HUD 93102 Mortgagee's Certificaiton and Application for Assistance

U.S. Department of Housing
and Urban Development
Office of Housing
Federal Housing Commissioner

Mortgagee's Certification and
Application for Assistance or
Interest Reduction Payments

OMB Approval No. 2502-0081
(exp. xx/xx/xxxx)

See the instructions on the back of the form. Shaded areas are for HUD use only.
Payee: (enter name, address and zip code of mortgagee or servicer)

Mortgagee Control Number:

Mortgagee's Telephone Number:

Indicate type of payment applied for: (check as many as are applicable)

Assistance Payments under Section 235 (original program).
Assistance Payments under Section 235 Revised.
Assistance Payments under Section 235 (Recaptured).
Assistance Payments under Section 235 Revised/Recapture/10.
Interest Reduction Payments under Section 236.
Amounts Claimed cover all assistance or interest reduction payments
to and including the payments due on the first day of : (mm/yy)

Mortgagee Number:

Blk

1

2

3

4
5

6

Section of the Act

Number of Units *
A
B

Assistance Payment

Handling Charge

Total Payment

1. 235 (b) Original (l) (j)

$

$

$

2. Adjustments

$

$

$

3. Total

$

$

$

1. 235 Revised (see suffix codes listed on back)

$

$

$

2. Adjustments

$

$

$

3. Total

$

$

$

1. Recapture (see suffix codes listed on back)

$

$

$

2. Adjustments

$

$

$

3. Total

$

$

$

Summary Total (blocks 1, 2, and 3)

$

$

$

1. 235 Revised/Recapture/10 (see suffix codes
listed on back)

$

$

$

2. Adjustments

$

$

$

3. Total

$

$

$

1. 236 **

$

2. Adjustments

$

3. Total

$

$

$

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Certification: The undersigned hereby certifies that: (a) each assistance payment or interest reduction payment included in this billing has been
calculated in accordance with the applicable provisions of the HUD regulations; (b) there are no amounts included in this billing on behalf of mortgagors
where the required recertifications and documentation set forth in 24 CFR 235.350 have not been made within the time limitations and in the manner
prescribed in such regulation; (c) the amount of this billing is true and correct and has not been previously claimed or paid; (d) credits, where applicable,
for previous payments made by HUD have been given; (e) supporting details, records and work sheets together with a copy of this billing are being held
in the mortgagee's files; and (f) upon request of any authorized official of the Department of Housing and Urban Development or of the Comptroller General
of the United States, it will furnish or make available for audit all aforementioned documents as required by the contract for assistance payments or interest
reduction payments under Section 235 or 236 of the HUD regulations. Contract requirements are set forth in 24 CFR 235.201 et seq.
Signature & Title of Mortgagee or Servicer Official :

Date:

X
Warning: 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)
form HUD-93102 (04/2003)
Previous editions are obsolete.
* Footnotes are on back of page.
ref. Handbook 4330.1

Public reporting burden 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 the data needed, and completing and reviewing the collection of information. This information is
required to obtain benefits. HUD may not collect this information, and you are not required to complete this form, unless it displays a currently valid OMB
control number.
Section 101a of the Housing and Urban Development Act of 1968 added Section 235 Homeownership for Lower Income Families to the National Housing Act.
Under the Section 235 Program, the Secretary is authorized to make periodic assistance payments on behalf of homeowners. Both HUD and the mortgagee
use this form. The form HUD-93102 must be submitted with the form HUD-300, Monthly Summary of Assistance Payments Due Under Sections 235(b),
235(i), or 235(j), or Interest Reduction Payments Due Under Section 236. This information collection is supported by the billing information provided on form
HUD-300. The respondents are assured confidentiality as stated in the Privacy Act of 1974. HUD generally discloses this data only in response to a
Freedom of Information request.

Instructions: Submit signed an original and one (1) copy of the billing to:
U. S. Department of Housing and Urban Development
Accounting, Monitoring, and Analysis Division
451 – 7th Street, SW, Room 3224
Washington, DC 20410

Block 3 - Revised 235 Program with Recapture - Show on line 1, the total
assistance payments for mortgages insured after 5/27/81 with suffix codes
266, 366 and 566 and mortgagees with suffix codes 256, 356 and 556.
Block 4 - Show the summary total of blocks 1, 2, and 3.

not later than the 20th of each month. Include assistance or interest reduction
payments due on the first day of the following month. Do not include in the
billing any assistance payments on behalf of any mortgagor if the required
recertification, and applicable supporting documentation required by 24 CFR
235.350, have not been made pursuant to the requirements of such regulation.

Block 5 - 235 Revised/Recapture/10 Program - Show on line 1, the total
assistance payments for mortgagees with suffix codes 246, 346 and 546.
Submit a separate form HUD-93102 for this program which should be
accompanied by form HUD-300 or its adaptation listing all FHA case numbers
reflecting the amount of assistance billed, handling charges for each case and
total amount. The total amount should agree with the amount on the front of
this form.

The mortgagee control number (not to exceed of six digits), is to be the number
contained in the mortgagee's records which will identify each separate billing.
This is for cross reference and identification purposes. The check which the
mortgagee receives for each billing will contain the number assigned to that
billing by the mortgagee.

Block 6 - Identify interest rate reduction payments for multifamily mortgages insured under section 236(j). Submissions for section 236 billings are
to be on a separate form HUD-93102 than submissions for section 235 billings.

A. Block 1 - Original 235 Program - Show on line 1, the total assistance
payments for: (1) mortgages insured under section 235(b) (prior to 1/5/76);
(2) mortgages insured under section 235(j); and (3) mortgages insured under
Section 235(i).
Block 2 - Revised 235 Program - Show on line 1, the total assistance
payments for mortgages insured after 1/5/76: (1) mortgages with suffix codes
265, 365 and 565; and (2) mortgages with suffix codes 255, 355, 555, 285, 385
and 585.

B. Block 1, 2, 3, 5 and 6 - Show on line 2 a total of all adjustments, if any,
accompanied by a detailed explanation on form HUD-300 or its appropriate
adaptation.
C. Blocks 1, 2, 3, 5 and 6 - Add lines 1 and 2 and place the total on line 3.
D. If the prior period adjustments result in a negative figure (refund), please
deduct this amount from the current billing, if applicable, otherwise submit this
form with your refund check with an appropriate explanation.

Footnotes for front page:
* Column A - show total units receiving assistance.
Column B - show total units billed, including billings for more than one month (column B X 3.00 should equal handling charges).
** On an attachment, show the FHA project number of each project included in this billing; the number of units in each project; the amount of payment for
each project; and, if the billing is for more than one month, show the number of months for which billing is made.

For Use by HUD, OFA
Reviewed by

Previous editions are obsolete.

Date

Approved by

DateRemarks:

form HUD-93102 (04/2003)
ref. Handbook 4330.1