FHA Loan Identification Form

FHA LOAN IDENTIFICATION FORM

Property Identification

Loan Identification

FHA Case Number:    Loan File Number:

Loan Purpose: Purchase Refinance 203(k) Rehabilitation Streamline Other:

Borrower Information

Phone:    Email:

Lender / Mortgagee Information

NMLS ID:    Mortgagee ID:    Phone:

Financing Terms

Original Principal Amount: $    Loan Term (months):

Interest Rate (Note Rate): %    Monthly Principal & Interest: $

Annual MIP Rate: %    Upfront MIP Financed: Yes No

Project / Condominium Information

Is the property part of a condominium project?   Yes No

Appraisal, Inspection & Closing

Appraisal Date:    Appraiser Name:

Inspection Required (per FHA): Yes No

Seller Contributions & Earnest Money

Seller Concessions (maximum disclosed): $    Earnest Money Deposit: $

Property Disclosures

Was property built before 1978 (Lead-based paint risk)?   Yes No

Known Mold, Water Intrusion, Structural Damage:   Yes No

Located in Special Flood Hazard Area:   Yes No

Representations, Certifications & Warranties

By signing below, Borrower certifies that the information provided in this form is true and correct to the best of Borrower's knowledge, that the property will be occupied as stated, and that Borrower understands FHA requirements applicable to this transaction. Borrower authorizes Lender to submit this information and related documentation to the Federal Housing Administration for case assignment, endorsement, and/or insurance.

Lender certifies that it has collected and reviewed the documentation required for FHA case processing, that the loan file as identified on this form is being prepared in accordance with FHA program requirements and applicable lender underwriting standards, and that Lender will advise FHA of any material changes to the facts represented herein. Lender warrants that all material representations in this form are accurate and that supporting documentation is retained in the loan file.

Remedies: Borrower and Lender acknowledge that any material misstatement or omission in this form may result in denial of FHA insurance, rescission of approval, or other administrative or civil remedies. This form does not alter the terms of the mortgage note or security instrument.

Governing Law: This form shall be governed by and construed in accordance with the laws of the state in which the property is located, except where federal law applies.

Sign Now