90022-ORCF Certification for Submission of Electronic Firm Applicat

Comprehensive Listing of Transactional Documents for Mortgagors, Mortgagees and Contractors

90022_orcf_Final_Clean.xlsx

Transactional Documents for Mortgagees and Contractors

OMB: 2502-0605

Document [xlsx]
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Overview

90022-ORCF
List Mgt


Sheet 1: 90022-ORCF

Public reporting burden for this collection of information is estimated to average 2 hours. This includes the time for collecting, reviewing, and reporting the data. The information is being collected to obtain the supportive documentation which must be submitted to HUD for approval, and is necessary to ensure that viable projects are developed and maintained. The Department will use this information to determine if properties meet HUD requirements with respect to development, operation and/or asset management, as well as ensuring the continued marketability of the properties. This agency may not collect this information, and you are not required to complete this form, unless it displays a currently valid OMB control number.

Warning: Any person who knowingly presents a false, fictitious, or fraudulent statement or claim in a matter within the jurisdiction of the U.S. Department of Housing and Urban Development is subject to criminal penalties, civil liability, and administrative sanctions.






The information contained in this certification is required for the submission of application fees to HUD. The application fee is sent to HUD when the electronic version of the Firm Application is submitted (and project is placed in the queue).

To enter the ORCF Firm Application processing queue, please submit a completed, signed, version of this certification with evidence of payment for the FHA application fee, and your storage medium containing the electronic version of the Firm Application.
Project Name




FHA Project Number




Project City

Project State
Loan Amount










Indicate the appropriate application queue:










Program Type

Complete only for New Construction, Substantial Rehabilitation, Blended Rate or 241a applications given prior ORCF approval. All other loan types are Single Stage only. Stage
Available Queues: Section 223a7; Section 223f Non-Portfolio; Section 223f Portfolio; Other: New Construction, Substantial Rehabilitation, Blended Rate, 241a Supplemental, 223d Operating Loss, 232i Fire Safety Equipment Application Queue










Tax Credits: The project involves Low Income Housing Tax Credits (LIHTC) or grants.










Additional Comments: Any additional key identifying information that HUD needs to know about or start working on as soon as an application is submitted (e.g. Tribal Notification).







Common Ownership: (Complete only if the project is not part of a medium or large portfolio, but contains common control with other projects to be submitted within the previous or next 18 months or with currently insured 232 Health Care Facilities. Guidance on common control is outlined in HUD HB 4232.1, Section II, Chapter 17.)






Portfolio Name




Portfolio Number










List the projects (project name and FHA #) with common ownership and application submission within the previous or next 18 months:







List the projects (project name and FHA #) with common ownership and currently HUD insured:







Medium/Large Portfolios: (Complete only if the project is part of a medium or large portfolio.)






Portfolio Name




Portfolio Number










List the projects (project name and FHA Number) that are a part of this batch:













Lender Contact information:









Lender Contact Name




Lender Contact Email




Lender Contact Phone










Certification:

By signing this certification, I am certifying that to the best of my knowledge each application included in this submittal is completely assembled according to Office of Residential Care Facilities (ORCF) requirements (including any special requirements of the portfolio approval letter, if applicable).






Executed this <<enter date>> day of <<enter month>>, <<enter year>>.






<<enter Lender's name here>>









By:



Signature







     



(Printed Name & Title)



Sheet 2: List Mgt

223a7


ALABAMA Alabama AL
223(f)


ALASKA Alaska AK
New Construction


ARIZONA Arizona AZ
Substantial Rehabilitation


ARKANSAS Arkansas AR
Blended Rate


CALIFORNIA California CA
241a Supplemental Loan


COLORADO Colorado CO
223d Operating Loss Loan


CONNECTICUT Connecticut CT
232i Fire Safety Equipment


DELAWARE Delaware DE




FLORIDA Florida FL
Single Stage Submission


GEORGIA Georgia GA
2 Stage - Initial Submission


HAWAII Hawaii HI
2 Stage - Final Submission


IDAHO Idaho ID




ILLINOIS Illinois IL
Non-Portfolio


INDIANA Indiana IN
Portfolio


IOWA Iowa IA
Other


KANSAS Kansas KS




KENTUCKY Kentucky KY
No


LOUISIANA Louisiana LA
Yes


MAINE Maine ME




MARYLAND Maryland MD




MASSACHUSETTS Massachusetts MA




MICHIGAN Michigan MI




MINNESOTA Minnesota MN




MISSISSIPPI Mississippi MS




MISSOURI Missouri MO




MONTANA Montana MT




NEBRASKA Nebraska NE




NEVADA Nevada NV




NEW HAMPSHIRE New Hampshire NH




NEW JERSEY New Jersey NJ




NEW MEXICO New Mexico NM




NEW YORK New York NY




NORTH CAROLINA North Carolina NC




NORTH DAKOTA North Dakota ND




OHIO Ohio OH




OKLAHOMA Oklahoma OK




OREGON Oregon OR




PENNSYLVANIA Pennsylvania PA




RHODE ISLAND Rhode Island RI




SOUTH CAROLINA South Carolina SC




SOUTH DAKOTA South Dakota SD




TENNESSEE Tennessee TN




TEXAS Texas TX




UTAH Utah UT




VERMONT Vermont VT




VIRGINIA Virginia VA




WASHINGTON Washington WA




WEST VIRGINIA West Virginia WV




WISCONSIN Wisconsin WI




WYOMING Wyoming WY
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