Form HUD-92541: Builder's Certification

Enter the Property Address (street, city, state, & zip code), the Subdivision Name, the Mortgagee's (Lender's) Name & Address (this is the lender who closed the loan), the FHA Case Number and the Phone Number.

A. Flood Hazards. Are the property improvements in a Special Flood Hazard Area (SFHA)? Mark YES or NO. 1) Provide the community number and date of the Flood Insurance Rate Map (FIRM) used to document your answer: enter the Community Number, the Map Date, and the Building Permit Application (or its Equivalent) Date.

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.

2) If participating, is the community in good standing with the National Flood Insurance Program (NFIP)? Mark YES or NO.

3) If "Yes" to item 1.A., 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 FHA Handbook 4000.1, Special Flood Hazard Areas, Sections II.A.1.b.iv(A)(1)(b) or II.B.2.b.iii(A)(4)(b). 4) Is the property located within a Coast Barrier Resource System (CBRS)? Mark YES or NO. (If yes, the property is ineligible for FHA insured financing).

B. Noise. Mark YES or NO: 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. Mark YES or NO: within 3000 feet of a civil or military airfield; (i) if "Yes," in a Runway Clear Zone / Clear Zone.

D. Explosive /Flammable Materials Storage Hazard. Mark YES or NO: unobstructed view or located within 2000 feet of any facility handling or storing explosive or fire prone materials. E. Toxic Waste Hazards. Mark YES or NO: 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. Mark YES or NO: 1) any rock formations, high ground water levels, inadequate surface drainage, springs, sinkholes, etc.; 2) unstable soils (expansive, collapsible, or erodible); 3) any excessive slopes; 4) any earth fill; (i) if "Yes," foundations, slabs, or flatwork rest on the fill.

If you marked "Yes" to any of the 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.

Items 1.B-F The builder must provide this information for all properties.

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, Appendix 8, Site Grading & Drainage guideline included in the HUD Handbook 4145.1, or the Site Grading & Drainage requirements incorporated in the Local/State adopted IRC Building Code, identified in item #5, and Complies with IECC (International Energy Conservation Code).

Place an "X" in the box in Items 2, 3 and 4. An "X" marked in the blank by each numbered item indicates that provisions from the marked code apply.

Item 5. Enter the Other Code or Local/State Code as follows and its Applicable Provisions. 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.

Item 7. Place an "X" in the box on line 7, and, if applicable name equivalent code.

Item 8. If the dwelling is a manufactured (mobile) home, place an "X" in the box in Item 8.

Type or print the Name of Builder's Company or Builder's Agent in 9.a. and the Name & Title of Builder or Builder's Agent in 10.a., then sign b. Signature of Builder or Builder's Agent and enter the Date.

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).

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? Mark YES or NO. If "Yes," check either a, b, c, or d.

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 a, b, c, or d.

Type or print the Name of Builder's Company in 12 a. and the Name & Title of Builder in 13 a., then sign b. Signature of Builder and enter the Date.

All changes to the original form must be initialed and dated by the builder.

Page 1 of this form must be complete and legible.

The DE Underwriter cannot change and/or modify this certification form.

The builder or the builder's agent must complete and sign Items 9 and 10, and the builder must complete and sign Items 12 and 13.

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.

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.

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.

The undersigned certifies under penalty of perjury that the information provided is true and correct.