HUD-Pending Request for Section 184A Case Number

This page is located on the U.S. Department of Housing and Urban Development’s website at http://www.hud.gov/offices/pih/ih/codetalk/onap/nhonap/reqst184a.doc

Request for Section 184A Case Number

HUD Office of Native American Programs

Section 184A Loan Guarantee Program

Request for Case Number

(Email to Claudine Allen, HUD Honolulu at claudine.c.allen@hud.gov)

Lender Name:

Lender EIN Number / / / / / / / / / / / / / / / / /

Lender Contact Name:

Lender Telephone Number: Email:

Purpose of Loan (check one):

Acquisition: Refinance:

/ / Acquisition of Existing Home / / Streamline with appraisal

/ / Acquisition/Rehab of Existing Home / / Streamline without appraisal

/ / Acquisition – Less than 1 yr old / / New – Less than 1 year old

/ / Credit Qualifying with cash out

Construction: / / Credit Qualifying with no cash out

/ / Single Close Proposed / / Credit Qualifying with escrow

Please Check one: / / Direct Guarantee or / / HUD Underwritten

Borrower’s Name:

Co-Borrower’s Name:

Property Street Address or TMK#:

Street

City

HI State Zip code

Proposed Mortgage Amount $

To be completed by HUD:

184A Case Number: