CERTIFIED MULTIFAMILY OWNERSHIP AND LOAN HISTORY …



Form 4348

Multifamily Ownership

and Loan History Statement

Multifamily Ownership and Loan History Statement

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|Property Name | |

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|Property Address | |

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|Name of Borrower | |

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|Name of Key Principal or Principal |Principal |Key Principal |

| | | |

| | | |

| | | |

| | | |

|Description of Ownership Interest in Borrower |Principal |Key Principal |

| | | |

| | | |

| | | |

| | | |

|Description of Ownership Interest in Subject |Principal |Key Principal |

|Property | | |

| | | |

| | | |

| | | |

Indicate which attachments are included by checking the box next to the attachment description. If an attachment is not applicable, then indicate not applicable ("N/A") in the appropriate box. For purposes of this Statement, "significant interest" means a general partnership interest, joint venture interest, 25 percent or more limited partnership, or 25 percent or more stock ownership. Attached to this Statement is/are:

|Check if Applicable | |Item |Description |

| | | | |

| |1. |Bankruptcy |A description of any current bankruptcy or any bankruptcy occurring within the |

| | | |previous 10 years of the undersigned, or of any entity in which the undersigned|

| | | |owns or has owned a significant interest. |

| | | | |

| |2. |Pending Litigation/ Judgments |A description of any pending or current litigation or judgments related to: (a)|

| | | |the undersigned's ownership or operation of any real estate which could |

| | | |materially and adversely impact the undersigned's financial condition, (b) the |

| | | |undersigned's ownership of a significant interest in any entity, or (c) any |

| | | |entity in which the undersigned owns a significant interest which could |

| | | |materially and adversely impact the entity's financial condition. |

| | | | |

| |3. |Litigation/ Judgments with Fannie|A description of any litigation or judgments in the previous 10 years involving|

| | |Mae |(a) Fannie Mae and the undersigned, or (b) Fannie Mae and any entity in which |

| | | |the undersigned owns or has owned a significant interest. |

| | | | |

| |4. |Delinquencies, Defaults, |An explanation as to the cause and resolution of any delinquencies, defaults, |

| | |Foreclosures, Deeds-in-Lieu of |foreclosures, or deeds-in-lieu of foreclosure occurring during the previous 10 |

| | |Foreclosure |years in connection with loans to the undersigned or entities in which the |

| | | |undersigned owns or has owned a significant interest. |

| | | | |

| |5. |Prior Multifamily Loans Purchased|A listing of all multifamily properties in which the undersigned owns or has |

| | |by Fannie Mae |owned either the property or a significant interest in the borrower and for |

| | | |which the mortgage or other security instrument on the property was purchased |

| | | |by Fannie Mae. |

The undersigned certifies that all information provided on this Statement and all attachments hereto are true, complete, and correct to the best of the undersigned's knowledge.

Date: _________________________

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| |(Name of Borrower) |

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| |By:__________________________________________ |

| |Name:_______________________________________ |

| |Title:_________________________________________ |

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