HUD XXXX Pre Foreclosure Sales Contract Review

OMB Approval No. XXX-XXX

(Expires XX/XX/20XX)

Office of Native American Programs

S ection 184 Program

Pre-Foreclosure Sale Contract Review

1. Section 184 Case Number

2. Holder

2a. Name

2b. Loan Number

2c. Land Type

2d. Contact’s Last Name

2e. First Name

2f. Middle Name

2g. Contact’s Phone Number

2h. Contact’s Email

3. Seller(s)

3a. Seller’s Last Name	3b. First Name	3c. Middle Name
3d. Co-Seller’s Last Name	3e. First Name	3f. Middle Name

4. Property

4a. Street Address

4b. City

4c. State

4d. Zip Code

5. Servicer

5a. Name

5b. Contact’s Last Name

5c. First Name

5d. Middle Name

5e. Contact’s Phone Number

5f. Contact’s Email

5g. Street Address

5h. City

5i. State

5j. Zip Code

6. Real Estate Listing Company

6a. Name

6b. Sales Agent’s Last Name

6c. First Name

6d. Middle Name

6e. Sales Agent’s Phone Number

6f. Sales Agent’s Email

7. Purchaser(s)

7a. Purchaser’s Last Name or Tribe/Entity	7b. First Name	7c. Middle Name
7d. Co-Purchaser’s Last Name	7e. First Name	7f. Middle Name

8. Sales Contract

8a. Sales Contract (Date)	8b. Date Sales Contract Received by Lender
8c. Sales Commission ($)	8d. Sales Commission (%)

8e. Listing Price ($)	8f. Price Offered ($)	8g. Appraised Value ($)
8h. BPO/AVM Value ($)	8i. Required Net Sales Proceeds (%) ☐ 88% ☐ 86% ☐ 84%	8j. Required Net Sales Proceeds ($)

8k. Approval to Participate Date

8l. Estimated Net Sales Proceeds ($)

The Sales Contract offered by the Purchaser listed above is:

☐ Accepted

☐ Rejected (list reasons below)

The Sales Contract is rejected for the following reasons:

I, the undersigned, certify under penalty of perjury that the information provided above is true, correct, and accurate. 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 civil and administrative penalties. (18 U.S.C. §§ 287, 1001, 1010, 1012, 1014; 31 U.S.C. §3729, 3802).

9. Signatures

9a. Holder’ Authorized Official’s Last Name

9b. First Name

9c. Middle Name

9d. Holder’s Authorized Official’s Signature

9e. Date

Burden Notice: This information is required for the U.S. Department of Housing and Urban Development (HUD) to consider paying claims to a lender in the event of a borrower default and where all reasonable efforts of collection by the lender have been exhausted, which includes loss mitigation involving pre-foreclosure sale of the defaulted borrower’s property. The respondents are defaulted Section 184 borrowers who are attempting to sell their property to avoid foreclosure. Public reporting burden for this collection of information is estimated to average 15 minutes per response, including the time for 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, including suggestions to reduce this burden, to the Reports Management Officer, REE, U.S. Department of Housing and Urban Development, 451 7th Street SW, Room 4176, Washington, DC 20410-5000. When providing comments, please refer to OMB Approval No. 2577-XXXX. HUD may not collect this information, and you are not required to complete this form, unless it displays a valid OMB control number. HUD is authorized to solicit the information requested in the form by virtue of 12 U.S.C. § 1715z-13a and 24 C.F.R. Part 1005. While no assurance of confidentiality is pledged to respondents, HUD generally discloses this data only in response to a Freedom of Information Act request.

Page 2 of 2 Form HUD-5xxxx (02/2024)