HUD XXXXX Notice of Conveyance of Deed to HUD

OMB Approval No. XXX-XXX

(Expires XX/XX/20XX)

Office of Native American Programs

S ection 184 Program

Notice of Conveyance of Deed to HUD

1. Section 184 Case Number

2. Holder

2a. Name

2b. Loan Number

2c. Land Type

2d. Contact’s Last Name

2e. First Name

2f. Middle Name

2g. Contact’s Phone Number

2h. Contact’s Email

3. Borrower(s)

3a. Borrower’s Last Name or Tribe/Entity	3b. First Name	3c. Middle Name
3d. Co-Borrower’s Last Name	3e. First Name	3f. Middle Name

4. Property

4a. Street Address

4b. City

4c. State

4d. Zip Code

5. Servicer

5a. Name

5b. Contact’s Last Name

5c. First Name

5d. Middle Name

5e. Contact’s Phone Number

5f. Contact’s Email

5g. Street Address

5h. City

5i. State

5j. Zip Code

Statement of Conveyance: This form serves as notification to HUD of the Direct Guarantee (DG) Lender or Holder’s filing of the Deed conveying the property (identified in item #4 above) and that the DG Lender or Holder assigns all rights without recourse or warranty any or all claims which the DG Lender or Holder has acquired in connection with the loan transaction, and as a result of the foreclosure proceedings or other means by which the DG Lender or Holder acquired or conveyed such property, except such claims as may have been released with the approval of HUD. Notwithstanding the conveyance, DG Lender or Holder remains liable for property, including but not limited to preservation of the property, hazard insurance and taxes, until the requirement under 24 CFR 1005.773(b) is satisfied.

6. Conveyance

6a. Property Jurisdiction (e.g., Land records office)	6b. Date of filing of conveyance to HUD
6c. Servicer Contact’s Signature	6d. Date

Burden Notice: This information is required to obtain benefits under the Section 184 Indian Housing Loan Guarantee (Section 184) program. Public reporting burden for this collection of information is estimated to average 20 minutes per response, including the time for searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions to reduce this burden, to the Reports Management Officer, REE, U.S. Department of Housing and Urban Development, 451 7th Street SW, Room 4176, Washington, DC 20410-5000. When providing comments, please refer to OMB Approval No. 2577-XXXX.HUD may not collect this information, and you are not required to complete this form, unless it displays a valid OMB control number. HUD is authorized to solicit the information requested in the form by virtue of 12 U.S.C. § 1715z-13a and 24 C.F.R. Part 1005. While no assurance of confidentiality is pledged to respondents, HUD generally discloses this data only in response to a Freedom of Information Act request.

Page 1 of 1 Form HUD-5xxxx (02/2024)