Mortgage Credit Analysis Worksheet |
U.S Department of Housing and Urban Development |
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Sample Form for Evaluation |
Native American Loan Guarantee Program |
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See the Public Reporting Burden and Privacy Act statements on back |
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Section 184 Case Number |
Type of Construction ( mark with X ) |
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a. Existing Construction |
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b. Proposed New Construction |
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1a. Borrower's Name |
2a. Social Security # |
3. Dependents |
4. Marital Status ( mark with X ) |
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a.Numbers |
b.Ages |
a. Married |
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1b. Co-borrower's Name |
2b. Social Security # |
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b. Separated |
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c. Unmarried |
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5.. Mortgage without LG Fee |
6a. Total LG Fee |
6b. Mortgage with LG Fee |
7. Loan Closing Costs |
(1% of max. mortgage) |
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a. Total Closing Costs |
$4,300 |
$266,000 |
$2,660 |
$268,660 |
b. Less paid by Seller |
$4,200 |
8. Current housing expense |
9. Term of loan (years) |
10. Interest rate (%) |
c. Borrower's Closing Cost |
$100 |
$0 |
0 |
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11. First-time homebuyer (yes or no) |
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12. Appraised Value |
13. 150% of FHA Mortgage Limit |
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$278,000 |
$300,200 |
14. Settlement Requirements/ Mortgage Calculations |
16. Debts and Obligations |
Monthly Payment |
Unpaid Balance |
a. Contract Sales Price or Construction Cost |
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a. Total installment debt |
$2,335 |
$66,940 |
b. Repairs and Improvements |
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b. Child support, etc. |
$621 |
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c. Borrower's - paid Closing Costs (from line 7c) |
$100 |
c. Other |
$0 |
$0 |
d. Sales Concession (subtract this amount) |
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d. Total monthly payments |
$2,956 |
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e. Acquisition costs (sum of lines 14a + b + c - d) |
$100 |
17. Future monthly payments |
f. Multiply Acquisition cost (line 14e) by |
$99 |
a. Principal & Interest - 1st mortgage |
$1,616 |
0.9775 if greater than $50,000 |
b. Homeowner's Association Fee |
$0 |
0.9875 if $50,000 or less |
c. Ground rent |
$0 |
g. Mortgage (w/out LG Fee)(lowest of 13,14f, or 18b) |
$99 |
d. Principal & Interest - 2nd mortgage |
$0 |
h. Required investment (line 14e - line 14g) |
$1 |
e. Hazard insurance |
$100 |
i. Discounts |
$0 |
f. Taxes & special assessments |
$217 |
j. Prepayable expenses |
$6,294 |
g. Total mortgage payments |
$1,933 |
k. LG Fee paid in cash |
$0 |
h. Recurring expenses (from line 16d) |
$2,956 |
l. Non-realty and other items (see 14d) |
$0 |
i. Total fixed payments |
$4,889 |
m. Total requirements (sum of line 14h thru line 14l ) |
$6,295 |
18. Ratios / Residual Income |
n. Amount paid in cash or other (explain) |
$1,000 |
a. Loan - to - Value (line 14g ÷ line 12) |
0.0% |
o. Amount to be paid in cash or other (explain) |
$5,208 |
b. Value (line 12) x 0.9775 if greater than $50,000 |
$271,745 |
p. Assets available |
$0 |
or (line 12) x 0.9875 if $50,000 or less |
q. 2nd mortgage proceeds ( if applicable) |
$0 |
c.Total fixed payment-to-income (line 17i ÷ line 15f) |
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51.7% |
15. Monthly Effective Income |
19. Contract Sales Price of Property |
$0 |
a. Borrower's base pay |
$5,441 |
a. 6% of line 20 |
$0 |
b. Borrower's other earnings (explain) |
$115 |
b. Total Seller Contribution |
$7,381 |
c. Co-borrower's base pay |
$3,795 |
c. Excess Contribution |
$7,381 |
d. Co-borrower's other earnings (explain) |
$115 |
20. Borrower's CAIVR # |
21. Co-borrower's CAIVR # |
e. Net income from real estate |
$0 |
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f. Gross monthly income |
$9,466 |
22. Total Amount of Gifts |
$0 |
Comments: (attach additional paper if needed) |
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I herby certify that all the information stated herein, as well as any information provided in the accompaniement herewith, is true and accurate |
Warning: HUD will prosecute false claims and statements. Conviction may result in criminal and/pr civil penalties (18 U.S.C. 1001, 1010, 1012; 31 U.S.C) |
Final Application decision |
Underwriter's Signature |
Date |
HUD Representatives signature |
Date |
Approved |
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Rejected |
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Privacy Act Notice. The United States Department of Housing and Urban Development, Federal Housing Administration, is authorized to solicit the information requested in this form by virtue of Title 12, U.S. Code, Section 1701 et seq., and regulaitons promulagted thereunder at Title 12, Code of Federal Regulations. |
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Public reporting for this collection of information is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining 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 valid OMB 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 1-4 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 is considered sensitive and is protected by the Privacy Act. |
Sensitive Information: The information collected on this form is considered sensitive and is protected by the Privacy Act. The PrivacyAct requires that these records be maintained with appropriate administrative, technical and physical safeguards to ensure their security and confidentiality. In addition, these records should be protected against any anticipated threats or hazards to their security or integrity which could result in substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom the information is maintained. |