Form HUD-27050-B Premium Refund or Distributive Share Payment

Mortgage Insurance Termination; Application for Premium Refund or Distributive Share Payment

27050-B

Mortgage Insurance Termination; Application for Premium Refund or Distributive Share Payment

OMB: 2502-0414

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The following information is collected via a document generated by HUD and identified as

Premium Refund or Distributive Share Payment (form HUD-27050-B)


The information is submitted to apply for the unearned portion of the mortgage insurance premium or a distributive share payment.

Much of the information is provided by HUD for verification by the respondent..



Date You Purchased the Property

Date Paid in Full

Last Name

First Name

Percentage of the Property You Owned

Social Security Number or EIN (include hyphens)

Daytime Telephone (include area code)

Current Mailing Address

(optional) "Attention of..." or "Care of

Street (30 characters, max):

City (25 letters, max):

State (2 letters)

Zip Code (give all 9 digits if known)

Yes No The FHA mortgage was paid off by refinancing

Signature & Date

File Typeapplication/msword
File TitleThe following information is collected via a document generated by HUD and identified as
AuthorHUD
Last Modified ByHUD
File Modified2004-03-22
File Created2004-03-22

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