Rd1944-37

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Form Approved

OMB-2502-0118

Position 3
U. S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
HOUSING - FEDERAL HOUSING COMMISSIONER AND U. S.
DEPARTMENT OF AGRICULTURE RURAL DEVELOPMENT

PREVIOUS PARTICIPATION CERTIFICATION

1. TO: (Name and City of HUD Area Office or USDA-RD Office, where the Application

2. PROJECT NAME, ID., OR PROJECT NUMBER AND CITY, STATE
CONTAINED IN THE APPLICATION

is filed)

3. LOAN OR CONTRACT AMOUNT

ALSO:
SECTION 8 CONTRACT NUMBER
5. SECTION OF ACT (If Known)

4. NUMBER OF UNITS OR BEDS

6. TYPE OF PROJECT (Check
Existing

$

One)

Rehabilitation

Proposed (New)

LIST OF ALL PROPOSED PRINCIPAL PARTICIPANTS
9. Expected %
Interest in
Ownership

8. Role of
Each
Principal

7. Alphabetical List of the Full Names (last name first) and Address of
all known principals and affiliates (people business and organizations) proposing to
participate in the project described above.

10. Social Security or
IRS Employer Number

CERTIFICATION
I (meaning the individual who signs as well a the corporations, partnerships
or other parties listed above who certify) hereby apply to Hub or USDA-

RD case may be, for approve to participate as a principal in the
role and project listed above based upon my following previous participation record and this Certification.
I certify that all the statements made by me are true, complete and correct
to the best of my knowledge and belief and are made in good faith. Including the data contained in schedule A and Exhibits signed by me and
attached to this form.
A. I certify that:
1. Schedule A contains a listing of every assisted or Insured project of
HUD USDA-RD and State and Local Government housing finance
agencies in which I have been or am now a principal.
2. For the period beginning 10 years prior to the date of this certification, and except as shown by me on the certificate.
a. No mortgage on a project listed by me has ever been in default,
assigned to the Government or foreclosed, nor has mortgage relief by the mortgagee been given;
b. I have not experienced defaults or noncompliances under any
Conventional Contract or Turnkey Contract of Sale in connection
with a public housing project;
c. To the best of my knowledge, there are no unresolved findings
raised as a result of HUD audits, management reviews or other
Governmental investigations concerning me or my projects;
d. There has not been a suspension or termination of payments
under any HUD assistance contract in which I have had a legal
or beneficial interest attributable to my fault or negligence;
e. I have not been convicted of a felony and am not presently, to
my knowledge, the subject of a complaint or indictment changing
a felony. (A felony is defined as any offense punishable by imprisonment for a term exceeding one year, but does not include
any offense classified as a misdemeanor under the laws of a State
and punishable by imprisonment of two years or less);

f. I have not bee suspended, debarred or otherwise restricted by
any Department or Agency of the Federal Government or of a
State Government from doing business with such Department or
Agency.
Typed or Printed Name of Principal

Signature of Principal

WARNING: It is a crime to knowingly make false statements to the
United States on this or any other similar form. Penalties upon conviction can Include a fine and imprisonment. For details see: Title
18 U.S. Code, Section 1001 and Section 1010.

g. I have not defaulted on any obligation covered by a surely or performance bond and have not been the subject of a claim under an
employee fidelity bond.
3. All the names of the parties known to me to be principals In this
project(s) in which I propose to participate, are listed above.
4. I am not a HUD/RD employee or a member of a HUD/RD
employee's immediate house old as defined in HUD's Standard of
Conduct In 24 CFR 0.735.205(e)(2)/USDA's Standard of Conduct
in 7 CFR Part O Subpart B.
5. I am not a principal participant In an assisted or Insured project this
date on which construction has stopped for a period In excess of 20
days or which has been substantially completed for mom than 90
days and documents for closing, Including final cost certification
have not been filed with HUD or RD.
6. To my knowledge I have not been found by HUD or RD to be In
noncompliance with any applicable civil fights laws.
7. I am not a Federal Judgment Debtor nor am I delinquent on any
federal debt.
B. (APPLICABLE TO GENERAL PARTNERS OR PROJECT OWNERS
ONLY)
All the parties who are principals or who are proposed as principals here
are listed above and no principals or identities of interest are concealed
or omitted.
C. I am not a Member of congress or a Resident commissioner nor otherwise prohibited or limited by law from contracting with the Government
of the United States of America.
D. Statements above (if any) to which I cannot certify have been deleted
by striking through the words with a pen. I have initiated each deletion
(if any) and have attached a true and accurate signed statement (if
applicable) to explain the facts and circumstances which I think helps
to qualify me as a responsible principal for participation of this project.
Title, Role or Capacity

This form was prepared by (Please print name)

Area Code and Telephone No.

Date

Area Code & Telephone No.

REPORT OF INSPECTOR GENERAL - INTERNAL PROCESSING ONLY
THE INDICES OF THE INSPECTOR GENERAL'S OFFICE HAVE BEEN CHECKED FOR THE NAMES OF THE PRINCIPALS LISTED IN PART I ABOVE
AND:
a. WE HAVE NO INFORMATION; OR
b. WE HAVE INFORMATION AND A REPORT IS ATTACHED
DATE

Replaces Form FHA 2530, which is obsolete.

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SIGNATURE

TITLE

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Form RD 1944-37 - (Rev. 6-00)
HUD-2530

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Form Approved
OMB - 2502-0118

SCHEDULE A - LIST OF PREVIOUS PROJECTS AND SECTIONS 8 CONTRACTS
By my name below is the complete list of my previous projects and my participation history as a principal in Multifamily Housing programs of HUD/USDA-RD, State and Local Housing Finance Agencies.
NOTE: Read and follow the attached instruction sheet carefully. Abbreviate where possible. Make full disclosure. Add extra sheets if you need more space.
no previous projects write by your name - " No previous participation - First Experience" .

1. List each Principal' s Name
(List in Alphabetical Order, Last Name First)

2. List Previous Projects (Give the ID. Number, Project name,
City of Location, Government Agency involved and
Number of Units in the Project)

3. List Principal's Participation
Role and Interest - Give Month
and Year Participation began
and ended.

Double check for accuracy. If you have

4. Disclose Defaults, Mortgage Relief,
Assignments, Foreclosures.
If None, write None.

5. RESERVED FOR HUD PROCESSING

PART II - INTERNAL PROCESSING ONLY
1. Received by the Field Office, checked by me for accuracy and completeness and
found ready for processing:
TELEPHONE NUMBER

DATE

2. TO: Department of Housing and Urban Development, Multifamily Participation Review Committee, Washington, D.C.
A review of the records and project files of this office relative to the above listed parties and projects reveals:
A. No adverse information, Form HUD-2530 approval is recommended;

B. Problems exist, my memorandum on them is attached

DIRECTOR OF HOUSING
SUPERVISOR, PROCESSING CONTROL AND REPORTS UNIT

PROCESSING IS AUTHORIZED
DATE

NAME OF AREA MANAGER

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Form RD 1944-37 (Rev. 6-00)
HUD-2530