Form HUD-53038 Transmittal for Loan Guarantee Fee

U.S. Department of Housing
and Urban Development
Office of Public and Indian Housing

Transmittal for
Loan Guarantee Fee (LGF)

OMB Approval No. 2577-0200
(exp. 06/30/2005)

Native American Loan Guarantee Program
Public reporting burden for this collection of information is estimated to average 5 minutes 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.
This information is required by Section 184 of the Housing and Community Development Act of 1992, as amended by Section 701 of the Native American
Housing Assistance and Self-Determination Act of 1996 and implementing regulations at 24 CFR Section 1005. HUD has the authority to guarantee loans
for the construction, acquisition, or rehabilitation of 1- to 4-family homes to be owned by Native Americans on restricted Indian lands. Mortgage lenders
(mortgagees) provide borrower and lender information to HUD for the guarantee of the loan. Responses to the collection of information are required to
obtain a benefit. The information requested does not lend itself to confidentiality.

This transmittal shall be prepared by the remitting mortgagee to accompany all LGF payments sent to HUD.
Incomplete and/or inaccurate data may delay endorsement of the 184 case involved.
Mail all transmittals to: HUD c/o Processing Center, PO Box 198353, Atlanta, GA 30384-8353.
Instructions: Part 1 Lender Information

Part 1 Lender Information
1a. Reason for Payment

Initial Fee
on a new loan

Additional Fee
on an underpayment

Late Charge/
Interest

1a. Check the appropriate box(es) to indicate the purpose of the
transmittal.

1b. Lender's Name (print)

1b. Enter the name of the remitting Lender.

1c. Lender Number (10 digits)

1c. Enter the remitting Lender's ID number. The LGF statement of
account confirming receipt of the funds will be sent to the related
address in HUD's records.
1e. Phone Number (include area code & extension)

1d. Name of Person to be contacted regarding this payment

Instructions: Part 2 LGF Mortgage Data

Part 2 Mortgage Data
2a. 184 Case Number (10 digits, 3 +7)

2a. Enter the 184 Case Number assigned by HUD.
2b. Enter the closing date of the mortgage.

2b. Closing Date (mm/dd/yy)

2c. Check the box indicating the number of payments in the mortgage.
2d. Enter the mortgage amount.

2c. Term in Months

(1)
(2)
(3)
(4)

1 to 215 months
216 to 264 months
265 to 300 months
over 300 months

2d. Mortgage Amount

LG Fee
Financed?

Yes
No

2e. Enter the percent of LGF financed, e.g. 0% or 100%
2f. Enter the borrower's loan number or the borrower's last name. HUD
will include this information on the LGF statement of account to
assist mortgagees in matching statements to the appropriate
mortgage file.

$
2e. Percentage of the LGF Financed

0.00% %

2f.

Borrower's Loan Number or Last name

Part 3 Loan Guarantee Fee Data

Instructions: Part 3 LGF Data

3a. Fee Amount for Mortgage

3a. Enter the LGF due HUD as shown on form HUD-1, Settlement
Statement, or if applicable, the additional LGF being remitted.

$
3b. Late Charge Due (4% of 3a)

$
3c. Interest Due

$
3d. Total Amount of Check (3a plus 3b plus 3c)

$

3b. A 4% late charge shall be paid if the LGF is not expected to reach
HUD within 15 days of the closing date entered in item 2b. Enter
4% of the Net LGF shown in item 3a.
3c. In addition to the late charge, daily interest shall be paid on the Net
LGF (item 3a) from the closing date if the LGF payment is not
expected to reach HUD within 30 days of the closing date. Use the
current value of Federal funds rate (published annually in the
Federal Register) to compute the interest due.
3d. Enter the total of items 3a plus 3b plus 3c. This amount must equal
the amount of the check. An individual check is required for each
form HUD-53038. Do not combine remittances.

form HUD-53038 (10/94)