HUD-2744-A Allocation of Mortgage Receipts and Disbursements

Allocation of Mortgagee
Receipts and Disbursements
Schedule A Sheet
of

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

OMB Approval No. 2502-0418 (Exp. 06/30/2021)

Public reporting burden for this collection of information is estimated to average 1.25 hours 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. Send comments regarding this burden estimate or any other aspect of this collection of information on, including suggestions for reducing this burden, to the Reports Management Officer, Paperwork Reduction
Project (2502-0415), Office of Information Technology, U.S. Department of Housing and Urban Development, Washington, D.C. 20410-3600. This agency may not collect this information, and you are not required to complete this form, unless it displays a
currently valid OMB control number.
The information is collected to obtain required fiscal data for the Department to pay insurance benefits. The information provides the Department with the necessary fiscal data to audit the claim submission and accurately compute insurance benefits owed to the lender.
Payment of such benefits is cited in Statute 12 USC 1713(g) of the National Housing Act. The information requested does not lend itself to confidentiality.
I certify that the information provided on this form and in any accompanying documentation is true and accurate. I acknowledge that making, presenting, or submitting a false, fictitious, or fraudulent statement, representation, or certification may result in criminal, civil,
and/or administrative sanctions, including fines, penalties, and imprisonment.
1. Mortgagee (Name and Address)

2. Project (Name and Location)

3. Project Number
4. Date Mortgagee Assumed Control of Project
5. Date Mortgagee Relinquished Control of Project

Escrow Deposits Allocated to: Mortgage Insurance Premiums (4)
Escrow Deposits Allocated to: Mortgage Insurance Premiums (4)
Date
Received
or Paid
(1)

Total Amount
Received or Paid
(2)

Due
Date
(3)

Escrow Deposits
Allocated to:
Escrow Deposits
Escrow Deposits
Mortgage
Allocated to: Ground
Allocated to:
Insurance
Hazard Insurance
Rents Taxes, etc.
Premiums
(6)
(5)
(4)

Escrow Deposits
Allocated to:
Other
(7)

Mortgage
Indebtedness
Allocated to:
Interest on
the Mortgage
(8)

Mortgage
Indebtedness
Allocated to:
Mortgage
Principal
(9)

Reserve for
Replacements
(If any)
(10)

Totals
(Forwarded)
Certification: I/We, the undersigned, certify under penalty of perjury that the information provided above is true and correct.
WARNING: Anyone who knowingly submits a false claim or makes a false statement is subject to criminal and/or civil penalties, including confinement for up to 5 years, fines, and
including confinement for up to 5 years, fines, and civil and administrative penalties. (18 U.S.C. §§287, 1001, 1010, 1012; 31 U.S.C. §3729, 3802)

Mortgagee/Servicer should retain 1 copy.
Previous editions are obsolete

Send original and 1 copy to the:

U.S. Department of Housing and Urban Development
Multifamily Claims Branch, HWAFRC, Room 6252
451 7th Street, SW
Washington, D.C. 20410 - 8000

Signature

Other
Other
(Receipts after Date of
(Receipts after Date of
Default,
Default,
Return Premiums on
Return Premiums on
Insurance, etc.) Explanation Insurance, etc.) Amount
(11)
(12)

Date

form HUD-2744-A (12/09)
ref Handbook 4110.2