U.S.
Department of Housing and Urban Development Office
of Residential
Care Facilities
OMB
Approval No. 2502-0605
(exp.
11/30/2022)
Public
reportingburden
for this collection of information is estimated to average .25
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).
Instructions:
Submit the original only to HUD within 15 calendar days from the
date of change for the Section 232 insured mortgage.
Sale
of Mortgage: It
is the Seller’s responsibility to submit this form. Boxes
1, 2, 3, and 5 through 14 must be completed by the Seller. Box
15 must be signed by an authorized official of the purchasing
mortgagee. Signatures in boxes 14 and 15 are official notice to
HUD that this insured loan has been sold in accordance with HUD
regulations. Seller and purchaser agree that the purchaser
succeeds to all rights and assumes all obligations of the Seller
under the HUD contract of insurance. Upon receipt of this notice
by HUD, the Seller will be released from its obligations under
the contract of insurance. HUD will acknowledge receipt of this
notice to the Seller and to the Purchaser by monthly computer
listing.
Change
of Servicer: Boxes
1, 2, 3, 5, 7, 8, 10, 12, and 15 must be completed.
Change
of Mortgagor: Boxes
1, 2, 3, 5, 7, 8, 10, 12, and 15
must
be completed.
Type
of Action: (mark all applicable boxes)
Change of Holding Mortgagee or Servicer
Sale of Mortgage
Change of
Servicer
Original
Amount of Mortgage:
$
FHA
Project No:
Section
of Act
Code:
RESERVED
Maturity
Date: (month and year)
Construction
Status:
Construction is Completed
Construction is Uncompleted
Date
of This Notice:
(mm/dd/yyyy)
8.
Date of Transfer:
(mm/dd/yyyy)
Selling
Mortgagee: (mortgagee code no., name, address & ZIP code)
Purchasing
Mortgagee: (mortgagee code no., name, address & ZIP code)
Name
of Present Mortgagor (or Previous Mortgagor if for a Mortgagor
Change):
Service
to Which Future Premium Notices Should be Sent: (mortgagee code
no., name, address & ZIP code)
Property
Address: (include ZIP code)
Selling
Mortgagee: (Authorized Official)
Name (Print):
Purchasing
or Holding Mortgagee: (Authorized Official) Name (Print):
Signature:
Signature:
Phone
Number:
Phone
Number:
Mail
the completed form to:
U.S.
Department of Housing and Urban Development
Multifamily
Insurance Operations Branch
PO
Box 44124
Washington,
DC 20026-4124
Previous
editions are obsolete. Form
HUD-92080-ORCF(06/2019)
Previous
editions are obsolete. Form
HUD-92080-ORCF(06/2019)