HUD 90052 Closing Worksheet

OMB Approval No.2502-0464

U. S. Department of Housing
and Urban Development

Closing Worksheet
Pre-foreclosure Sale Program

(exp. 10/31/2012)

Office of Housing
Federal Housing Commissioner

Public reporting burden for this collection of information is estimated to average 58 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 204 of the National Housing Act authorizes the Secretary to pay an insurance claim that bridges the gap between the fair market
value proceeds from the HUD-approved third party sale of a property. The respondent’s maybe lenders (mortgagee’s), counselors and homeowners
who are attempting to sell their properties prior to foreclosure. The Privacy Act of 1974 pledges assurances of confidentiality to respondents. HUD
generally discloses this data only in response to a Freedom of Information request.
Mortgagee Contact Person:

Phone Number:

Homeowner Name(s):

Account/Control Number:

FHA Case Number:

Property Address:

Homeowner Name(s):

Mortgagee (or HUD) Approval of the Sales Contract is a Pre-Condition of the Sale
Name of Purchaser
Address
Name of Purchaser
Type of Financing (mark one)

Address

Phone Number
Phone Number

Date Contract Approved

Selling Price
$

□ FHA □ VA □ Conventional □ Other

Sales Commission
%

Payable from Sale Proceeds
Sales Commission

$

(Local & State transfer taxes/stamps, etc.)

$

(Lien discharge (must not exceed $1,000)
(insert item)

$
$

(insert item)
$
Consideration to seller (Basic amount=$750.
Addition amount (normally $250) is paid if closing
occurs within 90 days of start of participation in Preforeclosure sale Procedure)
Total Amount Payable from Sales Proceeds
(Add column of items)
Total amount paid to seller
Sale’s Agent/Broker’s Signature & Date**

$
Deduct all payments form Proceeds from selling price. New
proceeds to Mortgagee:
$
Seller’s Initials & Date

$
*(By initialing, seller acknowledges receipt of amount
specified).

Mortgagee’s Authorizing Official’s Signature & Date

**By signing, the Agent/Broker certifies that there are no
hidden terms or special understanding with the buyer, seller,
appraiser, closing agent or mortgagee.
Closing Agent’s Signature & Date

X

X

(Attach copy of Settlement Statement)
form HUD-90052 (06/2003)
ref. Handbook 4330.1