SAMS-1204 Authorized Signatures for Payee File Maintenance

Single Family Acquired Asset
Management System (SAMS)

Authorized Signature(s)
for Payee File Maintenance
1. DOCS Code (2 characters) for your HOC Area Identifier

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

2. HOC Area Name

The following person or persons are authorized to approve the establishment and maintenance of payees in SAMS on behalf of the
Department of Housing and Urban Development (HUD) for Single Family Real Estate Owned activities:
Primary

Alternate

3. Name

6. Name

4. Title

7. Title

5. Signature

8. Signature

X

X
Alternate

Alternate

9. Name

12. Name

10. Title

13. Title

11. Signature

14. Signature

X

X

15. The following person or persons are no longer authorized:

Home Ownership Center Director's Certification

I certify that the persons identified in items 3 - 14 are HUD employees under my supervision and that they will not engage
in the preparation, approval, or certification of disbursement transmittals related to the disposition of single family properties
while exercising this authority.
16. Signature

17. Phone No. (area code)

18. Date (mm/dd/yyyy)

X
Instructions for Completion of Form SAMS-1204 (Please use typewriter or print in ink)
1. DOCS Code: Enter the two-character Departmental Organization
Coding Structure (DOCS) code for your HOC Area, e.g., for
Atlanta Area 2, use the code "A2."

4. Title: Enter the title of the person being authorized (also lines 7,10,
& 13).

2. HOC Area Name: Enter the HOC Area name (e.g., Atlanta Area 2).

15. Name(s): Enter the name(s) of person(s) no longer authorized to
sign forms SAMS-1110, -1111, and -1117.

3. Name: Enter name of the person whose signature will be an
authorized signature (also lines 6, 9, & 12).

Previous editions are obsolete

5. Signature: Enter signature of the person (also lines 8, 11, & 14).

16-18. Signature: Enter the signature and phone number of the HOC
Director and date signed.
form SAMS-1204 (3/99)
ref Handbook 4310.5