OPG 7.16 Certification of Mortgagor information

OMB No. 2502-0533

(Exp. xx/xx/xxxx)

Mark-to-Market Form 7.16

CERTIFICATION OF Mortgagor information

Date:_________________________

FHA Project No. and Name:___________________________________________ _____________

Existing Mortgagor:
(Must match signature block on the Note and, if TPA, the Assignment
Contact Person:
Address:
Telephone Number:		Fax Number:
Project Management Company:
Contact Person:
Address:
Telephone Number:		Fax Number:
Mortgagor Tax ID #
I certify that the above information is correct. ________________________________ Existing Mortgagor If there will be a Transfer of Physical Assets (TPA) (To be completed by new Mortgagor)
New Mortgagor:
(Must match signature block on the Assignment)
Contact Person:
Address:
Telephone Number:		Fax Number:
Project Management Company:
Contact Person:
Address:
Telephone Number:		Fax Number:
Mortgagor Tax ID # (must differ from old Mortgagor ID# and match W-9)

I certify that the above information is correct.

____________________________________

New Mortgagor

Public reporting burden for this collection of information is estimated to average .25 hour 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. The office of Multifamily Housing, Office of Affordable Housing Preservation 451 7th Street SW, Room 6216 ­ 6230 Washington, DC 20410. HUD may not collect this information, and you are not required to complete this form, unless it displays a currently valid OMB control number. Title V of the Departments of Veterans Affairs and Housing and Urban Development and Independent Agencies Appropriations Act of 1988 (P.L.106 65, 111 Stat. 1384) authorizes the FHA Multifamily Housing Mortgage and Housing Assistance Restructuring Program. HUD implemented a statutory permanent program directed at FHA-insured multifamily projects that have project-based Section 8contracts with above- market rents. The information collection is used to determine criteria eligibility of FHA-insured multifamily properties for participation in the Mark to Market program and the terms on which participation should occur. The purpose of the program is to preserve low-income rental housing affordability while reducing the long-term costs of Federal rental assistance. While no assurances of confidentiality are pledged to respondents, HUD generally discloses this data only in response to a Freedom of Information request.

September 30, 2004 Form 7.16, Page 2