HB-1-3550

APPENDIX 2

FORMS AND CERTIFICATIONS REFERENCED IN THIS HANDBOOK

FORMS

AD 1048, Certification Regarding Debarment, Suspension, Ineligibility, and 

Other Voluntary Exclusions – Lower Tier Covered Transactions

FEMA’s Standard Flood Hazard Determination

FEMA’s Elevation Certificate

Form RD 400-1, Equal Opportunity Agreement

Form RD 400-3, Notice to Contractors and Applicants

Form RD 400-6, Compliance Statement

Form RD 402-1, Deposit Agreement

Form RD 402-2, Statement of Deposits and Withdrawals

Form RD 410-4, Application for Rural Housing Assistance (Nonfarm Tract), Uniform 

 Residential Loan Application

Form RD 410-8, Applicant Reference Letter

Form 1007, Marshall and Swift Square Foot Appraisal Form

Form RD 1910-5, Request for Verification of Employment

Form RD 1922-12, Nonfarm Tract Comparable Sales Data

Form RD 1922-14, Residential Appraisal Review for Single Family Housing

Form RD 1922-15, Administrative Appraisal Review for Single Family Housing

Form RD 1924-1, Development Plan

Form RD 1924-2, Description of Materials

Form RD 1924-6, Construction Contract

Form RD 1924-7, Contract Change Order

Form RD 1924-9, Certification of Contractor’s Release

Form RD 1924-10, Release by Claimants

Form RD 1924-12, Inspection Report

Form RD 1924-16, Record of Pre-Construction Conference

Form RD 1924-19, Builder’s Warranty

Form RD 1924-25, Plan Certification

Form RD 1927-4, Transmittal of Title Information

Form RD 1927-5, Affidavit Regarding Work of Improvement

Form RD 1927-8, Agreement with Prior Lienholder

Form RD 1927-9, Preliminary Title Opinion

Form RD 1927-19, Certification of Attorney

Form RD 1927-20, Certification of Title Insurance Company

Form RD 1940-16, Promissory Note

Form RD 1940-43, Notice of Right to Cancel

Form RD 1944-4, Certification of Disability or Handicap

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(01-23-03) SPECIAL PN

Revised (06-04-18) PN 513
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Form RD 1944-5, Manufactured Housing Dealer-Contractor Application

Form RD 1944-6, Interest Credit Agreement

Form RD 1944-11, Conditional Commitment

Form RD 1944-14, Payment Assistance/Deferred Mortgage Assistance Agreement

Form RD 1944-36, Application for Conditional Commitment

Form RD 1944-59, Certificate of Eligibility

Form RD 1944-60, Landlord’s Verification

Form RD 1944-61, Credit History Worksheet

Form RD 1944-62, Request for Verification of Deposit

Form RD 1955-2, Report on Real Estate Problem Case

Form RD 1955-20, Lease of Real Property

Form RD 1955-42, Open Real Property Master Listing Agreement

Form RD 1955-43, Notice of Real Property for Sale (Single Family Housing)

Form RD 1955-44, Notice of Residential Occupancy Restriction

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

Form RD 1955-46, Invitation, Bid, and Acceptable Sale of Real Property by the United States

Form RD 1955-47, Bill of Sale ‘A’

Form RD 1955-49, Quitclaim Deed

Form RD 1955-50, Advice of Inventory Property Sold

Form RD 1955-50A, Advice of Inventory Property Sold-Credit Sale

Form RD 1955-50B, Advice of Inventory Property Sold-Cash Sale/Transfer--Acquired Property

Form RD 3550-1, Authorization to Release Information

Form RD 3550-2, Request for Verification of Gift/Gift Letter

Form RD 3550-4, Employment and Asset Certification 

Form RD 3550-6, Notice of Special Flood Hazards, Flood Insurance Purchase Requirements, 

and Availability of Federal Disaster Relief Assistance

Form RD 3550-7, Funding Commitment and Notification of Loan Closing

Form RD 3550-9, Initial Escrow Account Disclosure Statement

Form RD 3550-10, Condominium Rider

Form RD 3550-11, Planned Unit Development (PUD) Rider

Form RD 3550-12, Subsidy Repayment Agreement

Form RD 3550-14, Real Estate Mortgage or Deed of Trust for (State)

Form RD 3550-15, Tax Information

Form RD 3550-16, Release from Personal Liability

Form RD 3550-17, Funds Transmittal Report

Form RD 3550-19, Transmittal-Closing Documents

Form RD 3550-22, Assumption Agreement, Single Family Housing

Form RD 3550-23, Applicant Orientation Guide

Form RD 3550-24, Grant Agreement

Form RD 3550-25, Loan Closing Instructions and Loan Closing Statement

Form RD 3550-27, Substitute Payment Coupon

Form RD 3550-30, Verification of Debt Proposed for Refinancing

Form RD 3550-34, Option to Purchase Real Property

Authorization Agreement for Preauthorized Payments

ASTM E-1528, Transaction Screen Questionnaire Loan Estimate 

Closing Disclosure 

Internal Revenue Service Form 4506-T, Request for Transcript of Tax Return

U.S. Citizenship and Immigration Services Form G-845, Document Verification Request

Social Security Administration Form SSA-3288, Consent for Release of Information

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Appendix 2, Page 2 of 3 
HB-1-3550

CERTIFICATIONS

Verification of Pensions and Annuities

Verification of Student Income and Expenses

Verification of Medical Expenses

Verification of Social Security Benefits

Verification of Public Assistance

Verification of Child/Dependent Care

Verification of Unemployment Benefits

Verification of Business Expenses

Verification of Support Payments

Record of Oral Verification

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Appendix 2, Page 3 of 3 

(01-23-03) SPECIAL PN

Revised (06-04-18) PN 513