evicted from federally assisted housing for
drug-related criminal activity in the last three y ears.
C. A PHA has ever terminated assistance under the
certificate or voucher program for any member of the family.
D. The family currently owes any money to the PHA or
another PHA in connection with Section 8 or public housing
assistance. The family has not reimbursed any PHA for
amounts paid to an owner under a housing assistance

payments contract for rent, damages to the unit, or other
amounts owed by the family. The family breaches an
agreement with the PHA to pay amounts owed to a PHA, or
amounts paid to an owner by a PHA.
E. Any household member is subject to a lifetime
registration requirement under a State sex offender
registration program.
F. Any household member has ever been convicted for
manufacture or production of methamphetamine on the
premises of federally assisted housing.
G. The family fails to comply, without good cause, with any
family self-sufficiency program contract of participation.
H. The family fails, willfully and persistently, to fulfill any
welfare-to-work program obligations.
I. The family has been dispossessed from the home
pursuant to a judgment order of foreclosure on any mortgage
securing debt incurred to purchase the home (or an y
refinancing of such debt).
J. The PHA determines that homeownership assistance
has been provided for the maximum term permitted under
the homeownership voucher program, or it has been 180
calendar days since the last homeownership assistance
payment on behalf of the family.
K. The PHA determines there is insufficient funding to
provide continued homeownership assistance.

KEEP THIS DOCUMENT FOR YOUR RECORDS
Family
Name of Head of Household
Address, Telephone Number:

Names of Other Family Members

Signature of Family Representative

Date: (dd/mm/yyyy)

Public Housing Agency
Name of PHA

PHA Representative Title
Signature of PHA Representative

Address, Telephone Number:

Date: (dd/mm/yyyy)

form HUD-52649
(04/2015)
ref. Handbook 7420.8

form HUD-52649
(04/2015)
ref. Handbook 7420.8