+------------+-----+------+-----+------+---+----------------+----------+---+
| **Previous |     | **   |     |      |   | **U.S.         | OMB      |   |
| Parti      |     | U.S. |     |      |   | Department of  | Approval |   |
| cipation** |     | De   |     |      |   | Agriculture**  | No.      |   |
|            |     | part |     |      |   |                | 2        |   |
| **Certi    |     | ment |     |      |   | Farmers Home   | 502‑0118 |   |
| fication** |     | of   |     |      |   | Administration |          |   |
|            |     | H    |     |      |   |                | (exp.    |   |
|            |     | ousi |     |      |   |                | 9/       |   |
|            |     | ng** |     |      |   |                | 30/2009) |   |
|            |     |      |     |      |   |                |          |   |
|            |     | *    |     |      |   |                |          |   |
|            |     | *and |     |      |   |                |          |   |
|            |     | U    |     |      |   |                |          |   |
|            |     | rban |     |      |   |                |          |   |
|            |     | D    |     |      |   |                |          |   |
|            |     | evel |     |      |   |                |          |   |
|            |     | opme |     |      |   |                |          |   |
|            |     | nt** |     |      |   |                |          |   |
|            |     |      |     |      |   |                |          |   |
|            |     | Of   |     |      |   |                |          |   |
|            |     | fice |     |      |   |                |          |   |
|            |     | of   |     |      |   |                |          |   |
|            |     | Hou  |     |      |   |                |          |   |
|            |     | sing |     |      |   |                |          |   |
|            |     | /Fed |     |      |   |                |          |   |
|            |     | eral |     |      |   |                |          |   |
|            |     | Hou  |     |      |   |                |          |   |
|            |     | sing |     |      |   |                |          |   |
|            |     | Comm |     |      |   |                |          |   |
|            |     | issi |     |      |   |                |          |   |
|            |     | oner |     |      |   |                |          |   |
+------------+-----+------+-----+------+---+----------------+----------+---+
| **Part I   |     |      |     | *    |   |                |          |   |
| To be      |     |      |     | *For |   |                |          |   |
| completed  |     |      |     | HUD  |   |                |          |   |
| by         |     |      |     | HQ/  |   |                |          |   |
| Principals |     |      |     | FmHA |   |                |          |   |
| of         |     |      |     | use  |   |                |          |   |
| M          |     |      |     | on   |   |                |          |   |
| ultifamily |     |      |     | ly** |   |                |          |   |
| P          |     |      |     |      |   |                |          |   |
| rojects.** |     |      |     |      |   |                |          |   |
| See        |     |      |     |      |   |                |          |   |
| In         |     |      |     |      |   |                |          |   |
| structions |     |      |     |      |   |                |          |   |
|            |     |      |     |      |   |                |          |   |
| **Reason   |     |      |     |      |   |                |          |   |
| for        |     |      |     |      |   |                |          |   |
| Submitting |     |      |     |      |   |                |          |   |
| Certi      |     |      |     |      |   |                |          |   |
| fication** |     |      |     |      |   |                |          |   |
|            |     |      |     |      |   |                |          |   |
| **     **  |     |      |     |      |   |                |          |   |
+------------+-----+------+-----+------+---+----------------+----------+---+
| 1\. Agency |     |      |     | 2\.  |   |                |          |   |
| Name and   |     |      |     | Pro  |   |                |          |   |
| City where |     |      |     | ject |   |                |          |   |
| the        |     |      |     | N    |   |                |          |   |
| a          |     |      |     | ame, |   |                |          |   |
| pplication |     |      |     | Pro  |   |                |          |   |
| is filed   |     |      |     | ject |   |                |          |   |
|            |     |      |     | Num  |   |                |          |   |
|            |     |      |     | ber, |   |                |          |   |
|            |     |      |     | City |   |                |          |   |
|            |     |      |     | and  |   |                |          |   |
|            |     |      |     | Zip  |   |                |          |   |
| **     **  |     |      |     | Code |   |                |          |   |
|            |     |      |     | c    |   |                |          |   |
|            |     |      |     | onta |   |                |          |   |
|            |     |      |     | ined |   |                |          |   |
|            |     |      |     | in   |   |                |          |   |
|            |     |      |     | the  |   |                |          |   |
|            |     |      |     | app  |   |                |          |   |
|            |     |      |     | lica |   |                |          |   |
|            |     |      |     | tion |   |                |          |   |
|            |     |      |     |      |   |                |          |   |
|            |     |      |     | *    |   |                |          |   |
|            |     |      |     | *    |   |                |          |   |
|            |     |      |     |   ** |   |                |          |   |
|            |     |      |     |      |   |                |          |   |
|            |     |      |     | *    |   |                |          |   |
|            |     |      |     | *    |   |                |          |   |
|            |     |      |     |   ** |   |                |          |   |
|            |     |      |     |      |   |                |          |   |
|            |     |      |     | *    |   |                |          |   |
|            |     |      |     | *    |   |                |          |   |
|            |     |      |     |   ** |   |                |          |   |
+------------+-----+------+-----+------+---+----------------+----------+---+
| 3\. Loan   | 4\. |      | 5\. |      | 6 |                |          |   |
| or         | Num |      | S   |      | \ |                |          |   |
| Contract   | ber |      | ect |      | . |                |          |   |
| Amount     | of  |      | ion |      | T |                |          |   |
|            | Un  |      | of  |      | y |                |          |   |
|            | its |      | Act |      | p |                |          |   |
|            | or  |      |     |      | e |                |          |   |
|            | B   |      |     |      | o |                |          |   |
|            | eds |      |     |      | f |                |          |   |
|            |     |      |     |      | P |                |          |   |
|            |     |      |     |      | r |                |          |   |
|            |     |      |     |      | o |                |          |   |
|            |     |      |     |      | j |                |          |   |
|            |     |      |     |      | e |                |          |   |
|            |     |      |     |      | c |                |          |   |
|            |     |      |     |      | t |                |          |   |
|            |     |      |     |      | ( |                |          |   |
|            |     |      |     |      | c |                |          |   |
|            |     |      |     |      | h |                |          |   |
|            |     |      |     |      | e |                |          |   |
|            |     |      |     |      | c |                |          |   |
|            |     |      |     |      | k |                |          |   |
|            |     |      |     |      | o |                |          |   |
|            |     |      |     |      | n |                |          |   |
|            |     |      |     |      | e |                |          |   |
|            |     |      |     |      | ) |                |          |   |
|            |     |      |     |      |   |                |          |   |
|            |     |      |     |      | E |                |          |   |
|            |     |      |     |      | x |                |          |   |
|            |     |      |     |      | i |                |          |   |
|            |     |      |     |      | s |                |          |   |
|            |     |      |     |      | t |                |          |   |
|            |     |      |     |      | i |                |          |   |
|            |     |      |     |      | n |                |          |   |
|            |     |      |     |      | g |                |          |   |
|            |     |      |     |      | R |                |          |   |
|            |     |      |     |      | e |                |          |   |
|            |     |      |     |      | h |                |          |   |
|            |     |      |     |      | a |                |          |   |
|            |     |      |     |      | b |                |          |   |
|            |     |      |     |      | i |                |          |   |
|            |     |      |     |      | l |                |          |   |
|            |     |      |     |      | i |                |          |   |
|            |     |      |     |      | t |                |          |   |
|            |     |      |     |      | a |                |          |   |
|            |     |      |     |      | t |                |          |   |
|            |     |      |     |      | i |                |          |   |
|            |     |      |     |      | o |                |          |   |
|            |     |      |     |      | n |                |          |   |
|            |     |      |     |      | P |                |          |   |
|            |     |      |     |      | r |                |          |   |
|            |     |      |     |      | o |                |          |   |
|            |     |      |     |      | p |                |          |   |
|            |     |      |     |      | o |                |          |   |
|            |     |      |     |      | s |                |          |   |
|            |     |      |     |      | e |                |          |   |
|            |     |      |     |      | d |                |          |   |
|            |     |      |     |      | ( |                |          |   |
|            |     |      |     |      | N |                |          |   |
|            |     |      |     |      | e |                |          |   |
|            |     |      |     |      | w |                |          |   |
|            |     |      |     |      | ) |                |          |   |
+------------+-----+------+-----+------+---+----------------+----------+---+

List of All Proposed Principal Participants

<table>
<colgroup>
<col style="width: 25%" />
<col style="width: 10%" />
<col style="width: 14%" />
<col style="width: 10%" />
<col style="width: 5%" />
<col style="width: 6%" />
<col style="width: 2%" />
<col style="width: 8%" />
<col style="width: 1%" />
<col style="width: 14%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="4"><p>7. Names and Addresses of All Known Principals and
Affiliates (people, businesses &amp; organizations)</p>
<p>proposing to participate in the project described above. (list names
alphabetically; last, first, middle initial)</p></td>
<td colspan="2"><p>8. Role of Each</p>
<p>Principal in Project</p></td>
<td colspan="3"><p>9. Expected % Owner</p>
<p>ship Interest in Project</p></td>
<td><p>10. Social Security or IRS</p>
<p>Employer Number</p></td>
</tr>
<tr class="even">
<td colspan="4"><strong>     </strong></td>
<td colspan="2"><strong>     </strong></td>
<td colspan="3"><strong>     </strong></td>
<td><strong>     </strong></td>
</tr>
<tr class="odd">
<td colspan="4"><strong>     </strong></td>
<td colspan="2"><strong>     </strong></td>
<td colspan="3"><strong>     </strong></td>
<td><strong>     </strong></td>
</tr>
<tr class="even">
<td colspan="4"><strong>     </strong></td>
<td colspan="2"><strong>     </strong></td>
<td colspan="3"><strong>     </strong></td>
<td><strong>     </strong></td>
</tr>
<tr class="odd">
<td colspan="4"><strong>     </strong></td>
<td colspan="2"><strong>     </strong></td>
<td colspan="3"><strong>     </strong></td>
<td><strong>     </strong></td>
</tr>
<tr class="even">
<td colspan="4"><strong>     </strong></td>
<td colspan="2"><strong>     </strong></td>
<td colspan="3"><strong>     </strong></td>
<td><strong>     </strong></td>
</tr>
<tr class="odd">
<td><p><strong>Certifications:</strong> I (meaning the individual who
signs as well as the corporations, partnerships or other parties listed
above who certify) hereby apply to HUD or USDA-FmHA, as the case may be,
for approval to participate as a principal in the role and project
listed above based upon my following previous participation record and
this Certification.</p>
<p>I certify that all the statements made by me are true, complete and
correct to the best of my knowledge and belief and are made in good
faith, including the data contained in Schedule A and Exhibits signed by
me and attached to this form. <strong>Warning:</strong> HUD will
prosecute false claims and statements. Conviction may result in criminal
and/ or civil penalties. (18 U.S.C. 1001, 1010, 1012; 31 U.S.C. 3729,
3802)</p>
<blockquote>
<p>I further certify that:</p>
</blockquote>
<p>1. Schedule A contains a listing of every assisted or insured project
of HUD, USDA-FmHA and State and local government housing finance
agencies in which I have been or am now a principal.</p>
<p>2. For the period beginning 10 years prior to the date of this
certification, and except as shown</p></td>
<td colspan="2"><blockquote>
<p>by me on the certification.</p>
<p>a. No mortgage on a project listed by me has ever been in default,
assigned to the Government or foreclosed, nor has mortgage relief by the
mortgagee been given;</p>
<p>b. I have not experienced defaults or non-compliances under any
Conventional Contract or Turnkey Contract of Sale in connection with a
public housing project;</p>
<p>c. To the best of my knowledge, there are no unresolved findings
raised as a result of HUD audits, management reviews or other
Governmental investigations concerning me or my projects;</p>
<p>d. There has not been a suspension or termination of payments under
any HUD assistance contract in which I have had a legal or beneficial
interest;</p>
<p>e. I have not been convicted of a felony and am not presently, to my
knowledge, the subject of a complaint or indictment charging a felony.
(A felony is defined as any offense punishable by imprisonment for a
term exceeding</p>
</blockquote></td>
<td colspan="4"><blockquote>
<p>one year, but does not include any offense classified as a
misdemeanor under the laws of a State and punishable by imprisonment of
two years or less);</p>
<p>f. I have not been suspended, debarred or otherwise restricted by any
Department or Agency of the Federal Government or of a State Government
from doing business with such Department or Agency.</p>
<p>g. I have not defaulted on an obligation covered by a surety or
performance bond and have not been the subject of a claim under an
employee fidelity bond.</p>
</blockquote>
<p>3. <strong>All</strong> the names of the parties, known to me to be
principals in this project(s) in which I propose to participate, are
listed above.</p>
<p>4. I am not a HUD/FmHA employee or a member of a HUD/FmHA employee's
immediate household as defined in Standards of Ethical Conduct for
Employees of the Executive Branch in 5 C.F.R. Part 2635 (57 FR 35006)
and HUD's Standard of Conduct in 24 C.F.R. Part 0 and USDA's Standard of
Conduct in 7 C.F.R. Part 0 Subpart B.</p></td>
<td colspan="3"><p>5. I am not a principal participant in an assisted or
insured project as of this date on which construction has stopped for a
period in excess of 20 days or which has been substantially completed
for more than 90 days and documents for closing, including final cost
certification have not been filed with HUD or FmHA.</p>
<p>6. To my knowledge I have not been found by HUD or FmHA to be in
noncompliance with any applicable civil rights laws.</p>
<p>7. I am not a Member of Congress or a Resident Commissioner nor
otherwise prohibited or limited by law from contracting with the
Government of the United States of America.</p>
<p>8. Statements above (if any) to which I cannot certify have been
deleted by striking through the words with a pen. I have initialed each
deletion (if any) and have attached a true and accurate signed statement
(if applicable) to explain the facts and circumstances which I think
helps to qualify me as a responsible principal for participation in this
project.</p></td>
</tr>
<tr class="even">
<td colspan="2">Typed or Printed Name of Principal</td>
<td colspan="3">Signature of Principal</td>
<td colspan="3">Certification Date (mm/dd/yyyy)</td>
<td colspan="2">Area Code and Telephone No.</td>
</tr>
<tr class="odd">
<td colspan="2">     </td>
<td colspan="3"></td>
<td colspan="3">     </td>
<td colspan="2">     </td>
</tr>
<tr class="even">
<td colspan="2">     </td>
<td colspan="3"></td>
<td colspan="3">     </td>
<td colspan="2">     </td>
</tr>
<tr class="odd">
<td colspan="2">     </td>
<td colspan="3"></td>
<td colspan="3">     </td>
<td colspan="2">     </td>
</tr>
<tr class="even">
<td colspan="2">     </td>
<td colspan="3"></td>
<td colspan="3">     </td>
<td colspan="2">     </td>
</tr>
<tr class="odd">
<td colspan="2">     </td>
<td colspan="3"></td>
<td colspan="3">     </td>
<td colspan="2">     </td>
</tr>
<tr class="even">
<td colspan="5">This form was prepared by (Please print name)</td>
<td colspan="5">Area Code and Telephone No.</td>
</tr>
</tbody>
</table>

Previous editions are obsolete Page 1 of 2 ref Handbook 4065.1 form
HUD-2530 (5/2001)

**Schedule A: List of Previous Projects and Section 8 Contracts.** By my
name below is the complete list of my previous projects and my
participation history as a principal; in Multifamily Housing programs of
HUD/FmHA, State, and Local Housing Finance Agencies. **Note**: Read and
follow the instruction sheet carefully. Abbreviate where possible. Make
full disclosure. Add extra sheets if you need more space. Double check
for accuracy. If you have no previous projects write, by your name**,
\"No previous participation, First Experience.\"**

+------------+----------------+-------------+------+---+---+------+-----+
| 1\. List   | 2\. List       | 3\. List    | 4\.  | 5 |   |      | 6\. |
| each       | Previous       | P           | St   | \ |   |      | L   |
| Pr         | Projects       | rincipals\' | atus | . |   |      | ast |
| incipal\'s |                | Role(s)     | of   | W |   |      | Mg  |
| Name       |                |             | Loan | a |   |      | mt. |
|            |                |             |      | s |   |      |     |
|            |                |             |      | P |   |      |     |
|            |                |             |      | r |   |      |     |
|            |                |             |      | o |   |      |     |
|            |                |             |      | j |   |      |     |
|            |                |             |      | e |   |      |     |
|            |                |             |      | c |   |      |     |
|            |                |             |      | t |   |      |     |
|            |                |             |      | e |   |      |     |
|            |                |             |      | v |   |      |     |
|            |                |             |      | e |   |      |     |
|            |                |             |      | r |   |      |     |
|            |                |             |      | i |   |      |     |
|            |                |             |      | n |   |      |     |
|            |                |             |      | D |   |      |     |
|            |                |             |      | e |   |      |     |
|            |                |             |      | f |   |      |     |
|            |                |             |      | a |   |      |     |
|            |                |             |      | u |   |      |     |
|            |                |             |      | l |   |      |     |
|            |                |             |      | t |   |      |     |
|            |                |             |      | , |   |      |     |
+------------+----------------+-------------+------+---+---+------+-----+
| (list in   | (give the ID   | (indicate   | (    | d |   |      | and |
| al         | number,        | dates       | curr | u |   |      | /or |
| phabetical | project name,  | pa          | ent, | r |   |      |     |
| order,     | city location, | rticipated, | de   | i |   |      | Ph  |
|            |                | and         | faul | n |   |      | ysi |
|            | & government   |             | ted, | g |   |      | cal |
|            | agency         |             |      | y |   |      | I   |
|            | involved       |             | a    | o |   |      | nsp |
|            |                |             | ssig | u |   |      | ctn |
|            |                |             | ned, | r |   |      |     |
|            |                |             | or   | p |   |      |     |
|            |                |             |      | a |   |      |     |
|            |                |             |      | r |   |      |     |
|            |                |             |      | t |   |      |     |
|            |                |             |      | i |   |      |     |
|            |                |             |      | c |   |      |     |
|            |                |             |      | i |   |      |     |
|            |                |             |      | p |   |      |     |
|            |                |             |      | a |   |      |     |
|            |                |             |      | t |   |      |     |
|            |                |             |      | i |   |      |     |
|            |                |             |      | o |   |      |     |
|            |                |             |      | n |   |      |     |
|            |                |             |      | ? |   |      |     |
+------------+----------------+-------------+------+---+---+------+-----+
| last name  | if other than  | if fee or   | for  | Y | N | If   | Rat |
| first)     | HUD)           | identity of | eclo | e | o | \*Ye | ing |
|            |                | interest    | sed) | s |   | s,\* |     |
|            |                | p           |      |   |   | exp  |     |
|            |                | articipant) |      |   |   | lain |     |
+------------+----------------+-------------+------+---+---+------+-----+
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
|            |                |             |      |   |   |      |     |
+------------+----------------+-------------+------+---+---+------+-----+

**Part II - For HUD Internal Processing Only**

Received and checked by me for accuracy and completeness; recommend
approval or transferral to Headquarters as checked below:

+-----------------+-----------------+-----------------+---+------+-------+
| Date            | Telephone       | A. No adverse   |   |      |       |
| (mm/dd/yyyy)    | Number and Area | information;    | C |      |       |
|                 | Code            | form HUD‑2530   | . |      |       |
|                 |                 | approval is     | D |      |       |
|                 |                 | recommended.    | i |      |       |
|                 |                 |                 | s |      |       |
|                 |                 |                 | c |      |       |
|                 |                 |                 | l |      |       |
|                 |                 |                 | o |      |       |
|                 |                 |                 | s |      |       |
|                 |                 |                 | u |      |       |
|                 |                 |                 | r |      |       |
|                 |                 |                 | e |      |       |
|                 |                 |                 | o |      |       |
|                 |                 |                 | r |      |       |
|                 |                 |                 | C |      |       |
|                 |                 |                 | e |      |       |
|                 |                 |                 | r |      |       |
|                 |                 |                 | t |      |       |
|                 |                 |                 | i |      |       |
|                 |                 |                 | f |      |       |
|                 |                 |                 | i |      |       |
|                 |                 |                 | c |      |       |
|                 |                 |                 | a |      |       |
|                 |                 |                 | t |      |       |
|                 |                 |                 | i |      |       |
|                 |                 |                 | o |      |       |
|                 |                 |                 | n |      |       |
|                 |                 |                 | p |      |       |
|                 |                 |                 | r |      |       |
|                 |                 |                 | o |      |       |
|                 |                 |                 | b |      |       |
|                 |                 |                 | l |      |       |
|                 |                 |                 | e |      |       |
|                 |                 |                 | m |      |       |
+-----------------+-----------------+-----------------+---+------+-------+
| Staff           | Processing and  | B. Name match   |   |      |       |
|                 | Control         | in system       | D |      |       |
|                 |                 |                 | . |      |       |
|                 |                 |                 | O |      |       |
|                 |                 |                 | t |      |       |
|                 |                 |                 | h |      |       |
|                 |                 |                 | e |      |       |
|                 |                 |                 | r |      |       |
|                 |                 |                 | , |      |       |
|                 |                 |                 | o |      |       |
|                 |                 |                 | u |      |       |
|                 |                 |                 | r |      |       |
|                 |                 |                 | m |      |       |
|                 |                 |                 | e |      |       |
|                 |                 |                 | m |      |       |
|                 |                 |                 | o |      |       |
|                 |                 |                 | r |      |       |
|                 |                 |                 | a |      |       |
|                 |                 |                 | n |      |       |
|                 |                 |                 | d |      |       |
|                 |                 |                 | u |      |       |
|                 |                 |                 | m |      |       |
|                 |                 |                 | i |      |       |
|                 |                 |                 | s |      |       |
|                 |                 |                 | a |      |       |
|                 |                 |                 | t |      |       |
|                 |                 |                 | t |      |       |
|                 |                 |                 | a |      |       |
|                 |                 |                 | c |      |       |
|                 |                 |                 | h |      |       |
|                 |                 |                 | e |      |       |
|                 |                 |                 | d |      |       |
|                 |                 |                 | . |      |       |
+-----------------+-----------------+-----------------+---+------+-------+
| Supervisor      |                 | Director of     |   | Appr | Date  |
|                 |                 | Housing /       |   | oved | (m    |
|                 |                 | Director,       |   |      | m/dd/ |
|                 |                 | Multifamily     |   | Yes  | yyyy) |
|                 |                 | Division        |   | No   |       |
|                 |                 |                 |   |      |       |
|                 |                 |                 |   |      |       |
+-----------------+-----------------+-----------------+---+------+-------+

Previous editions are obsolete Page 2 of 2 ref Handbook 4065.1form
HUD-2530 (5/2001)

+-----------------+-----------------+-----------------+-----------------+
| **Instructions  | **Who Must Sign | *               | If you do       |
| for Completing  | and File Form   | *Exemptions** - | request         |
| the Previous    | HUD-2530:**     | The names of    | reconsideration |
| Participation   | Form HUD-2530   | the following   | by the Review   |
| Certificate,**  | must be         | parties do not  | Committee and   |
| form HUD-2530   | completed and   | need to be      | the             |
|                 | signed by all   | listed on form  | reconsideration |
| Carefully read  | parties         | HUD-2530:       | results in an   |
| these           | applying to     | Public Housing  | adverse         |
| instructions    | become          | Agencies,       | determination,  |
| and the         | principal       | tenants, owners | you may then    |
| applicable      | participants in | of less than    | request a       |
| regulations. A  | HUD multifamily | five            | hearing before  |
| copy of those   | housing         | condominium or  | a Hearing       |
| regulations     | projects,       | cooperative     | Officer. The    |
| published at 24 | including those | units and all   | Hearing Officer |
| C.F.R. 200.210  | who have no     | others whose    | will issue a    |
| to 200.245 can  | previous        | interests were  | report to the   |
| be obtained     | participation.  | acquired by     | Review          |
| from the        | The form must   | inheritance or  | Committee. You  |
| Multifamily     | be signed and   | court order.    | will be         |
| Housing         | filed by all    |                 | notified of the |
| Representative  | principals and  | **Where and     | final ruling by |
| at any HUD      | their           | When Form       | certified mail. |
| Office. Type or | affiliates who  | HUD-2530 Must   |                 |
| print neatly in | propose         | Be Filed:** The | **Specific Line |
| ink when        | participating   | original of     | Instructions:** |
| filling out     | in the HUD      | this form must  |                 |
| this form. Mark | project. Use a  | be submitted to | **Reason for    |
| answers in all  | separate form   | the HUD Office  | submitting**    |
| blocks of the   | for each role   | where your      | this            |
| form. If the    | in the project  | project         | Certification:  |
| form is not     | unless there is | application     | e.g.,           |
| filled          | an identity of  | will be         | refinance,      |
| completely, it  | interest.       | processed at    | management,     |
| will delay      |                 | the same time   | change in       |
| approval of     | Principals      | you file your   | ownership,      |
| your            | include all     | initial project | transfer of     |
| application.    | individuals,    | application.    | physical        |
|                 | joint ventures, | This form must  | assets, etc.    |
| Attach extra    | partnerships,   | be filed with   |                 |
| sheets as you   | corporations,   | applications    | **Block 1:**    |
| need them. Be   | trusts,         | for projects,   | Fill in the     |
| sure to         | nonprofit       | or when         | name of the     |
| indicate        | organizations,  | otherwise       | agency to which |
| \"Continued on  | any other       | required in the | you are         |
| Attachments\"   | public or       | situations      | applying. For   |
| wherever        | private entity, | listed below:   | example: HUD    |
| appropriate.    | that will       |                 | Office, Farmers |
| Sign each       | participate in  | > • Projects to | Home            |
| additional page | the proposed    | > be financed   | Administration  |
| that you attach | project as a    | > with          | District        |
| if it refers to | sponsor, owner, | > mortgages     | office, or the  |
| you or your     | prime           | > insured under | name of a State |
| record. If you  | contractor,     | > the National  | or local        |
| have many       | turnkey         | > Housing Act   | housing finance |
| projects to     | developer,      | > (FHA).        | agency. Below   |
| list (20 or     | managing agent, | >               | that, fill in   |
| more) and       | nursing home    | > • Projects to | the name of the |
| expect to be    | administrator   | > be financed   | city where the  |
| applying        | or operator,    | > according to  | office is       |
| frequently for  | packager, or    | > Section 202   | located.        |
| participation   | consultant.     | > of the        |                 |
| in HUD          | Architects and  | > Housing Act   | **Block 2:**    |
| projects, you   | attorneys who   | > of 1959       | Fill in the     |
| should consider | have any        | > (Elderly and  | name of the     |
| filing a Master | interest in the | > Handicapped). | project, such   |
| List. See       | project other   | >               | as \"Greenwood  |
| Master List     | than an arms    | > • Projects in | Apts.\" If the  |
| instructions    | length fee      | > which 20      | name has not    |
| below under     | arrangement for | > percent or    | yet been        |
| \"Instructions  | professional    | > more of the   | selected, write |
| for Completing  | services are    | > units are to  | \"Name          |
| Schedule A.\"   | also considered | > receive a     | unknown.\"      |
|                 | principals by   | > subsidy as    | Below that,     |
| **Carefully     | HUD.            | > described in  | enter the HUD   |
| read the        |                 | > 24 C.F.R.     | contract or     |
| certification   | In the case of  | > 200.213.      | project         |
| before you sign | partnerships,   | >               | identification  |
| it.** Any       | all general     | > • Purchase of | number, the     |
| questions       | partners        | > a project     | Farmers Home    |
| regarding the   | regardless of   | > subject to a  | Administration  |
| form or how to  | their           | > mortgage      | project number, |
| complete it can | percentage      | > insured or    | or the State or |
| be answered by  | interest and    | > held by the   | local housing   |
| your HUD Office | limited         | > Secretary of  | finance agency  |
| Multifamily     | partners having | > HUD.          | project or      |
| Housing         | a 25 percent or |                 | contract        |
| Representative. | more interest   | • Purchase of a | number. Include |
|                 | in the          | Secretary-owned | **all** project |
| **Purpose:**    | partnership are | project.        | or contract     |
| This form       | considered      |                 | identification  |
| provides HUD    | principals. In  | • Proposed      | numbers that    |
| with a          | the case of     | substitution or | are relevant to |
| certified       | public or       | addition of a   | the project.    |
| report of all   | private         | principal, or   | Also enter the  |
| previous        | corporations or | principal       | name of the     |
| participation   | governmental    | participation   | city in which   |
| in HUD          | entities,       | in a different  | the project is  |
| multifamily     | principals      | capacity from   | located, and    |
| housing         | include the     | that previously | the ZIP Code of |
| projects by     | president, vice | approved for    | the site        |
| those parties   | president,      | the same        | location.       |
| making          | secretary,      | project.        |                 |
| application.    | treasurer and   |                 | **Block 3:**    |
| The information | all other       | > • Proposed    | Fill in the     |
| requested in    | executive       | > acquisition   | dollar amount   |
| this form is    | officers who    | > by an         | requested in    |
| used by HUD to  | are directly    | > existing      | the proposed    |
| determine if    | responsible to  | > limited       | mortgage, or    |
| you meet the    | the board of    | > partner of an | the annual      |
| standards       | directors, or   | > additional    | amount of       |
| established to  | any equivalent  | > interest in a | rental          |
| ensure that all | governing body, | > project       | assistance      |
| principal       | as well as all  | > resulting in  | requested.      |
| participants in | directors and   | > a total       |                 |
| HUD projects    | each            | > interest of   | **Block 4:**    |
| will honor      | stockholder     | > 25 percent or | Fill in the     |
| their legal,    | having a 10     | > more, or      | number of       |
| financial and   | percent or more | > proposed      | apartment units |
| contractual     | interest in the | > acquisition   | proposed, such  |
| obligations and | corporation.    | > by a          | as \"40         |
| are acceptable  |                 | > corporate     | units.\" For    |
| risks from the  | Affiliates are  | > stockholder   | hospital        |
| underwriting    | defined as any  | > of an         | projects or     |
| standpoint of   | person or       | > additional    | nursing homes,  |
| an insurer,     | business        | > interest in a | fill in the     |
| lender or       | concern that    | > project       | number of beds  |
| governmental    | directly or     | > resulting in  | proposed, such  |
| agency. HUD     | indirectly      | > a total       | as \"100        |
| requires that   | controls the    | > interest of   | beds.\"         |
| you certify     | policy of a     | > 10 percent or |                 |
| your record of  | principal or    | > more.         | **Block 5:**    |
| previous        | has the power   | >               | Fill in the     |
| participation   | to do so. A     | > • Projects    | section of the  |
| in              | holding or      | > with          | Housing Act     |
| HUD/USDA-FmHA,  | parent          | > U.S.D.A.,     | under which the |
| State and Local | corporation     | > Farmers Home  | application is  |
| Housing Finance | would be an     | >               | filed.          |
| Agency projects | example of an   | Administration, |                 |
| by completing   | affiliate if    | > or with state | **Block 7:**    |
| and signing     | one of its      | > or local      | Definitions of  |
| this form,      | subsidiaries is | > government    | all those who   |
| before your     | a principal.    | > housing       | are considered  |
| project         |                 | > finance       | principals and  |
| application or  | **Exception for | > agencies that | affiliates are  |
| participation   | C               | > include       | given above in  |
| can be          | orporations** - | > rental        | the section     |
| approved.       | All principals  | > assistance    | titled \"Who    |
|                 | and affiliates  | > under Section | Must Sign and   |
| HUD approval of | must personally | > 8 of the      | File\....\"     |
| your            | sign the        | > Housing Act   |                 |
| certification   | certificate     | > of 1937. For  | **Block 8:**    |
| is a necessary  | except in the   | > projects of   | Beside the name |
| precondition    | following       | > this type,    | of each         |
| for your        | situation. When | > form HUD-2530 | principal, fill |
| participation   | a corporation   | > should be     | in the role     |
| in the project  | is a principal, | > filed with    | that each will  |
| and in the      | all of its      | > the           | perform. The    |
| capacity that   | officers,       | > appropriate   | following are   |
| you propose. If | directors,      | > applications  | possible roles  |
| you do not file | trustees and    | > directly to   | that the        |
| this            | stockholders    | > those         | principals may  |
| certification,  | with 10 percent | > agencies.     | perform:        |
| do not furnish  | or more of the  |                 | Sponsor, Owner, |
| the information | common (voting) | **Review of     | Prime           |
| requested       | stock need not  | Adverse         | Contractor,     |
| accurately, or  | sign personally | D               | Turnkey         |
| do not meet     | if they all     | etermination:** | Developer,      |
| established     | have the same   | If approval of  | Managing Agent, |
| standards, HUD  | record to       | your            | Packager,       |
| will not        | report. The     | participation   | Consultant,     |
| approve your    | officer who is  | in a HUD        | General         |
| certification.  | authorized to   | project is      | Partner,        |
|                 | sign for the    | denied,         | Limited Partner |
| **Note** that   | corporation or  | withheld, or    | (include        |
| approval of     | agency will     | conditionally   | percentage),    |
| your            | list the names  | granted on the  | Executive       |
| certification   | and title of    | basis of your   | Officer,        |
| does not        | those who elect | record of       | Director,       |
| obligate HUD to | not to sign.    | previous        | Trustee, Major  |
| approve your    | However, any    | participation,  | Stockholder, or |
| project         | person who has  | you will be     | Nursing Home    |
| application,    | a record of     | notified by the | Administrator.  |
| and it does not | participation   | HUD Office. You | Beside the name |
| satisfy all     | in HUD projects | may request     | of each         |
| other HUD       | that is         | reconsideration | affiliate,      |
| program         | separate from   | by the HUD      | write the name  |
| requirements    | that of his or  | Review          | of the person   |
| relative to     | her             | Committee.      | or firm of      |
| your            | organization    | Alternatively,  | affiliation,    |
| qualifications. | must report     | you may request | such as         |
|                 | that activity   | a hearing       | \"Affiliate of  |
|                 | on this form    | before a        | Smith           |
|                 | and sign his or | Hearing         | Construction    |
|                 | her name. The   | Officer. Either | Co.\"           |
|                 | objective is    | request must be |                 |
|                 | **full**        | made in writing |                 |
|                 | disclosure.     | within 30 days  |                 |
|                 |                 | from your       |                 |
|                 |                 | receipt of the  |                 |
|                 |                 | notice of       |                 |
|                 |                 | determination.  |                 |
+-----------------+-----------------+-----------------+-----------------+

Previous editions are obsolete ref Handbook 4065.1 form HUD-2530
(5/2001)

+-----------------+-----------------+-----------------+-----------------+
| **Block 9:**    | **Column 3**    | and provide a   | HUD-2530\").    |
| Fill in the     | List the        | telephone       | Beside each     |
| percentage of   | role(s) of your | number where    | signature, fill |
| ownership in    | participation,  | you can be      | in the role of  |
| the proposed    | dates           | reached during  | each party (the |
| project that    | participated,   | the day. No     | same as shown   |
| each principal  | and if fee or   | determinations  | in block 8). In |
| is expected to  | identity of     | will be made on | addition, each  |
| have. Also      | interest with   | these           | person who      |
| specify if the  | owners.         | certificates.   | signs the form  |
| participant is  |                 |                 | should fill in  |
| a general or    | **Column 4**    | File one copy   | the date that   |
| limited         | Indicate the    | of the Master   | he or she       |
| partner. Beside | current status  | List with each  | signs, as well  |
| the name of     | of the loan.    | HUD Office      | as providing a  |
| those parties   | Except for      | where you do    | telephone       |
| who will not be | current loans,  | business and    | number where he |
| owners, write   | the date        | mail one copy   | or she can be   |
| \"None.\"       | associated with | to the          | reached during  |
|                 | the status is   | following       | business hours. |
| **Block 10:**   | required. Loans | address:        | By providing a  |
| Fill in the     | under a workout |                 | telephone       |
| Social Security | arrangement are | > **HUD‑2530    | number where    |
| Number or IRS   | considered      | > Master List** | you ran be      |
| employer number | assigned. An    | >               | reached, you    |
| of every party  | explanation of  | >               | will help to    |
| listed,         | the             | **Participation | prevent any     |
| including       | circumstances   | > and           | possible delay  |
| affiliates.     | surrounding the | > Compliance**  | caused by       |
|                 | status is       | >               | mailing and     |
| **Instructions  | required for    | > **Division ‑  | processing time |
| for Completing  | all non-current | > Housing**     | in the event    |
| Schedule A:**   | loans.          | >               | HUD has any     |
|                 |                 | > **U.S.        | questions.      |
| Be sure that    | **Column 5**    | > Department of |                 |
| Schedule A is   | Explain any     | > Housing and** | If you cannot   |
| filled‑in       | project         | >               | certify and     |
| completely,     | defaults during | > **Urban       | sign the        |
| accurately and  | your            | > Development** | certification   |
| the             | participation.  | >               | as it is        |
| certification   |                 | > **451 Seventh | printed because |
| is properly     | **Column 6**    | > Street,       | some statements |
| dated and       | Enter the       | > S.W.**        | do not          |
| signed, because | latest          | >               | correctly       |
| it will serve   | Management and/ | > **Washington, | describe your   |
| as a legal      | or Physical     | > D.C. 20410**  | record, use a   |
| record of your  | Inspection      |                 | pen and strike  |
| previous        | Review rating.  | Once you have   | through those   |
| experience. All | If either of    | filed a Master  | parts that      |
| Multifamily     | the ratings are | List, you do    | differ with     |
| Housing         | below average,  | not need to     | your record,    |
| projects        | the report      | complete        | then sign and   |
| involving HUD/  | issued by HUD   | Schedule A when | certify to that |
| FmHA, and State | is required to  | you submit form | remaining part  |
| and local       | be submitted    | HUD-2530.       | which does      |
| Housing Finance | along with the  | Instead, write  | describe you or |
| Agencies in     | applicant\'s    | the name of the | your record.    |
| which you have  | explanation of  | participant in  |                 |
| previously      | the             | column I of     | Attach a signed |
| participated    | circumstances   | Schedule A and  | letter, note or |
| **must** be     | surrounding the | beside that     | an explanation  |
| listed.         | rating.         | write \"See     | of the items    |
| Applicants are  |                 | Master List on  | you have struck |
| reminded that   | **No Previous   | file.\" Also    | out on the      |
| previous        | Record**: Even  | give the date   | certification   |
| participation   | if you have     | that appears on | and report the  |
| pertains to the | never           | the Master List | facts of your   |
| individual      | participated in | that you        | correct record. |
| principal       | a HUD project   | submitted.      | Item A(2)(e)    |
| within an       | before, you     | Below that,     | relates to      |
| entity as well  | must complete   | report all      | felony          |
| as the entity   | form HUD-2530.  | changes and     | convictions     |
| itself. A newly | If you have no  | additions that  | within the past |
| formed company  | record of       | have occurred   | 10 years. If    |
| may not have    | previous        | since that      | you have been   |
| previous        | projects to     | date. Be sure   | convicted of a  |
| participation,  | list, fill in   | to include any  | felony within   |
| but the         | your name in    | mortgage        | 10 years,       |
| principals      | column 1 of     | defaults,       | strike out all  |
| within the      | Schedule A, and | assignments or  | of A(2)(e) on   |
| company may     | write across    | foreclosures    | the certificate |
| have had        | the form by     | not listed      | and attach your |
| extensive       | your name -     | previously.     | statement       |
| participation   | \"No previous   |                 | giving your     |
| and disclosure  | participation,  | **If you have   | explanation. A  |
| of that         | first           | withdrawn from  | felony          |
| activity is     | experience.\"   | a project**     | conviction will |
| required. To    |                 | since the date  | not necessarily |
| avoid           | **Master List   | the Master List | cause your      |
| duplication of  | System**: If    | was filed, be   | participation   |
| disclosure,     | you expect to   | sure to name    | to be           |
| list the        | file this form  | the project.    | disapproved     |
| project and     | frequently and  | Give the        | unless there is |
| then the        | you have a long | project         | a criminal      |
| entities or     | list of         | identification  | record or other |
| individuals     | previous        | number, the     | evidence that   |
| involved in     | projects to     | month and year  | your previous   |
| that project.   | report on       | your            | conduct or      |
| You may use the | Schedule A, you | participation   | method of doing |
| name or a       | should consider | began and/or    | business has    |
| number code to  | filing a Master | ended.          | been such that  |
| denote the      | List. By doing  |                 | your            |
| entity or       | so, you will    | **C             | participation   |
| individual that | avoid having to | ertification:** | in the project  |
| participated.   | list all your   |                 | would make it   |
| The number code | previous        | After you have  | an unacceptable |
| can then be     | projects each   | completed all   | risk from the   |
| used in column  | time you file a | other parts of  | underwriting    |
| 3 to denote     | new             | form HUD-2530,  | standpoint of   |
| role.           | application.    | including       | an insurer,     |
|                 |                 | Schedule A,     | lender or       |
| **Column 2**    | To make a       | read the        | governmental    |
| List the        | Master List,    | Certification   | agency.         |
| project or      | use form        | carefully. In   |                 |
| contract        | HUD-2530. On    | the box below   |                 |
| identification  | page 1, in      | the statement   |                 |
| of each         | block 1, enter  | of              |                 |
| previous        | (in capital     | certification,  |                 |
| project. **All  | letters) the    | fill in the     |                 |
| previous        | words           | name of all     |                 |
| projects must   | **\"Master      | principals and  |                 |
| be Included or  | List.\"** In    | affiliates      |                 |
| your            | blocks 2        | (type or print  |                 |
| certification   | through 6 enter | neatly). Beside |                 |
| cannot be       | in \"N.A.\"     | the name of     |                 |
| processed.**    | meaning Not     | each principal  |                 |
| Include the     | Applicable.     | and affiliate,  |                 |
| name of all     | Complete blocks | each party must |                 |
| projects, the   | 7 through 10.   | sign the form,  |                 |
| cities in which |                 | with the        |                 |
| they are        | In the box      | exception in    |                 |
| located and the | below the       | some cases of   |                 |
| government      | statement of    | individuals     |                 |
| agency (HUD,    | certification,  | associated with |                 |
| USDA-FmHA or    | fill in the     | a corporation   |                 |
| State or local  | names of all    | (see            |                 |
| housing finance | parties who     | \"Exception for |                 |
| agency) that    | wish to file a  | Corporations\"  |                 |
| was involved.   | Master List     | in the section  |                 |
| At the end of   | together (type  | of the          |                 |
| your list of    | or print        | instructions    |                 |
| projects, draw  | neatly). Beside | titled \"Who    |                 |
| a straight line | each name,      | Must Sign and   |                 |
| across the page | every party     | File form       |                 |
| to separate     | must sign the   |                 |                 |
| your record of  | form. In the    |                 |                 |
| projects from   | box titled      |                 |                 |
| that of others  | \"Proposed      |                 |                 |
| signing this    | Role,\" fill in |                 |                 |
| form who have a | \"N.A.\" Also,  |                 |                 |
| different       | fill in the     |                 |                 |
| record to       | date you sign   |                 |                 |
| report.         | the form        |                 |                 |
+-----------------+-----------------+-----------------+-----------------+
| The Department  |                 |                 |                 |
| of Housing and  |                 |                 |                 |
| Urban           |                 |                 |                 |
| Development     |                 |                 |                 |
| (HUD) is        |                 |                 |                 |
| authorized to   |                 |                 |                 |
| collect this    |                 |                 |                 |
| information by  |                 |                 |                 |
| law (42 U.S.C.  |                 |                 |                 |
| 3535(d) and 24  |                 |                 |                 |
| C.F.R. 200.217) |                 |                 |                 |
| and by          |                 |                 |                 |
| regulation at   |                 |                 |                 |
| 24 CFR 200.210. |                 |                 |                 |
| This            |                 |                 |                 |
| information is  |                 |                 |                 |
| needed so that  |                 |                 |                 |
| principals      |                 |                 |                 |
| applying to     |                 |                 |                 |
| participate in  |                 |                 |                 |
| multifamily     |                 |                 |                 |
| programs can    |                 |                 |                 |
| become          |                 |                 |                 |
| HUD-approved    |                 |                 |                 |
| participants.   |                 |                 |                 |
| The information |                 |                 |                 |
| you provide     |                 |                 |                 |
| will enable HUD |                 |                 |                 |
| to evaluate     |                 |                 |                 |
| your record     |                 |                 |                 |
| with respect to |                 |                 |                 |
| established     |                 |                 |                 |
| standards of    |                 |                 |                 |
| performance,    |                 |                 |                 |
| responsibility  |                 |                 |                 |
| and             |                 |                 |                 |
| eligibility.    |                 |                 |                 |
| Without prior   |                 |                 |                 |
| approval, a     |                 |                 |                 |
| principal may   |                 |                 |                 |
| not participate |                 |                 |                 |
| in a proposed   |                 |                 |                 |
| or existing     |                 |                 |                 |
| multifamily     |                 |                 |                 |
| project. HUD    |                 |                 |                 |
| uses this       |                 |                 |                 |
| information to  |                 |                 |                 |
| evaluate        |                 |                 |                 |
| whether or not  |                 |                 |                 |
| principals pose |                 |                 |                 |
| an              |                 |                 |                 |
| unsatisfactory  |                 |                 |                 |
| underwriting    |                 |                 |                 |
| risk. The       |                 |                 |                 |
| information is  |                 |                 |                 |
| used to         |                 |                 |                 |
| evaluate the    |                 |                 |                 |
| potential       |                 |                 |                 |
| principals and  |                 |                 |                 |
| approve only    |                 |                 |                 |
| individuals and |                 |                 |                 |
| organizations   |                 |                 |                 |
| who will honor  |                 |                 |                 |
| their legal,    |                 |                 |                 |
| financial and   |                 |                 |                 |
| contractual     |                 |                 |                 |
| obligations.    |                 |                 |                 |
|                 |                 |                 |                 |
| Privacy Act     |                 |                 |                 |
| Statement: The  |                 |                 |                 |
| Housing and     |                 |                 |                 |
| Community       |                 |                 |                 |
| Development Act |                 |                 |                 |
| of 1987, 42     |                 |                 |                 |
| U.S.C. 3543     |                 |                 |                 |
| requires        |                 |                 |                 |
| persons         |                 |                 |                 |
| applying for a  |                 |                 |                 |
| Fe              |                 |                 |                 |
| derally-insured |                 |                 |                 |
| or guaranteed   |                 |                 |                 |
| loan to furnish |                 |                 |                 |
| his/her Social  |                 |                 |                 |
| Security Number |                 |                 |                 |
| (SSN). HUD must |                 |                 |                 |
| have your SSN   |                 |                 |                 |
| for             |                 |                 |                 |
| identification  |                 |                 |                 |
| of your         |                 |                 |                 |
| records. HUD    |                 |                 |                 |
| may use your    |                 |                 |                 |
| SSN for         |                 |                 |                 |
| automated       |                 |                 |                 |
| processing of   |                 |                 |                 |
| your records    |                 |                 |                 |
| and to make     |                 |                 |                 |
| requests for    |                 |                 |                 |
| information     |                 |                 |                 |
| about you and   |                 |                 |                 |
| your previous   |                 |                 |                 |
| records with    |                 |                 |                 |
| other public    |                 |                 |                 |
| agencies and    |                 |                 |                 |
| private sector  |                 |                 |                 |
| sources. HUD    |                 |                 |                 |
| may disclose    |                 |                 |                 |
| certain         |                 |                 |                 |
| information to  |                 |                 |                 |
| Federal, State  |                 |                 |                 |
| and local       |                 |                 |                 |
| agencies when   |                 |                 |                 |
| relevant to     |                 |                 |                 |
| civil,          |                 |                 |                 |
| criminal, or    |                 |                 |                 |
| regulatory      |                 |                 |                 |
| investigations  |                 |                 |                 |
| and             |                 |                 |                 |
| prosecutions.   |                 |                 |                 |
| It will not be  |                 |                 |                 |
| otherwise       |                 |                 |                 |
| disclosed or    |                 |                 |                 |
| released        |                 |                 |                 |
| outside of HUD, |                 |                 |                 |
| except as       |                 |                 |                 |
| required and    |                 |                 |                 |
| permitted by    |                 |                 |                 |
| law. You must   |                 |                 |                 |
| provide all of  |                 |                 |                 |
| the information |                 |                 |                 |
| requested in    |                 |                 |                 |
| this            |                 |                 |                 |
| application,    |                 |                 |                 |
| including your  |                 |                 |                 |
| SSN.            |                 |                 |                 |
|                 |                 |                 |                 |
| Public          |                 |                 |                 |
| reporting       |                 |                 |                 |
| burden for this |                 |                 |                 |
| collection of   |                 |                 |                 |
| information is  |                 |                 |                 |
| estimated to    |                 |                 |                 |
| average 1 hour  |                 |                 |                 |
| 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. |                 |                 |                 |
| 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.         |                 |                 |                 |
|                 |                 |                 |                 |
| A response is   |                 |                 |                 |
| mandatory.      |                 |                 |                 |
| Failure to      |                 |                 |                 |
| provide any of  |                 |                 |                 |
| the information |                 |                 |                 |
| will result in  |                 |                 |                 |
| your            |                 |                 |                 |
| disapproval for |                 |                 |                 |
| participation   |                 |                 |                 |
| in this HUD     |                 |                 |                 |
| program.        |                 |                 |                 |
+-----------------+-----------------+-----------------+-----------------+

Previous editions are obsolete ref Handbook 4065.1 form HUD-2530
(5/2001)