Report on Application
U.S. Department of Housing
and Urban Development
Office of Housing
Federal Housing Commissioner
Mortgagor – Name, Address and Zip Code
Date
FHA Case Number
Mortgagee – Name, Address and Zip Code
HUD Office
Your Application Cannot Be Processed Until the Following Items Are Submitted or Completed
Mortgage Credit
Architectural and Valuation
R-1
Complete Form HUD-92900, Item(s) _______________________
R-13
Complete Form HUD-92800:
R-2
Credit Report __________________________________________
Month and year completed
Mortgage Code Number
R-3
Complete Amendatory Statement
Signature of Mortgagee
Never Occupied (if applicable)
R-4
Copy of Sales Contract or Contract for Deed
and/or Builder and/or Sponsor
R-5
Form HUD-92004f - Verification of Deposit
R-14
Form HUD-92010 - Equal Employment Opportunity Certification
R-6
Form HUD-92004g - Verification of Employment
R-15
Form HUD-92005 - Description of Materials
R-7
Currently Dated Balance Sheet
R-16
Plot Plan
R-8
Form DD-802 - Certificate of Eligibility (Section 222)
R-17
Foundation or Basement Plan
R-9
Form FHA-3476 - Certificate of Eligibility (Section 221)
R-18
Exterior Elevations
R-10
Form HUD-92561 - Mortgagor's Contract
R-19
Exterior Wall Section
R-11
Mortgagee's Number not shown
R-20
Kitchen Cabinet Details
R-12
Other ________________________________________________
R-21
Stair Section, Fireplace Section and Elevation, and Roof Details
_____________________________________________________
R-22
Heating Layout and Heat Loss Calculation
_____________________________________________________
R-23
Water Supply System and Specifications
_____________________________________________________
R-24
Sewer Disposal System Plans and Specifications
_____________________________________________________
Other __________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
Your Application is Rejected for the Reasons Checked
Mortgage Credit
M-7
Verify source of unds to close
Principal Reasons for Credit Denial
M-8
Other: (Specify)
M-1
Stability of income not established
_____________________________________________________
M-2
Insufficient income to support mortgage
_____________________________________________________
M-3
Insurable loan limited to $ _____________________ based on
_____________________________________________________
_____________________________________________________
_____________________________________________________
M-4
Gift letter - cash on hand letter - unacceptable:
_____________________________________________________
Reason
M-9
Mortgagor's credit standing unacceptable: Reason
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
M-5
Exhibits indicate mortgagor resorting to unacceptable secondary
_____________________________________________________
financing
_____________________________________________________
M-6
Mortgagor has insufficient assets to close
Note: In compliance with Public Law 91-508 (Fair Credit Reporting Act) this is to advise that the above named applicant has been rejected because of an unacceptable
credit standing. The information was in a consumer credit report from:
Name(s)
Address
Telephone Number
The Federal Housing and Equal Opportunity Hotline Number is: 800-424-8590
Previous edition may be used until supply is exhausted
Page 1 of 2
form HUD-92026 (11/83)
ref Handbooks 4145.1, 4150.1, 4155.1