Form HUD-92900-A at a glance
What it is: Form HUD-92900-A (04/2023) is the HUD Addendum to Uniform Residential Loan Application, the HUD/FHA Application for Insurance under the National Housing Act and Borrower Certification.
Who signs: Under Certification and Acknowledgment, enter the Signatures of Borrowers and the Date Signed, and the Signatures of Co-Borrower(s) and the Date Signed.
A filled-in Form HUD-92900-A example: two borrowers sign the consent
How to fill out Form HUD-92900-A, box by box
Case numbers, IDs, sponsor, agent and mortgagee
Enter the FHA Case No. (include any suffix) and the Mortgagee Case No.
Enter the Mortgagee ID, the Sponsor ID and the Agent ID.
Enter the Name and Address of Sponsor and the Name and Address of Agent.
Enter the Mortgagee Name, Address (include ZIP Code), and Telephone Number.
Enter the Borrower Name and the FHA Case No.
Borrower and property
Enter the Borrower's Name and the Present Address (include ZIP Code), and the Property Address (include name of subdivision, lot, block no., ZIP Code).
Sponsored Originations
Under Sponsored Originations, enter the Name of Third-Party Originator and the NMLS ID of Third-Party Originator.
Borrower Consent for Social Security Administration to Verify Social Security Number
The Part II consent for the Social Security Administration (SSA) to verify the Social Security Number (SSN) is valid for 180 days from the date signed, unless indicated otherwise by the individuals named in this loan application.
Enter the Borrower's Name, Date of Birth and Social Security Number, and the Co-Borrower's Name, Date of Birth and Social Security Number.
Read the consent carefully, and review the accuracy of the SSNs provided on this application.
Enter the Signature(s) of Borrowers and the Date Signed, and the Signature(s) of Co-Borrower(s) and the Date Signed.
Signatures of Borrowers
Under Signatures of Borrowers, do not sign unless this application is fully completed. Read the certification carefully and review the accuracy of this application.
More rules for Form HUD-92900-A
As a mortgage loan borrower, you will be legally obligated to make the mortgage payments called for by your mortgage loan contract. The fact that you dispose of your property after the loan has been made will not relieve you of liability for making these payments.
Common questions about Form HUD-92900-A
What is a HUD 92900 a form?
Form HUD-92900-A (04/2023) is the HUD Addendum to Uniform Residential Loan Application, the HUD/FHA Application for Insurance under the National Housing Act and Borrower Certification. HUD will use this information to determine eligibility for FHA mortgage insurance, and for other purposes described in the published Privacy Act System of Records Notice (SORN).
Is there a penalty?
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. §§ 287, 1001 and 31 U.S.C. § 3729).
What am I certifying when I sign?
All information in this application is given for the purpose of obtaining a loan to be insured under the National Housing Act, and the information in the Uniform Residential Loan Application and this Addendum is true and complete to the best of my knowledge and belief.
Sources
[1] Form HUD-92900-A (04/2023), HUD Addendum to Uniform Residential Loan Application, U.S. Department of Housing and Urban Development (the Official source link on this page).