92802 Application for Appraisal

OMB Approval No. 2502-0328
(exp. 08/31/2009))

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

Application for
Manufactured Home
Appraisal

Public reporting burden for this collection of information is estimated to average 15 minutes 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. 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.
Sensitive Information: The information collected on this form is considered sensitive and is protected by the Privacy Act. The Privacy Act requires that
these records be maintained with appropriate administrative, technical, and physical safeguards to ensure their security and confidentially. In addition,
these records should be protected against any anticipated threats or hazards to their security or integrity which could result in substantial harm,
embarrassment, inconvenience, or unfairness to any individual on whom the information is maintained.
Name & Address of Lending Institution

Title I Contract Number

Type of Property

Existing Home
Repossessed Home
Home to be Traded-In
Manufactured Home Lot
Existing Home and Lot

Contact Person

Telephone Number
Names of Borrowers

Title I Case Number (repossession only)

Institution Loan Number

Location of Manufactured Home and/or Lot
Street Address of Home and/or Lot

Name & Address of Park or Dealer

Contact Person

Telephone Number

Description of Manufactured Home
Name of Manufacturer

Model
Serial Number

Model Year
Size (L x W)

Year Purchased

Expando (L x W)

Ft. x

Ft.

Ft. x

Ft.

Signature of Authorized Official

Date Submitted

X
Title of Authorized Official

To be Completed by Appraiser
Statement of Appraised Value
Estimated Market Value in Present Condition $
Estimated Market Value if Repaired
Signature of Appraiser

$
Date of Appraisal

X
Name & Address of Appraiser

Previous editions are obsolete

form HUD-92802 (1/96)
ref. Handbook 1060.2