HUD Office of Native American Programs: Section 184 Loan ...
HUD Office of Native American Programs: Section 184 Loan Guarantee Program
DO NOT MARK LOCATION – HUD DETERMINES UNDERWRITING OFFICE
DENVER, CO WASHINGTON, DC
1670 Broadway, 23rd Floor 451 7th St., SW, Room 5143
Denver, CO 80202 Washington, DC 20410
Deanna Lucero Yvonne Johnson Krisa Johnson
Phone: (303) 675-1615 Phone: (202) 402-4119 Phone: (202) 402-4119 Fax: (303) 675-1671 Fax: (404) 331-4133 Fax: (202) 401-2475
Deanna.V.Lucero@ Yvonne.T.Johnson@ Krisa.M.Johnson@
1. Lender Name: ___________________________________________________________________
2. Lender Contact Name: ____________________________________________________________
3. Lender Telephone: _______________________ Lender Fax: _______________________
4. Lender Email Address: ____________________________________________________________
5. Please Indicate Purpose of Loan:
Acquisition of Existing Home Construction of a New Home
Acquisition & Rehab of Existing Home Credit Qualifying Refi. – Cash Out
Streamline Refi. (Existing 184 loans only) Credit Qualifying Refi. – Rate & Term
6. Please Check: Direct Guarantee Underwritten HUD Underwritten
7. Borrower Name & Tribal Affiliation: _________________________________________________
8. Co-Borrower Name & Tribal Affiliation: _____________________________________________
9. Property Street Address: __________________________________________________________
City: _____________________________________ State: ________ Zip Code: ______________
10. Proposed Mortgage Amount: $_______________________________________________________
11. Please Indicate Land Status of Property:
Fee Simple (If entire State Approved, No Land Status Form Required)
Tribal Trust Land Allotted or Individual Trust Land
(For Tribal Trust/Allotted land only) BIA Reservation # ____________ BIA Track # ___________
Name of Tribe with Land Jurisdiction: ________________________________________________
TO BE COMPLETED BY HUD
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Case Number: ____________________________________
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DO NOT SUBMIT FILE UNTIL CASE # IS ASSIGNED
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All case requests should be faxed to 202-401-2475 or emailed to Section184@
Rev. 3/01/2010
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