91118-ORCF Borrower's Certification - Completion of Critical Repair

Comprehensive Listing of Transactional Documents for Mortgagors, Mortgagees and Contractors

91118_orcf

OMB: 2502-0605

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Borrower's

Certification -

Completion of Critical Repairs

Section 232

U.S. Department of Housing

and Urban Development

Office of Residential

Care Facilities


OMB Approval No. 2502-0605

(exp. 11/30/2022)



Public reporting burden for this collection of information is estimated to average 0.5 hours 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. The information is being collected to obtain the supportive documentation that 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. Response to this request for information is required in order to receive the benefits to be derived from the National Housing Act Section 232 Healthcare Facility Insurance Program. 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. While no assurance of confidentiality is pledged to respondents, HUD generally discloses this data only in response to a Freedom of Information Act request.




Warning:

Anyone who knowingly submits a false claim or makes a false statement is subject to criminal and/or civil penalties, including confinement for up to 5 years, fines, and civil and administrative penalties. (18 U.S.C. §§ 287, 1001, 1010, 1012; 31 U.S.C. §3729, 3802).



To U.S. Department of Housing and Urban Development ("HUD")

Project Name:



And to: __________________________________

("Lender")


FHA Project Number:




_____________________, a _______________ organized and existing under the laws of _________________ (the "Borrower"), the Borrower of the above-referenced project located at ___________________________, _____________, ______________ (the "Project"), hereby certifies to HUD and Lender as follows:


1. The Project is being financed with the proceeds of a mortgage loan (the "Loan") in the principal amount of $___________ from the Lender to the Borrower, which Loan will be insured by HUD pursuant to that certain Commitment to Insure Upon Completion dated ____________, 20____ (as the same may be amended from time to time, the "Commitment"). This Borrower's Certification is given in order to induce (i) the Lender to make the Loan and (ii) HUD to provide mortgage insurance with respect to the Loan.


2. Pursuant to the terms of the Commitment, the Borrower is obligated to complete certain repairs with respect to the Project as described in Exhibit A attached hereto (the "Critical Repairs") prior to closing of the Loan.


3. Attached are invoices and photographs documenting the completed Critical Repairs.


4. Borrower hereby certifies that the Critical Repairs have been completed in a good and workmanlike manner.


Borrower hereby certifies that the statements and representations contained in this instrument and all supporting documentation thereto are true, accurate, and complete and that each signatory has read and understands the terms of this instrument. This instrument has been made, presented, and delivered for the purpose of influencing an official action of HUD in insuring the Loan, and may be relied upon by HUD as a true statement of the facts contained therein.


Date: _______________, 20_____ BORROWER


a(n)


By:

Name:

Title:


Shape1 Previous versions obsolete Page 1 of 1 form HUD-91118-ORCF (06/2019)


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