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Borrower's Identity-of-Interest Certification.  The borrower must sign a certification stating the following: "I hereby certify to the Department of Housing and Urban Development (HUD) and (lender), that I/We do not have an identity-of-interest with the seller of the property.  I also Certify that I/We do not have a conflict-of-interest with any other party to the transaction, including the realtor, lender, contractor, consultant and/or the appraiser.  In addition, I certify that I am not obtaining any source of funds or acting as a "straw buyer" for another individual, partnership, company or investment club and I/We _______will/will not_______ occupy the residence I/We are purchasing or refinancing.

" 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).  

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Borrower's Signature                              Date  

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Co-borrower's Signature                          Date

Consultant's Identity-of-Interest Certification.  All consultants and plan reviewers are required to sign the following certification after preparing/reviewing the work write-up and cost estimate, stating: "I hereby certify that I have carefully inspected this property for compliance with the general acceptability requirements (including health and safety) in Handbook 4905.1. I have required as necessary and reviewed the architectural exhibits, including any applicable engineering and termite reports, and the estimated rehabilitation cost and they are acceptable for the rehabilitation of this property.  I have no personal interest, present or prospective, in the property, applicant, or proceeds of the mortgage.  I also certify that I have no identity-of-interest or conflict-of-interest with the borrower, seller, lender, realtor, appraiser, plan reviewer, contractor or subcontractor.  To the best of my knowledge, I have reported all items requiring correction and that the rehabilitation proposal now meets all HUD requirements for 203(k) Rehabilitation Mortgage Insurance.

" 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).   

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Consultant/Plan Reviewer's Signature      Date