Sample Form Of Counter-Notification To Mls Property Information Network, Inc. Objecting To A Claim Of Infringement Of Copyright And The Disabling Or Removal Of Material From The Multiple Listing Service (Page 4 of 4) in pdf

Borrower's Certificate

The undersigned certifies that:

(a)

I will not have outstanding any other unpaid obligations contracted in connection with the mortgage transaction or the purchase of the said

property except obligations which are secured by property or collateral owned by me independently of the said mortgaged property, or

obligations approved by the Commissioner;

(b)

One of the undersigned intends to occupy the subject property, (note: delete this item if owner-occupancy is not required by the commitment);

(c)

All charges and fees collected from me as shown in the settlement statement have been paid from my own funds, and no other charges have

been or will be paid by me in respect to this transaction;

(d)

Neither I, nor anyone authorized to act for me, will refuse to sell or rent, after the making of a bona fide offer, or refuse to negotiate for the sale

or rental of, or otherwise make unavailable or deny the dwelling or property covered by this loan to any person because of race, color, religion,

sex, handicap, familial status or national origin. I recognize that any restrictive covenant on this property relating to race, color, religion, sex,

handicap, familial status or national origin is illegal and void and any such covenant is hereby specifically disclaimed. I understand that civil

action for preventative relief may be brought by the Attorney General of the United States in any appropriate U.S. District Court against any

person responsible for a violation of this certificate.

Borrower'(s) Signature(s) & Date:

Lender's Certificate

The undersigned certifies that to the best of its knowledge:

(a) The statements made in its application for insurance and in this Certificate are true and correct;

(b)

The conditions listed above or appearing in any outstanding commitment issued under the above case number have been fulfilled;

(c)

Complete disbursement of the loan has been made to the borrower, or to his/her creditors for his/her account and with his/her consent;

(d)

The security instrument has been recorded and is a good and valid first lien on the property described;

(e)

No charge has been made to or paid by the borrower except as permitted under HUD regulations;

(f)

The copies of the credit and security instruments which are submitted herewith are true and exact copies as executed and filed for record;

(g)

It has not paid any kickbacks, fees or consideration of any type, directly or indirectly, to any party in connection with this transaction except as

permitted under HUD regulations and administrative instructions.

I, the undersigned, as authorized representative of

, mortgagee

at this time of closing of this mortgage loan, certify that I have personally reviewed the mortgage loan documents, closing statements, application

for insurance endorsement, and all accompanying documents. I hereby make all certifications required for this mortgage as set forth in HUD

Handbook 4000.4.

Lender's Name:

Note: if the approval is executed by an agent in

the name of lender, the agent must enter the

lender's code number and type.

Title of Lender's Officer

Code Number: (5 digits)

Type:

Signature of Lender's Officer

Date

form HUD-92900-A (09/2010)

GCC - 92900A-4

(9/2010)

page 4

VA Form 26-1802a

Sample Form Of Counter-Notification To Mls Property Information Network, Inc. Objecting To A Claim Of Infringement Of Copyright And The Disabling Or Removal Of Material From The Multiple Listing Service Page 4

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