OPG 4.1 Data Release Authorization Letter

OMB No. 2502-0533
(Exp, 09/30/2014)

Sample
Mark-to-Market
Data Release Authorization Letter

Form 4.1

(Date)
Project Name:
Section 8 Expiration Date:
Mortgagee of Record:
Mortgagee Tax ID#:

FHA Number:
REMS I.D. #:
Mortgagee ID#:

RE: (Property names, addresses)
Dear (Mortgagee and Loan Servicer):
I am currently the owner of the above-referenced property that is participating in the U.S.
Department of Housing and Urban Development’s Mark-to-Market program. I will be working
with a Participating Administrative Entity (PAE) who is under contract with HUD to review the
above-referenced property and to possibly restructure the financing of that property.
I hereby grant permission to (Mortgagee/Loan Servicer) to release all loan servicing information
(complete loan history, legal files) including:
•
•
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•
•
•
•
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Loan payment history for the last five years
Property inspection reports
Original and current note terms, including a loan amortization table showing the outstanding
principal balance each month for the remaining term of the loan
Current escrow balances
Outstanding arrears or advances
Information that identifies the original mortgagee of record and all subsequent changes to the
mortgagee over the life of the loan
Information that identifies all changes to the loan principal balance and accrued interest, such
as those that have occurred by result of loan modifications or partial prepayments during the
loan term
Lender’s willingness to consider a modification to the terms of the existing loan and if
willing to consider modification, please specify the information the owner would be required
to submit for lender/servicer to make a determination on modification.

The information is requested for the following mortgages: (List all mortgages by FHA number,
property name, address, and project number).
This information shall be gathered and forwarded to (Contact name) of (PAE) located at
(address, phone number) and to no other party without my written permission.
Sincerely,
(Owner/ Designee) (Title)
(Phone Number)

October 2004

Form 4.1, Page 1

Public reporting burden for this collection of information is estimated to average 3 hours per
response, including the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection of
information. This information is required to obtain benefits. The office of Multifamily Housing,
Office of Affordable Housing Preservation 451 7th Street SW, Room 6216 6230 Washington,
DC 20410. HUD may not collect this information, and you are not required to complete this
form, unless it displays a currently valid OMB control number. Title V of the Departments of
Veterans Affairs and Housing and Urban Development and Independent Agencies
Appropriations Act of 1988 (P.L.106 65, 111 Stat. 1384) authorizes the FHA Multifamily
Housing Mortgage and Housing Assistance Restructuring Program. HUD implemented a
statutory permanent program directed at FHA-insured multifamily projects that have projectbased Section 8contracts with above- market rents. The information collection is used to
determine criteria eligibility of FHA-insured multifamily properties for participation in the Mark
to Market program and the terms on which participation should occur. The purpose of the
program is to preserve low-income rental housing affordability while reducing the long-term
costs of Federal rental assistance. While no assurances of confidentiality are pledged to
respondents, HUD generally discloses this data only in response to a Freedom of Information
request.