Appendix III-05 Fo Release of Security Interest

Release of

Security Interest

U.S. Department of Housing

and Urban Development

Government National Mortgage Association

OMB Approval No. 2503-0033 (Exp. 00/00/0000)

Public reporting for this information collection is estimated to average 6 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data and completing and reviewing the collection of information. This agency may not collect this information, and you are not required to complete this form, unless it displays a valid OMB control number.

Ginnie Mae is authorized to collect this information pursuant to Section 306(g) of the National Housing Act and/or by Ginnie Mae’s Handbook 5500.3, Rev. 1. The purpose of this collection is to provide for releases of security interests in the pooled mortgages by prior secured institutions. The information collected will not be disclosed outside the Department except as required by law.

With respect to mortgages (loans) represented by Ginnie Mae Pool number:

The lending (or other financing) institution named below agrees to relinquish any and all right, title or interest it may have in mortgages to be placed in this Ginnie Mae mortgage-backed securities pool or loan package (Pooled Mortgages) no later than the date and time of delivery of the securities by Ginnie Mae or its agent. In the case of Home Equity Conversion Mortgage loans (HECMs), “Pooled Mortgages” shall include the mortgages, Participations related to such mortgages and any amounts related to such mortgages that do not constitute participation interests.

Name of Lending (or Other Financing) Institution

Address

Authorized Signature Title of Individual Signing

Date

One or more releases per pool or loan package are required to be held by the document custodian to the extent necessary to encompass all Pooled Mortgages.

form HUD-11711A (10/2007)

Previous edition is obsolete ref. Ginnie Mae Handbook 5500.3, Rev. 1