HB-3-3560

Appendix 3

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APPENDIX 3

FORMS REFERENCED IN THIS HANDBOOK

Below is a list of forms that are mentioned in the text of this handbook. Since the Rural 

Development forms may change more frequently than the handbook, users are 

encouraged to obtain the most updated copy of these forms from the Rural Development 

Resources home page (https://www.rd.usda.gov/resources) for their own reference.

Form AD 343, Cancellation of Administrative Offset

Form AD 1047 Certification Regarding Debarment

Form ASTM Standard E-1528 (TSQ), Transaction Screen Questionnaire

Form FEMA 81-93, Standard Flood Hazard Determination

Form HUD 935.2, Affirmative Fair Housing Marketing Plan

Form HUD 2530, Previous Participation Certification

Form HUD 9832, Management Entity Profile

Form RD 140-4, Transmittal of Documents

Form RD 400-1, Equal Opportunity Agreement

Form RD 400-4, Assurance Agreement

Form RD 402-2, Statement of Deposits and Withdrawals

Form RD 440-34, Option to Purchase Real Estate Property

Form RD 1910-11, Applicant Certification Federal Collection Policies for Consumer or 

Commercial Debts

Form RD 1924-13, Estimate and Certificate of Actual Cost

Form RD 1944-37, Previous Participation Certification 

Form RD 1955-40, Notice of Real Property for Sale

Form RD 1955-45, Standard Sales Contract, Sale of Real Property of the United States

Form RD 1955-46, Invitation, Bid, and Acceptance, Sale of Real Property of the United 

States

Form RD 1955-47, Bill of Sale ‘A’

Form RD 1955-49, Quitclaim Deed

Form RD 1955-62, Request for Contract Services for Custodial/Inventory Property or 

Program Services

Form RD 1962-20, Notice of Judgment

Form RD 3560-1, Application for Partial Release, Subordination, or Consent

Form RD 3560-7, Multiple Family Housing Budget/Utility Allowance

Form RD 3560-8, Tenant Certification

Form RD 3560-9, Interest Credit and Rental Assistance Agreement

Form RD 3560-10, Borrower Balance Sheet

Form RD 3560-15, Reamortization Request

Form RD 3560-16, Reamortization Agreement

Form RD 3560-17, MFH Note Consolidation

Form RD 3560-17A, MFH Consolidation of Projects/Loan Agreements/Resolutions

Form RD 3560-19, MFH Advice of Mortgaged Real Estate Sold

Form RD 3560-20, Multi-Family Housing Transfer and Assumption Review and 

Recommendation

Form RD 3560-21, Assumption Agreement

(02-24-05) SPECIAL PN

Revised (03-31-21) SPECIAL PN
HB-3-3560

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Form RD 3560-22, Offer to Convey Security

Form RD 3560-27, Rental Assistance Agreement

Form RD 3560-28, MFH Exception to Late Fees

Form RD 3560-29, Notice of Payment Due Report

Form RD 3560-29A, Multiple Family Housing Statement of Payment Due

Form RD 3560-30, Certification of No Identity of Interest (IOI)

Form RD 3560-31, Identity of Interest Disclosure/Qualification Certificate

Form RD 3560-33, Loan Agreement

Form RD 3560-33A, Consolidated Loan Agreement

Form RD 3560-34, Loan Agreement

Form RD 3560-34A, Consolidated RRH Loan Agreement

Form RD 3560-35, Loan Resolution

Form RD 3560-35A, Consolidated Loan Resolution

Form RD 3560-50, Conversion Agreement

Form RD 3560-51, Obligation – Fund Analysis

Form RD 3560-52, Promissory Note

Form RD 3560-55, MFH Transfer of RA

Form RD 3560-56, Report on Real Estate Problem Case

Form RD 3560-57, Application for Settlement of Indebtedness

Form RD 3560-58, Satisfaction

Form RD 3560-64, Online Payment Certification Monitoring Log

Form RD 3560-65, MFH Miscellaneous Receivable Notification/Repayment Agreement

Form SF 424, Application for Federal Assistance

SF 424 C, Budget Information – Construction Programs

SF 424 D, Assurances – Construction Programs

SF - LLL, Disclosure of Lobbying Activities

IRS Form 990, Return of Organization Exempt from Income Tax