Consumer Maintenance Advisory regarding integrated Pest Management for Prevention of Wood Destroying insects. Information regarding prevention of wood destroying
insect infestation is helpful to any property owner interested in protecting the structure from infestation. Any structure can be attacked by wood destroying insects.Periodic mainte
nance should include measures to minimize possibilities of infestation in and around a structure. Factors which may lead to infestation from wood destroying insects include foam
insulation at foundation, earth-wood contact, faulty grade, firewood against structure, insufficient ventilation, moisture. wood debris in crawl space, wood mulch, tree branches
touching structures, landscape timbers, and wood rot. Should these or other such conditions exist, corrective measure should be taken by the owner in order to reduce the
chances of infestations by wood destroying insects, and the need for treatment.
_____________________________________
2.
Builder Installed Subterranean Termite Prevention using Pressure Treated Lumber
The builder certifies that subterranean termite prevention was installed using pressure treated lumber only and certifies that use of the pressure treated lumber is in
compliance with applicable building codes and HUD requirements including Mortgagee Letter 2001-04. Note: Using pressure treated sills as a sole method of
termite prevention is NOT acceptable and violates the requirements of Mortgagee Letter 2001-04.
Initial of Builder
1.
Pest Control Company Applied Treatment (See HUD-NPMA 99B for treatment information)
The undersigned builder hereby certifies that a State licensed or otherwise authorized pest control company (where required by State law) was contracted to treat the
property at the location referenced above to prevent subterranean termites. The builder further certifies that the contract with the pest control company required the
treatment materials and methods used to be in conformance with all applicable State and Federal requirements. All work required by the contract has been completed
unless noted on HUD-NPMA 99B. Where not prohibited by applicable State requirements, the buyer, for an additional fee payable to the pest control company, may
extend the protection against subterranean termites. Contact the pest control company listed on the attachment for further information.
The builder hereby guarantees that, if subterranean termite infestation should occur within one year from the date of closing, the builder will ensure that a licensed or
otherwise State authorized pest control company will treat as necessary to control infestations in the structure. This further treatment will be without cost to the buyer.
If permitted by State law, the buyer may contract directly, at the buyer’s expense, with a pest control company to inspect the property on a periodic basis and use
EPA registered products to control any infestation. The builder will not be responsible for guaranteeing such contracted work. The builder further agrees to repair all
damage by subterranean termites within the one-year builder’s warranty period. This guarantee does not apply to additions or alterations that are made by the buyer,
which affects the original structure or treatment. Examples include, but are not limited to, landscape and mulch alterations, which disturb the treated area and create
new subterranean termite hazards, or interfere with the control measures. If within the guarantee period the builder questions the validity of a claim by the buyer, the
claim will be investigated by an unbiased expert mutually agreeable to the buyer and builder. The report of the expert will be accepted as the basis for disposition of
the case. The non-prevailing party will pay the cost of any inspections made to investigate the claim. For further information, contact your State structural pest control
regulatory agency. All service must be in compliance with the International Residential Code.
Type of Service::
Termite Bait System
Field Applied Wood Treatment
Soil Treatment
Installed Physical Barrier System
Date
OMB Approval No. 2502-0525
Subterranean Termite Protection Builder’s Guarantee
(exp. 05/30/2018)
This form is completed by the builder.
___________________________________________________________________________________________________
Public reporting burden for this collection of information is estimated to average 5 minutes 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. This information is required to
obtain benefits. HUD may not collect this information, and you are not required to complete this form, unless it displays a currently valid OMB control number.
Section 24 CFR 200.926d(b)(3) requires that the sites for HUD insured structures must be free of termite hazards. This information collection requires a
licensed Pest Control company to provide the builder a record of specific treatment information in those cases when if any method other than use of pressure
treated lumber is used for prevention of subterranean termite infestation. When applicable, form HUD-NPMA-99-B must accompany the form HUD-NPMA-99-A.
Builders, pest control companies, mortgage lenders, homebuyers, and HUD as a record of treatment for specific homes will use the information collected.
The information is not considered confidential, therefore no assurance of confidentiality is provided.
________________________________________________________________________________________________________________________________________
This form is submitted for proposed (new) construction cases when prevention of subterranean termite infestation is specified by the builder or required by the lender, the
architect, FHA or VA.
This form is to be completed by the builder. This guarantee is issued by the builder to the buyer. This guarantee is not to be considered as a waiver of, or in place of, any legal rights
or remedies that the buyer may have against the builder.
FHA/VA Case No.: ___________________________________________
Location of Structure(s) (Street Address, or Legal Description, City, State and Zip): _________________________________________________________________________________
_______________________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________________
Buyer’s Name: ___________________________________________________________________________________________________________________________________
Builder is to check and complete either box 1 or box 2.
Attachments: _____________________________________________________________________________________________________________________________________
Builder’s Company Name: _________________________________________________________________________ Phone No: ________________________________________
Builder’s Signature: _________________________________________________________________________________________________ Date: _________________________
An original and one copy of this guarantee are to be prepared by the builder and sent to the lender. The lender provides one copy to the buyer at closing and includes a copy in the
VA loan package or HUD insurance case binder. The builder sends one copy to the licensed pest control company which performed the treatment.
Attached is a copy of the state authorized pest control company’s New Construction Subterranean Termite Service Record, HUD-NPMA-99-B.
Waming: HUD will prosecute false claims and statements. Conviction may result in criminal and/or civil penalties. (18 U.S.C. 1001. 1010, 1012:31 U.S.C. 3729.3802)
form HUD-NPMA-99-A (8/2008)
click to sign
signature
click to edit
OMB Approval No. 2502-0525
New Construction Subterranean Termite
(exp. 05/30/2018)
Service Record
This form is completed by the licensed Pest Control Company
Public reporting burden for this collection of information is estimated to average 15 minutes 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. This information
iis required to obtain benefits. HUD may not collect this information, and you are not required to complete this form, unless it displays a currently valid OMB
control number.
Section 24 CFR 200.926d(b)(3) requires that the sites for HUD insured structures must be free of termite hazards. This information collection requires the
builder to certify that an authorized Pest Control company performed all required treatment for termites, and that the builder guarantees the treated area
against infestation for one year. Builders, pest control companies, mortgage lenders, homebuyers, and HUD as a record of treatment for specific homes will
use the information collected. The information is not considered confidential, therefore, no assurance of confidentiality is provided.
This report is submitted for informational purposes to the builder on proposed (new) construction cases when treatment for prevention of subterranean termite
infestation is specified by the builder, architect, or required by the lender, architect, FHA, or VA.
All contracts for services are between the Pest Control company and builder, unless stated otherwise.
Section 1: General Information (Pest Control Company Information)
Company Name: ___________________________________________________________________________________________________________
Company Address __________________________________________ City ________________________State ______________ Zip _____________
Company Business License No. _____________________________________ Company Phone No. _______________________________________
FHA/VA Case No. (if any) ____________________________________________________________________________________________________
Section 2: Builder Information
Company Name _________________________________________________________________ Phone No. _________________________________
Section 3: Property Information
Location of Structure (s) Treated (Street Address or Legal Description, City, State and Zip) _________________________________________________
Section 4: Service Information
Date(s) of Service(s) ____________________________________________________________________________________________________________
Type of Construction (More than one box may be checked)
Slab
Basement
Crawl
Other _________________________
Check all that apply:
A. Soil Applied Liquid Termiticide
Brand Name of Termiticide:_________________________ EPA Registration No. _________________________
Approx. Dilution (%): ___________ Approx. Total Gallons Mix Applied: ___________ Treatment completed on exterior:
Yes
No
B. Wood Applied Liquid Termiticide
Brand Name of Termiticide:_________________________ EPA Registration No._________________________
Approx. Dilution (%): _____________ Approx. Total Gallons Mix Applied: _____________
C. Bait system Installed
Name of System_________________________EPA Registration No. _____________ Number of Stations installed__________
D. Physical Barrier System Installed
Name of System_________________________ Attach installation information (required)
Service Agreement Available?
Yes
No
Note: Some state laws require service agreements to be issued. This form does not preempt state law.
Attachments (List) ______________________________________________________________________________________________________________
Comments ____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
Name of Applicator(s) _____________________________________________ Certification No. (if required by State law) ___________________________
The applicator has used a product in accordance with the product label and state requirements. All materials and methods used comply with state and federal
regulations.
Authorized Signature ______________________________________________ Date ________________________________________________________
Warning: HUD will prosecute false claims and statements. Conviction may result in criminal and/or civil penalties. (18 U.S.C. 1001, 1010. 1012; 31 U.S.C. 3729, 3802)
form HUD-NPMA-99-B (08/2008)
click to sign
signature
click to edit
Warranty of Completion
of Construction
U.S. Department of Housing
and Urban Development
Office of Housing
Federal Housing Commissioner
OMB Approval No. 2502-0059
(Expires 03/31/2019)
This information is required to obtain a HUD-insured single family mortgage. Public reporting burden for this collection of information is estimated to
average 3 minutes 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. This agency may not conduct or sponsor, and you are not required to respond to, a collection of
information unless that collection displays a valid OMB control number. HUD collects this information to determine the insurability of a mortgage on the
captioned property and may use it to make a final determination as to whether a defect exists and whether the builder must remedy the defect.
Privacy Act Notice: The United States Department of Housing and Urban Development, Federal Housing Administration, is authorized to solicit the information
requested in the form by virtue of Title 12, United States Code, Section 1701 et seq., and regulations promulgated thereunder at Title 12, Code of Federal
Regulations. While no assurance of confidentiality is pledged to respondents, HUD generally discloses this data only in response to a Freedom of Information Act
request.
Lender's Name, Address and Phone Number (Include Area Code) Name(s) of Purchaser/Owner
FHA/VA Case Number Property Address
For good and valuable consideration, and in accordance with Section 801 of the Housing Act of 1954, and Public Law 85-857 (38 U.S.C. 3705), the
undersigned Warrantor hereby warrants to the Purchaser(s) or Owner(s) identified in the caption hereof, and to his/her successors or transferees, that:
The dwelling located on the property identified in the caption hereof is constructed in substantial conformity with the plans and specifications
(including any amendments thereof, or changes and variations therein) which have been approved in writing by the Federal Housing Commissioner
or the Secretary of Veterans Affairs on which the Federal Housing Commissioner or the Secretary of Veterans Affairs based the valuation of the
dwelling: Provided, however, That this warranty shall apply only to such instances of substantial nonconformity as to which the Purchaser(s)/
Owner(s) or his/her (their) successors or transferees shall have given written notice to the Warrantor at any time or times within one year from the
date of original conveyance of title to such Purchaser(s)/Owner(s) or the date of initial occupancy, whichever first occurs: Provided further,
however, That in the event (1) the Purchaser(s)/Owner(s) acquired title to the captioned property prior to the completion of construction of the dwelling
thereon, such notice of nonconformity to the Warrantor may be given any time or times within one year from the date of completion or initial occupancy
of such dwelling, whichever first occurs, or (2) where it has been necessary to postpone improvements such notice of nonconformity to the Warrantor
as to such incomplete items may be given at any time or times within one year from the date of full completion of each of such items.
The term “dwelling” as used herein shall be deemed to include all improvements or appurtenances set forth in the plans and specifications upon
which the Federal Housing Commissioner or the Secretary of Veterans Affairs has based the valuation of the property, excepting those
constructed by a municipality or other government authority.
The undersigned Warrantor further warrants to the Purchaser(s)/ Owner(s) or his/her (their) successors or transferees, the property against defects
in equipment, material, or workmanship and materials supplied or performed by the Warrantor or any subcontractor or supplier at any tier resulting
in noncompliance with standards of quality as measured by acceptable trade practices. This warranty shall continue for a period of one year from the
date of original conveyance of title to such Purchaser(s) or from the date of full completion of each of any items completed after conveyance of title.
The Warrantor shall remedy, at the Warrantor’s expense, any defect(s) of equipment, material, or workmanship furnished by the Warrantor. Warrantor
shall restore any work damaged in fulfilling the terms and conditions of this warranty.
If a manufactured (mobile) home was erected on this property, the Warrantor
further warrants that (1) the property (other than the manufactured unit itself)
complies with the submitted construction exhibits; (2) the manufactured home
sustained no hidden damage during transportation and erection; and (3) if the home
was manufactured in separate sections, the sections were properly joined and sealed.
Manufacturer's Name, Address & Phone Number (Include Area Code)
This warranty shall be in addition to, and not in derogation of, all other rights and privileges which such Purchaser(s)/ Owner(s) or his/her (their)
successors or transferees may have under any other law or instrument, and shall survive the conveyance of title, delivery of possession of the property,
or other final settlement made by the Purchaser(s)/ Owner(s), and shall be binding on the Warrantor notwithstanding any provision to the contrary
contained in the contract of purchase or other writing executed by the Purchaser(s)/ Owner(s) or his/her (their) successors or transferees heretofore
or contemporaneously with the execution of this agreement or prior to final settlement.
This warranty is executed for the purpose of inducing the Federal Housing Commissioner or the Secretary of Veterans Affairs to make, to guarantee
or to insure a mortgage on the captioned property, and the person signing for the Warrantor represents and certifies that he/she is authorized to execute the
same by the warrantor and by his/her signature the Warrantor is duly bound under the terms and conditions of said warranty. The FHA Commissioner or
the Secretary of Veterans Affairs reserves the right to make a final determination as to whether a defect exists and whether the builder must remedy the defect.
Warrantor Purchaser(s)' Acknowledgement
Warrantor's Title Signature of Purchaser Date (mm/dd/yyyy)
Signature Date (mm/dd/yyyy) Signature of Purchaser Date (mm/dd/yyyy)
Builder's Name and Address Builder's Phone Number (Include Area Code)
Purchaser Note: Any notice of nonconformity must be delivered to the warrantor within the period or periods set forth above.
Warning: HUD will prosecute false claims and statements. Conviction may result in criminal and/or civil penalties. (18 U.S.C. 1001, 1010, 1012; 31 U.S.C. 3729, 3802)
Provide completed copies of this warranty to both the homebuyer and the builder, at closing. Include a copy of this warranty in the case binder when sent to HUD.
Previous editions are obsolete. Combines previous HUD-92544-A.
VA form 26-1859
form HUD-92544 (9/2005)
ref. Handbook 4145.1
Property Address (street, city, state, & zip code)
FHA Case Number
Phone Number
1.
Site Analysis Information: To be completed on all proposed and newly constructed properties.
YES
NO
Map Date
2) If participating, is the community in good standing with the National Flood Insurance Program (NFIP)?
3) If "Yes" to item 1.A. above, attach:
(i) A Letter of Map Amendment (LOMA) or;
(ii) A Letter of Map Revision (LOMR) or;
(iii) A signed Elevation Certificate documenting that the lowest floor (including basement) is built in compliance with
24 CFR 200.926d(c)(4).
,VWKHSURSHUW\ORFDWHGZLWKLQD&RDVW%DUULHU5HVRXUFH6\VWHP&%56",I\HVWKHSURSHUW\LVLQHOLJLEOHIRU)+$LQVXUHGILQDQFLQJ
B. Noise. Is the property located within 1000 feet of a highway, freeway, or heavily traveled road?
(i) Within 3000 feet of a railroad?
(ii) Within one mile of a civil airfield or 5 miles of a military airfield?
C. Runway Clear Zones / Clear Zones. Is the property within 3000 feet of a civil or military airfield?
(i) If "Yes," is the property in a Runway Clear Zone / Clear Zone?
D. Explosive /Flammable Materials Storage Hazard. Does the property have an unobstructed view or located within 2000 feet of
any facility handling or storing explosive or fire prone materials?
E. Toxic Waste Hazards. Is the property within 3000 feet of a dump, landfill or site recognized on a EPA Superfund National
Priority List (NPL) or equivalent State list?
F. Foreseeable Hazards or Adverse Conditions.
1) Does the site have any rock formations, high ground water levels, inadequate surface drainage, springs, sinkholes, etc.?
2) Does the site have unstable soils (expansive, collapsible, or erodible)?
3) Does the site have any excessive slopes?
4) Does the site have any earth fill?
(i) If "Yes," will foundations, slabs, or flatwork rest on the fill?
If you marked "Yes" to any of the above questions in item "F," attach a copy of all State licensed engineers' (soils and structural) reports, designs, and/or certifications
to demonstrate compliance with HUD requirements ensuring structural soundness of the improvements and the health and safety of the occupants.
Refer to HUD Handbook 4145.1, HUD Handbook 4140.3 and HUD Handbook 4000.1.
Complete this section for all properties. The property complies with:
HUD Minimum Property Standards in the Code of Federal Regulations at 24 CFR 200.926d. 
$SSHQGL[6LWH*UDGLQJ'UDLQDJHJXLGHOLQHLQFOXGHGLQWKH HUD Handbook 4145.1, RUWKHSite Grading & Drainage UHTXLUHPHQWVLQFRUSRUDWHGLQWKH
/RFDO6WDWHDGRSWHG,5&%XLOGLQJ&RGHLGHQWLILHGLQLWHP
IECC (International Energy Conservation Code)
Other Code or Local/State Code as follows:
Applicable Provisions:
2.
3.
4.
5.
6.
7.
Electrical Code for OneandTwoFamily Dwellings, as listed in 24 CFR 200.926b, or equivalent, name code:
CABO One- and Two-Family Dwelling Code, as listed in 24 CFR 200.926b, replaced by IRC (International Residential Code)
8.
This is a manufactured (mobile) home and was constructed in accordance with the Federal Manufactured Home Construction & Safety Standards (FMHCS).
The label on the manufactured home reflects compliance with the FMHCS.
I hereby certify that the plans and specifications for all other construction (i.e., site, foundation) comply with applicable building codes or HUD requirements listed
above, including Handbook 4145.1, Handbook 4000.1 II.A.1.b.iv.(B)(5)(c)(ii), II.D.5.c and the Permanent Foundations Guide for Manufactured Housing.
U.S. Department of Housing
and Urban Development
Office of Housing
Federal Housing Commissioner
OMB Approval No. 2502-0496
Exp 03/31/2020
Subdivision Name
Builder's Certification
of Plans, Specifications, & Site
A. Flood Hazards. Are the property improvements in a Special Flood Hazard Area (SFHA)?
1) Provide the community number and date of the Flood Insurance Rate Map (FIRM) used to document your answer.
Community Number
Mortgagee's (Lender's) Name & Address (this is the lender who closed the loan)
Previous Editions are Obsolete
Page 1 of 3
Handbook 4145.1, 4140.3 and 4000.1 form HUD-92541 (03/2018)
9.a. 10.a. Name & Title of Builder or Builder's Agent (type or print)
b. Street Address b. Signature of Builder or Builder's Agent Date Date
c. City, State, & Zip Code c. Telephone Number (include area code)
11.
YES NO
If "Yes," check either a, b, c, or d below.
a. I am a signatory in good standing to a Voluntary Affirmative Marketing Agreement (VAMA).
to market this SURSHUW\"
b. Street Address
12 a. Name of Builder's Company (type or print)
c. I have a contract with
“I, 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 false statements is subject to criminal and civil penalties, including confinement for up to 5 years, fines,
and civil penalties. (18 U.S.C. 1001, 1010, 1012; 31 U.S.C. 3729)”
Executive Order 11988 and HUD environmental regulations (24 CFR Part 51) require builders who build newly constructed properties to ensure that the property is not affected
by: flood hazards, noise, runway clear zones, explosive/flammable materials storage hazards, toxic waste hazards, and other foreseeable hazards that may affect the site.
HUD requires this information to determine whether the site/location factors would adversely affect the dwelling or homeowner. A response is required whenever a builder
builds new properties. Confidentiality is not applicable.
Public reporting burden for this collection of information is estimated to average 15 minutes 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. 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.
This form must be complete and legible and must be reproduced to include all three pages.
HUD Label Number(s):
Builder or Builder's Agent: I hereby certify that the site analysis information above is true and accurate to the best of my knowledge and belief and that the plans and
specifications were designed to mitigate any foreseeable hazards or adverse conditions. On all properties eligible for maximum LTV financing, I further certify that I
have personally reviewed the plans, specifications, and site information submitted herewith . Based upon my review, I hereby certify that such plans, specifications
comply with the applicable building codes specified above as well as complying with the HUD construction requirements listed above. An "X" marked in the blank
by each numbered item indicates that provisions from the marked code apply.
c. Telephone Number (include area code)
c. City, State, & Zip Code
13 a. Name & Title of Builder (type or print)
Date
b. Signature of Builder
Builder: I hereby certify that the site analysis information is true and accurate to the best of my knowledge and belief. I further certify that on all properties eligible for
maximum LTV financing, the plans and specifications submitted herewith have been reviewed by the individual signing above and that the individual has the knowledge
and experience necessary to determine whether such plans and specifications comply with the HUD/FHA requirements set forth at 24 CFR 200.926d and with other applicable
HUD requirements as determined in accordance with 24 CFR 200.926(d)(1) and (2). Any subsequent changes to these plans and specifications shall comply with the
aforementioned requirements. Upon sale or conveyance of the property, the undersigned will promptly furnish to the lender a Warranty of Completion of Construction, form
HUD-92544 on all properties eligible for maximum LTV financing.
Affirmative Fair Housing Marketing Plan (AFHMP) Did you sell five (5) or more houses in the last twelve (12) months or do you intend to
sell five (5) or more houses within the next twelve (12) months with HUD mortgage insurance?
Name of Builder's Company or Builder's Agent (type or print)
d. I certify that I will comply with the following: (a) Carry out an affirmative program to attract all minority and majority groups to the
housing for initial sale or rental. Such a program shall typically involve publicizing to minority persons the availability of housing
opportunities regardless of race, color, religion, sex, handicap, familial status or national origin, through the type of media customarily
utilized by the applicants; (b) Maintain a nondiscrimination hiring policy in recruiting from both minority and majority groups;
(c) Instruct all employees and agents in writing and orally in the policy of nondiscrimination and fair housing; (d) &onspicuously
display the Fair Housing Poster in all Sales Offices, include the Equal Housing Opportunity logo, slogan and statement in all printed
material used in connection with sales, and post in a prominent position at the project site a sign which displays the Equal Opportunity
logo, slogan or statement, as listed in 24 CFR 200.620 and appendix to subpart M to part 200. I understand that I am obliged to
develop and maintain records on these activities, and to make them available to HUD upon request.
b. I have an AFHMP which HUD approved on (mm/dd/yyyy)
Previous Editions are Obsolete Page 2 of 3
Handbook 4145.1, 4140.3 and 4000.1 form HUD-92541 (03/2018)
Instructions for Builder's Certification, form HUD-92541
Item 6. When the whole CABO Code is used as the HUD referenced code in
jurisdictions with “no code” or an “unacceptable code,” place an “X” in the
box in Item 6 and place the word “All” in the space.
Items 1b.-f The builder must provide this information for all properties.
If the property is a condominium, the builder may have to mitigate the
site issue if the project has not yet been approved by HUD.
b. Noise: Self-explanatory.
d. Explosive/Flammable Materials Storage Hazard: Self-explanatory.
e. Toxic Waste Hazards: Self-explanatory.
Item 11. If a builder has sold or intends to sell five (5) or more newly
constructed properties within a twelve (12) month period, the builder is required
to have one of the following:
Items 12 & 13. The builder must complete and sign Items 12 and 13. The
certification is self-explanatory. All changes to the original form must be
initialed and dated by the builder.
The appraiser must review Item 1 and note in the Appraisal Report any
discrepancies between the information in Item 1 and the actual conditions
observed on site. The appraiser must take into consideration the effects of any
site conditions on the value of the property.
FHA Roster Appraiser. The appraiser must receive a fully executed form
HUD-92541 before performing the appraisal on proposed or under construction
properties or properties less than one year old and never occupied.
c. Have a contract with a Marketing Agent to implement its approved AFHMP;
or a contract with a Marketing Agent with signatory to a National Association of
Realtors VAMA; or
Item 7. Place an “X” in the box on line 7, and, if applicable name
equivalent code.
Direct Endorsement Underwriter. The DE Underwriter must review the
Appraisal Report and the Builder Certification as part of the underwriting
process, taking into consideration the effect of any site conditions on the value
of the property. Page 1 of this form must be complete and legible.
The Mortgagee must provide the Appraiser with a fully executed form HUD92541,
signed and dated no more than 30 Days prior to the date the appraisal was ordered.
The DE Underwriter cannot change and/or modify this certification form.
Item 8. If the dwelling is a manufactured (mobile) home, place an “X” in
the box in Item 8. Properly complete lines 4 through 7 for all “foundation
and site work.” Insert the HUD label number(s) in the box provided.
Item 1. Site Analysis: All builders must answer all the questions in this
item. An addendum may be added, if necessary, to provide a full
explanation about any of the site conditions listed.
c. Runway Clear Zones/Clear Zones: If the property is located in a
Runway Clear Zone / Clear Zone, the lender must require, as a condition of
borrower approval, that the borrower will sign a statement acknowledging
receipt of the notification required by 24 CFR 51.303(a)(3).
Items 9 & 10.
The builder or the builder’s agent must complete and sign these items.
If the builder’s agent completes and signs these items, the agent is certifying that
they have the knowledge and experience to determine whether the plans and
specifications comply with HUD/FHA requirements set forth in 24 CFR 200.926d
and with other applicable HUD requirements in 24 CFR200.926(d)(1) and (2).
The builder’s agent further declares that the site information is true and accurate
to the best of their knowledge and belief.
a. Be in good standing to a Voluntary Affirmative Marketing Agreement
(VAMA); or
b. Have a HUD approved Affirmative Fair Housing Marketing Plan (AFHMP);
or
d. Certify to the requirements which are hereby listed, taken from 24 CFR 200.620.
f. Foreseeable Hazards or Adverse Conditions: Self-explanatory.
Items 2 - 8: The builder/builder’s agent must complete these items as
follows:
Items 2, 3&4. Place an "X" in the box in Items 2, 3 and 4. The certified
builder must complete Items 5 thru 8 as follows:
Item 5. The local/State code in Item 5 is the accepted code for a locality.
The additional requirements needed from the Table in 24 CFR 200.926c, to
supplement a partially acceptable local code, must be shown in Item 5.
a. Flood Hazards: HUD prohibits new construction in Special Flood
Hazard Areas unless there is a Letter of Map Amendment (LOMA),
a Letter of Map Revision (LOMR), or an Elevation Certificate in
accordance with 24 CFR 200.926d(c)(4) provided to the lender.
Appraiser / Direct Endorsement Lender's Responsibility
Previous Editions are Obsolete
Page 3 of 3
Handbook 4145.1, 4140.3 and 4000.1 form HUD-92541 (03/2018)