Usda Loan App

Rural Development
U.S. DEPARTMENT OF AGRICULTURE
Dear Applicant:
Thank you for your interest in our Single Family Housing (SFH) Direct Home Loan program through
Rural Development (RD).
Prior to submitting your application, you can complete an online self-assessment to determine if you
are a good candidate for our SFH Direct Home Loan program. The link for the self-assessment is:
https://eligibility.sc.egov.usda.gov/eligibility/welcomeAction.do?pageAction=assessmentType
Enclosed is the application package to apply for the SFH Direct Home Loan program through Rural
Development.
The application package includes the following:

Section 1 – Supplemental guidance for filing an application if you choose Option 1 or Option 2 below:
• Option 1 - Working with a Loan Application Packager
• Option 2 - Apply Online via eForms
Section 2 – The following forms must be completed, signed and returned to Rural Development:
• Attachment 3-J, Checklist of Items to Accompany the Uniform Residential Loan Application (fully
complete and return all applicable items on this checklist)
• Form RD 410-4, Uniform Residential Loan Application (fully complete applicable sections and
return) (NOTE: If submitting via eForms (Option 2), the 410-4 is completed on the eForms site.)
• Form RD 3550-1, Authorization to Release Information (each applicant to sign/date separate
forms and return)
• Form RD 3550-4, Employment and Asset Certification (fully complete applicable sections and
return)
Section 3 – Additional information regarding the SFH Direct Home Loan program:
• Homeownership education information and Agency-approved homeownership providers
(Important – homeownership education is required for first-time homebuyers)
• SFH Direct Home Loan Fact Sheet (for your records)
• Attachment 3-D, Applicant Information Sheet (for your records)
• Attachment 3-H, Credit Score Disclosure and Notice to Home Loan Applicant (for your records)
• Exhibit 4-4, Indicators of Unacceptable Credit Guidelines (for your records)
• SFH Subsidy Recapture Fact Sheet (for your records)
Rural Development
USDA is an equal opportunity provider, employer and lender.
If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form (PDF), found online at
http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office, or call (866) 632-9992 to request the form. You may also write a letter containing all of
the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Director, Office of Adjudication,
1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at program.intake@usda.gov.
To apply, complete all the applicable items in the attached 3-J Checklist of Items to Accompany the
Uniform Residential Loan Application and submit the package using one of the options below (which
are listed in no particular order – you choose the option that works best for you):
Option 1: Work with a loan application packager. See “Working with a Loan Application Packager”
located in Section 1 of this application package for more information.
Option 2: Apply online via eForms. For instructions, see “Transmitting Single Family Housing Direct
Applications via eForms” located in Section 1 of this application package for
more information.
Option 3: Return to a local Rural Development office:

Email to: Henry.Fadojutimi@usda.gov or email
Andrew.Kattner@usda.gov
Mail to: 359 East Park Drive
Harrisburg, PA 17111
Suite 4
To locate a Rural Development Service Center, go to:

https://offices.sc.egov.usda.gov/locator/app?state=us&agency=rd
IMPORTANT: If any item, information and/or signature is missing, your application is considered
incomplete and you will be contacted and asked to provide the missing pieces.
To qualify for the SFH Direct Home Loan program, your household’s adjusted annual income must be
within our established income limit based on household size and location. The income limits can be
found online at: https://www.rd.usda.gov/sites/default/files/RD-DirectLimitMap.pdf.
All properties financed must be in an eligible rural area. Visit the property eligibility website to view
eligible rural areas: https://eligibility.sc.egov.usda.gov/eligibility/welcomeAction.do.
Final determination of eligibility is made by Rural Development upon receipt of a complete application.
During your loan approval process, you will be instructed to watch the Agency’s online applicant
orientation video: https://www.youtube.com/watch?v=XxobzC24FfU&feature=youtu.be.
For more information, go to HB-1-3550, Direct Single Family Housing Loans and Grants – Field Office
Handbook: https://www.rd.usda.gov/resources/directives/handbooks.
Thank you for choosing Rural Development, if you have questions or concerns please feel free to
contact your local Rural Development office.
Section 1
Supplemental guidance for
Option 1 – Working with a Loan
Application Packager or Option 2 –
Applying Online via eForms.
(Information for submitting your application via a loan application packager - Option 1.)
Option 1 - Working with a Loan Application

Packager
What is a loan application packager?

A loan application packager provides an optional service to an applicant seeking a housing loan
by helping to navigate the loan application process. A packager can help determine if the
Section 502 Direct Loan Program is a good fit and, if so, help to assemble a complete loan
application package.
Loan application packaging fees can generally be included in the Rural Development loan or can
be paid by the seller, builder, or third party. Packagers do not work for or represent Rural
Development.
An intermediary is an affordable housing nonprofit, public agency, or State Housing Finance

Agency approved by Rural Development to perform quality assurance reviews on loan
application packages prepared by certified packagers through their qualified employers.
Eligible loan application packagers can either work with or without an approved intermediary.
Loan packagers that work with an approved intermediary receive priority processing.
How do I file an application with the guidance of a loan application packager?

For assistance in locating a loan application packager in your area, you can:
1. Select a packager from the attached list of local packagers in your area (if applicable), or
2. Contact an intermediary using the information found on the following website:

https://www.rd.usda.gov/sites/default/files/RD-SFH-IntermediaryMap.pdf
(Information for submitting your application via a loan application packager - Option 1.)
List of Loan Application Packagers for

If box is checked, our state does not maintain a list of local packagers. Applicants can locate a loan application
packager by contacting an intermediary using the information on the following website:
https://www.rd.usda.gov/sites/default/files/RD-SFH-IntermediaryMap.pdf.
Entity Name Contact Phone Email Website Counties Served

FAHE April Pritchard 859-228-2131 apritchard@fahe.org Fahe.org PA
Pathstone Thelma Corrales 717-264-5913 tcorrales@pathstone.org pathstone.org PA
Ahayah Community Akia N. Hardnett 301-556-6608 akiahardnett@gmail.com Www.buyaffordablehousing.c PA

Development om
Corporation
(Information for submitting your application via eForms - Option 2.)
Option 2 - TRANSMITTING SINGLE FAMILY HOUSING DIRECT APPLICATIONS

VIA EFORMS
Rural Development accepts Single Family Housing Direct (SFHD) Section 502 and 504 applications thru
electronic submission using the eForms site. The eForms site allows applicants to search for and complete forms
to apply for the SFHD programs. With the eForms site, users can electronically submit all the items listed on
Attachment 3-J for the Section 502 program or Attachment 12-E for the Section 504 program.
Step 1: Obtain a USDA eAuthentication account with a verified identity.

o Click on https://www.eauth.usda.gov/eauth/b/usda/registration.
o Select “Customer” and click continue. Enter your email address and click submit.
o You will receive a notice that an email has been sent to complete the registration process.
o Log into your email account and locate the email with a subject line of “eAuth – Confirm Email”. The
email will be from donotreply.icam@ocia.usda.gov. Check your junk/spam folder if you do not see the
email in your inbox.
o In the email, click “Continue Registration”, enter the requested information (be sure to enter the
information exactly how it shows on your government issued ID), and select a password for your
eAuthentication account. Once the password is accepted, click submit.
o At the top of the page, click “Manage Account”.
o From the dropdown menu click “Update Account”.
o If you are not logged in to your eAuthentication account, you
will be directed to the log in screen. Enter your User ID
(email) and password.
o Scroll to and click “Verify My Identity” (as seen here).
o On the Verify Identity screen, select “Verify my identity online (recommended)” and click continue.
o Read the disclaimer and terms of service and click “I Agree”.
o Finish completing the additional information based on your government issued photo ID and click
continue.
o Answer five identity verification questions. If all five questions are answered correctly, the next screen
will state you have successfully completed the online identity verification process. If online verification
is unsuccessful, you can retry the identity verification process or you can submit your application
through another acceptable means.
Step 2: Using a web browser (Edge, Chrome, etc.), login to the eForms site with your User ID (email) and
password. https://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
Step 3: Directions for submitting your package are found in the eForms user guide. The user guide and training
video can be found on the Single Family Housing Direct Home Loans website (under To Apply tab, Training
Section) at https://www.rd.usda.gov/programs-services/single-family-housing-programs/single-family-housing-
direct-home-loans .
Step 4: Select the following state/county/RD Office combination when submitting your package:
(If this section is blank, select the state and county where you wish to live, and select the state office.)
Step 5: If you do not receive a response within 3 business days, please follow up with your local field office which
can be found at https.//offices.sc.egov.usda.gov/locator/app .
Be sure to retain your User ID and password. If the loan closes, this information can be used to
make the mortgage payment online.
Section 2
The following forms must be
fully completed, signed and returned.
HB-1-3550
Attachment 3-J
Page 1 of 4
ATTACHMENT 3-J
CHECKLIST OF ITEMS TO ACCOMPANY THE

UNIFORM RESIDENTIAL LOAN APPLICATION
You, as the applicant, need to simultaneously submit the applicable items below when
applying for a loan. Copies of the verification documents should be submitted. If any item,
information, and/or signature is missing, you will be contacted and asked to provide the missing
pieces. If the missing pieces are not provided within 15 days of the request, your
incomplete application will be withdrawn from consideration. To avoid any delay or
withdrawal, verify that your loan application is fully complete prior to submission.
✔ This checklist with the applicable and included items checked.
Form RD 410-4, Uniform Residential Loan Application: You must complete all sections (be
sure to provide all applicable information, details, and data) and sign/date pages 5 and 8.
https://forms.sc.egov.usda.gov//efcommon/eFileServices/eForms/RD410-4.PDF
Verification of identity: You must provide a copy of your Government-issued picture
identification (ID) along with evidence of age. Standard verifications are a driver’s license or a
passport. Contact us if you do not have these standard verifications to discuss possible
alternatives.
Verification of taxpayer ID number: You must provide verification of your full taxpayer ID
number (i.e. no numbers are hidden or suppressed) using evidence such as your pay stubs or tax
returns. A copy of your social security card is only needed if you do not have any other evidence
of your full taxpayer ID number.
$30 credit report fee (non-refundable): If the applicant and co-applicant currently reside at separate
addresses, the fee is $30 for each applicant. Remove any credit freeze at the time of application
submission and keep it lifted until such time as the Agency pulls a credit report. Indicate an option for
payment of the credit report fee:
Option 1: I hereby authorize a $ 30.00 withdrawal from my bank account for the credit report
fee. Enclose a copy of a voided check, savings account deposit slip, or other document from an
American Bankers Association (ABA) bank (we cannot process withdrawals from a foreign bank).
The document provided must be an official ABA bank validated record and clearly identify
the ABA routing number and account number. The Agency will use the ABA routing number
and account number to collect payment through the Automated Clearing Housing System (ACH).
By indicating an amount above and providing a copy of a voided check, deposit slip, or other bank
document with the ABA routing number and account number, you are authorizing the deduction
from the account by electronic means. Option one is the preferred method as it provides faster
processing.
Option 2: Mail a check, cashier’s check or money order that is signed, dated, and made payable to
USDA Rural Development.
(01-23-03) SPECIAL PN
Revised (10-19-23) PN 595
HB-1-3550
Attachment 3-J
Page 2 of 4
Notice to Customers: If applicants send the Agency a check, it will be converted into an Electronic
Funds Transfer (EFT). This means the Agency will copy the check and use the account information
on it to electronically debit the applicant’s account for the amount of the check. The debit from the
applicant’s account will usually occur within 24 hours and will be shown on the applicant’s regular
account statement. Applicants will not receive their original check back.
The Agency will destroy the original check but will keep an image of it. If the EFT cannot be
processed for technical reasons, applicants authorize the Agency to process a paper copy of the
image in place of the original check.
If the withdrawal cannot be completed because of insufficient funds, the Agency may try to make
the transfer up to two additional times and the Agency will charge a one-time fee of $15, which
will also be collected by EFT or ACH.
If you have late payments, collections, judgments, or other derogatory items in your credit
history, provide a written explanation for each credit blemish. If you are unsure what your credit
history looks like, obtain a free credit report by calling 1-877-322-8228 or logging into
https://www.annualcreditreport.com. By law, you are entitled to receive one free credit file
disclosure every 12 months from each of the nationwide consumer credit reporting companies –
Equifax, Experian and TransUnion. This free report cannot replace the credit report that the
Agency will obtain to determine eligibility.
Form RD 3550-1, Authorization to Release Information: Each adult member of the household
must sign/date a separate release form.
https://forms.sc.egov.usda.gov/efcommon/eFileServices/eForms/RD3550-1.PDF
Form RD 3550-4, Employment and Asset Certification: You must check the appropriate blocks,
account for the household members’ employment and nonretirement assets as instructed, and
sign/date the certification.
https://forms.sc.egov.usda.gov/efcommon/eFileServices/eForms/RD3550-4.PDF
Your last two signed Federal Income Tax Returns with all applicable tax return schedules. Also
provide:
All W-2s, 1099s, and other forms attached to the returns.
If filed electronically, include a copy of the signature page with the Self-Select PIN,
confirmation that the return was accepted, or evidence that it was filed by an authorized
E-File provider.
Last four consecutive weeks of pay stubs for all employed adult household members.
If you have an employment history of less than two years or employment gaps in excess
of 30 days within the last two years, you should provide a letter of explanation.
HB-1-3550
Attachment 3-J
Page 3 of 4
Recent benefit statements for regular unearned income for all household members who
receive:
Social Security/Supplemental Security Income
Public assistance
Retirement income
Other
Last 12-month payment history of alimony and/or child support received by all adult
household members as provided by the court appointed entity responsible for handling
payments. If this is not available, provide a copy of the separation agreement or divorce decree.
While you can choose to have this income excluded from your repayment income, it must be
reported to determine if your household’s adjusted income is within the program’s income limit.
Two most recent brokerage or bank statements for all household members (excluding
tax advantaged plans for education, health/medical, and retirement). If you are obtaining
this information online, provide the statements as opposed to providing the online
transaction histories.
For a household member who is a full-time student and 18 years of age or older, a copy of
their school transcript.
Written evidence of childcare expenses for dependents 12 years of age or younger.
If you are 62 years of age or older, are disabled, or have a disabled household member, provide
evidence of unreimbursed annual medical expenses if you wish to be considered for a deduction
to household income.
List your personal email address(es) below if you authorize the Agency to contact you via
email. The Agency password protects emails containing personal identifiable information.
While you are strongly discouraged from identifying a property or entering into a purchase
agreement until you receive a Certificate of Eligibility from Rural Development, enter the
county you are interested in purchasing a home in below.
If you have already entered into a purchase agreement (which again is strongly discouraged),
provide a copy of the agreement.
Revised (10-19-23) PN 595
HB-1-3550
Attachment 3-J
Page 4 of 4
If you are experiencing any of the following housing-related hardships, please check all that apply and
provide a brief explanation below:
Current dwelling lacks complete plumbing and/or adequate heating, is dilapidated or
structurally unsound, has an overcrowding situation, or is otherwise uninhabitable, unsafe, or poses a
health or environmental threat to the occupant or others.
Current homeowner in danger of losing a property through foreclosure due to
circumstances beyond your control.
Other housing-related hardship.
Applicants who are first-time homebuyers are strongly encouraged to complete a

homeownership education training as early in the application process as possible since the
training covers the following important topics: preparing for homeownership (readiness to go
from rental to homeownership), budgeting (pre- and post-purchase), credit counseling,
shopping for a home, obtaining a mortgage, loan closing, and life as a homeowner. There is
generally an out-of- pocket fee for the training, which can be reimbursed should the loan
request be approved and closed. Attached is a list of Agency-approved education providers.
You will be expected to successfully complete this training prior to entering into a contract to
purchase or construct a home for maximum benefit.
Form RD 410-4 Form Approved
(Rev. 10-06) Position 3 OMB No. 0575-0172
APPLICATION FOR RURAL ASSISTANCE (NONFARM TRACT)
Uniform Residential Loan Application
This application is designed to be completed by the applicant with the lender's assistance. Applicants should complete this form as ''Applicant #1 '' or ''Applicant #2", as
applicable. All Applicants must provide information (and the appropriate box checked) when the income or assets of a person other than the ''Applicant '' (including the
Applicant's spouse) will be used as a basis for loan qualification or the income or assets of the Applicant's spouse will not be used as a basis for loan qualification, but his or
her liabilities must be considered because the Applicant resides in a community property state, the security property is located in a community property state, or the Applicant
is relying on other property located in a community property state as a basis for repayment of the loan.
I. TYPE OF MORTGAGE AND TERMS OF LOAN
Mortgage V.A. Conventional Other: Agency Case Number Lender Account Number
Applied for: FHA USDA/Rural Housing Service
Amount Interest Rate No. of Months Amortization Fixed Rate Other (Explain):
Type:
$ % GPM ARM (Type):
II. PROPERTY INFORMATION AND PURPOSE OF LOAN
Subject Property Address (Street, City, State, ZIP) No. of Units
Legal Description of Subject Property (Attach description if necessary) Year Built
Purpose of Loan Purchase Construction Other (Explain): Property will be:

Primary Secondary
Refinance Construction-Permanent Residence Residence Investment
Complete this line if construction or construction-permanent loan.
Year Lot Original Cost Amount Existing Liens (a) Present Value of Lot (b) Cost of Improvements Total (a + b)
Acquired
$ $ $ $ $
Complete this line if this is a refinance loan. Purpose of Refinance Describe Improvements
Year
Original Cost Amount Existing Liens Made To be made
Acquired
$ $ Cost: $
Title will be held in what Name(s) Manner in which Title will be held Estate will be held in:
Fee Simple
Source of Down Payment, Settlement Charges and/or Subordinate Financing (Explain)
Leasehold
(Show expiration date)
Ill. APPLICANT INFORMATION

Applicant #1 Applicant #2
Name (include Jr. or Sr. if applicable) Name (Include Jr. or Sr. if applicable)
Social Security Number Home Phone (Incl. Area Code) DOB Yrs. School Social Security Number Home Phone (Incl. Area Code) DOB Yrs. School
mm/dd/yy mm/dd/yy
Married Unmarried (Include single Dependents (Not listed by Applicant #2) Married Unmarried (Include single Dependents (Not listed by Applicant #1)
divorced, widowed) No. Ages divorced, widowed) No Ages
Separated Separated .
Present Address (Street, City State, ZIP) Own Rent Present Address (Street, City, State, ZIP) Own Rent
No. Yrs. No. Yrs.
Mailing Address if different from Present Address Mailing Address if different from Present Address
If residing at present address for less than two years, complete the following:
Former Address (Street, City State, ZIP) Own Rent Former Address (Street, City, State, ZIP) Own Rent No. Yrs.
No. Yrs.
Freddie Mac Form 65 Page 1 of 10 Fannie Mae Form 1003
According to the Paperwork Reduction Act 1995, an agency may not conduct or sponsor, and a person is not are required to respond to a collection of information
unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0575-0172. The time required to complete this
information collection is estimated to average 1-1/2 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.
IV. EMPLOYMENT INFORMATION
Applicant #1 Applicant #2
Name & Address of Employer Self-Employed Yrs./Mos. on the job Name & Address of Employer Self-Employed Yrs./Mos. on the job
Yrs/Mos. employed in this Yrs/Mos. employed in this

line of work/profession line of work/profession
Position/Title/Type of Business Business Phone (Incl. Area Code) Position/Title/Type of Business Business Phone (Inct. Area Code)
If employed in current position for less than two years or if currently employed in more than one position, complete the following:
Name & Address of Employer Self-Employed Dates (From > To) Name & Address of Employer Self-Employed Dates (From >To)
Monthly Income
Monthly Income
$ $
Position/Title/Type of Business Business Phone (Incl. Area Code) Position/Title/Type of Business Business Phone (Incl. Area Code)
Name & Address of Employer Self-Employed Dates (From > To) Name & Address of Employer Self-Employed Dates (From > To)
Monthly Income
Monthly Income
$ $
Position/Title/Type of Business Business Phone (Incl. Area Code) Position/Title/Type of Business Business Phone (Incl. Area Code)
V. MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION

Gross Monthly Income Applicant #1 Applicant #2 Total Combined Present Proposed
Monthly Housing Expense
Base Empl. Income* $ $ $ 0.00 Rent $
Overtime 0.00 First Mortgage (P&I) $
Bonuses 0.00 Other Financing (P&I)
Commissions 0.00 Hazard Insurance
Dividends/Interest 0.00 Real Estate Taxes
Net Rental Income 0.00 Mortgage Insurance

Other (Before completing 0.00 Homeowner Assn. Dues
see the notice in "describe
other income," below 0.00 Other
Total $ 0.00 $ 0.00 $ Total $ 0.00 0.00 $ 0.00

*Self Employed Applicant may be required to provide additional documentation such as tax returns and financial statements.
Describe Other Income Notice: Alimony, child Support, or separate maintenance income need not be revealed if the
Applicant #1, (A 1) or Applicant #2 (A2) does not choose to have it considered for repaying this loan. Monthly Amount
A1/A2

VI. ASSETS AND LIABILITIES
This Statement and any applicable supporting schedules may be completed jointly by both married and unmarried Applicants if their assets and liabilities are sufficiently joined so that the Statement can be
meaningfully and fairly presented on a combined basis; otherwise separate Statements and Schedules are required. If the Applicant #2 section was completed about a spouse, this Statement and
supporting schedules must be completed about that spouse also.
Completed Jointly Not Jointly
ASSETS Cash or Market Liabilities and Pledged Assets. List the creditor's name, address and account number for all outstanding debts,
Value including automobile loans, revolving charge accounts, real estate loans, alimony, child support, stock pledges, etc. Use
Description
continuation sheet, if necessary. Indicate by (*) those liabilities which will be satisfied upon sale of real estate owned or
Cash deposit toward purchase held by: $ upon refinancing of the subject property.
Monthly Payment & Unpaid
LIABILITIES Months Left to Pay Balance
Name and Address of Company $ Payment/Months $
List checking and saving accounts below
Name and Address of Bank, S&L, or Credit Union
Acct. No.
Acct. No. $
Acct. No.
Acct. No. $
Acct. No.
Acct. No. $
Acct. No.
Acct. No. $
Stocks & Bonds (Company name/number & $
description)
$
$ Acct. No.
$ Name and Address of Company $ Payment/Months $
Life insurance net cash value $
Face amount: $
Subtotal Liquid Assets $

Real estate owned (Enter market value $
from schedule of real estate owned) Acct. No.
Vested interest in retirement fund $ Name and Address of Company $ Payment/Months $

Net worth of business(es) owned $
(Attach financial statement)
Automobiles owned (Make and year) $
$ Acct. No.
Alimony/Child Support/Separate Maintenance $
$ Payments Owed to:
Other Assets (Itemize) $

Job Related Expense (Child care, union dues, etc.) $
$
$
$
Total Monthly Payments $
Net Worth Total Liabilities b.

Total Assets a. $ $ $
(a minus b)

VI. ASSETS AND LIABILITIES (cont.)
Schedule of Real Estate Owned (If additional properties are owned, use continuation sheet.)
Insurance
Properly Address (Enter S if sold, PS if pending sale Type of Present Amount of Gross Mortgage Maintenance Net
or R if rental being held for income) Property Market Value Mortgage & Liens Rental Income Payments Taxes & Misc. Rental Income
$ $ $ $ $ $
Totals $ 0$ 0$ 0$ 0$ 0$ 0
List any additional names under which credit has previously been received and indicate appropriate creditor name(s) and account number(s):
Alternative Name Creditor Name Account Number
VII. DETAILS OF TRANSACTION VIII. DECLARATIONS

a. Purchase price $ If you answer ''Yes'' to any questions a through i, please use Applicant #1 Applicant #2
continuation sheet for explanation.
b. Alterations, improvements, repairs Yes No Yes No
c. Land (If acquired separately) a. Are there any outstanding judgments against you?
d. Refinance (incl. debts to be paid off) b. Have you been declared bankrupt within the past 7 years?
e. Estimated prepaid items c. Have you had property foreclosed upon or given title or deed in
f. Estimated closing costs lieu thereof in the last 7 years?
g, PMI, MIP, Funding Fee d. Are you a party to a lawsuit?
h. Discount (If Borrower will pay)

e Have you directly or indirectly been obligated on any loan which resulted in foreclosure,
i. Total Costs (Add items a through h) transfer of title in lieu of foreclosure, or judgment? (This would include such loans as home mortgage loans.
SBA loans, home improvement loans, educational loans, manufactured (mobile) home loans, any mortgage,
j. Subordinate financing financial obligation, bond, or loan guarantee. If ''Yes, " provide details, including date, name, and address of
Lender, FHA or V.A. case number, if any, and reasons for the action.)
k. Borrower's closing costs paid by Seller
I. Other Credits (Explain) f. Are you presently delinquent or in default on any Federal debt or any other loan
mortgage, financial obligation, bond, or loan guarantee? If ''Yes,'' give details as
described in question e. above.
g. Are you obligated to pay alimony, child support, or separate maintenance?
h. Is any part of the down payment borrowed?
i. Are you a co-maker or endorser on a note?
m. Loan amount j. Are you a U.S. citizen?

(Exclude PMI, MIP Funding Fee financed) k Are you a permanent resident alien?
l. Do you intend to occupy the property as your primary residence?
n. PMI, MIP, Funding Fee financed
If ''Yes," complete question m. below.
o. Loan amount (Add m & n) m. Have you had ownership interest in a property in the last 3 years?
(1 ) What type of property did you own-principal residence (PR), second home
(SH), or investment property (IP)?
p. Cash from/to Borrower
(Subtract j, k, l, & o from i) (2) How did you hold title to the home-solely by yourself (S), jointly with your
spouse (SP), or jointly with another person (0)?

IX. ACKNOWLEDGMENT AND AGREEMENT
Each of the undersigned specifically represents to Lender and to Lender's actual or potential agents, brokers, processors, attorneys, insurers, services,
successors and assigns and agrees and acknowledges that: (1) the information provided in this application is true and correct as of the date set forth opposite
my signature and that any intentional or negligent misrepresentation of this information contained in this application may result in civil liability, including
monetary damages, to any person who may suffer any loss due to reliance upon any misrepresentation that I have made on this application, and/or in
criminal penalties including, but not limited to, fine or imprisonment or both under the provisions of Title 18, United States Code, Sec. 1001, et seq.; (2)
the loan requested pursuant to this application (the ''loan'') will be secured by a mortgage or deed of trust on the property described herein, (3) the property
will not be used for any illegal or prohibited purpose or use; (4) all statements made in this application are made for the purpose of obtaining a residential
mortgage loan; (5) the property will be occupied as indicated herein; (6) any owner or servicer of the Loan may verify or reverify any information
contained in the application from any source named in this application, and Lender, its successors or assigns may retain the original and/or an electronic record
of this application, even if the Loan is not approved; (7) the Lender and its agents, brokers, insurers, servicers, successors and assigns may continuously rely
on the information contained in the application, and I am obligated to amend and/or supplement the information provided in this
application if any of the material facts that I have represented herein should change prior to closing of the Loan; (8) in the event that my payments on
the Loan become delinquent, the owner or servicer of the Loan may, in addition to any other rights and remedies that it may have relating to such
delinquency, report my name and account information to one or more consumer credit reporting agencies; (9) ownership of the Loan and/or administration
of the Loan account may be transferred with such notice as may be required by law; (10) neither Lender nor its agents, brokers, insurers, servicers, successors
or assigns has made any representation or warranty, express or implied, to me regarding the property or the condition or value of the property; and (11) my
transmission of this application as an ''electronic record'' containing my ''electronic signature,'' as those terms are defined in applicable federal and/or state laws
(excluding audio and video recordings), or my facsimile transmission of this application containing a facsimile of my signature, shall be as effective,
enforceable and valid as if a paper version of this application were delivered containing my original written signature.
Applicant's Signature Date Applicant's Signature Date
X X
X. INFORMATION FOR GOVERNMENT MONITORING PURPOSES
The following information is requested by the Federal Government for certain types of loans related to a dwelling in order to monitor
the lender's compliance with equal credit opportunity, fair housing and home mortgage disclosure laws. You are not required to
furnish this information, but are encouraged to do so. The law provides that a lender may discriminate neither on the basis of this
information, or on whether you choose to furnish it. If you furnish the information, please provide both ethnicity and race. For race,
you may check more than one designation. If you do not furnish ethnicity, race, or sex, under Federal regulations, this lender is
required to note the information on the basis of visual observation or surname. If you do not wish to furnish the information, please
check the box below. (Lender must review the above material to assure that the disclosures satisfy all requirements to which the
lender is subject under applicable state law for the particular type of loan applied for.)
BORROWER I do not wish to furnish this information CO-BORROWER I do not wish to furnish this information
Ethnicity: Hispanic or Latino Not Hispanic or Latino Ethnicity: Hispanic or Latino Not Hispanic or Latino
Race American Indian or Black or Race American Indian or Black or

Asian African American Asian
Alaska Native Alaska Native African American
Native Hawaiian or White Native Hawaiian or White

Other Pacific Islander Other Pacific Islander
Sex: Female Male Sex: Female Male
To be Completed by Interviewer Interviewer's Name (Print or type) Name and Address of Interviewer's Employer
This application was taken by:
face-to-face interview Interviewer's Signature Date
by mail
by telephone Interviewer's Phone Number (Incl. Area Code)
Internet
Continuation For/Residential Loan Application

Use if you need more space to Applicant #1 (Al) Agency Account Number:
complete the Residential Loan
Application Mark A1 for Applicant
#1 or A2 for Applicant #2 Applicant #2 (A2) Lender Account Number:

Additional Information Required for RHS Assistance
1. Loan Type: Section 502 Section 504 Loan Grant
APPLICANT #1 APPLICANT #2
2. Have you ever obtained a loan/grant from RHS? 3. Have you ever obtained a loan/grant from RHS?
Yes No Yes No
4. Are you a relative to an RHS Employee or Closing agent/attorney? 5. Are you a relative to an RHS Employee or Closing agent/attorney?
Yes No Yes No
If yes, who? If yes, who?
Relationship Relationship
6. Are you a Veteran? Yes No 7. Are you a Veteran? Yes No

8. Complete for all household members.
To be considered eligible for RHS assistance, all household income including any income not shown in Section V of this application, must be disclosed below:
Name Age Are you a Do you want to be con- Annual Source of Wage Income Annual Source of Non-Wage
full time sidered for an adjustment Wage (employer) Non-Wage Income (social security,
student? from household income Income Income alimony, child support,
because of a disabling
y/n separate maintenance,
condition? y/n
etc.)
9. Child Care (Minors who are 12 years of age or under for whom you have to hire a babysitter or leave at a child care center)
Cost per week $ Cost per month $
10. Name, Address and Telephone No. of Child care Provider(s).
11. Characteristics of Present Housing

Does the Dwelling: Yes No Yes No
Lack complete plumbing Physically deteriorated or structurally unsound
Lack adequate heating Overcrowded (More than 2 persons per room)
12. Name, Address and Telephone Number of Present Landlord.
If residing at present address for less than two years, complete the following:
Name, Address and Telephone Number of Previous Landlord(s).
13. (For Section 504 Grants Only) I certify that as the condition of the grant, I/we will not engage in unlawful manufacture, distribution, dispensing, possession or
use of a controlled substance in conducting any activity with the grant.
14. I am aware RHS does not warrant the condition or value of the property.
Page 6 of 10 Form RD 410-4

15. Notices to Applicant
Privacy Act. See attached sheet.
Social Security Number. The Debt Collection Act of 1982, Pub. L. 97-365, and 31 U.S.C. 7701(c) require persons applying for a federally insured or guaranteed loan to furnish his or her
social security number (SSN). Failure to provide your SSN will result in the rejection of your application.
Right to Request Copy of Appraisal. You have the right to a copy of the appraisal report used in connection with your application for credit. It you wish a copy, please write us at the
address of the Rural Development Field Office where you made application. In your written request, you must provide us with the complete name and address used when making
application as well as a current mailing address. We must hear from you no later than 90 days after we notify you about the action taken on your credit application or you withdraw your
application. The creditor, Rural Housing Service, may require you to reimburse the Agency for the cost of the appraisal.
Right to Financial Privacy Act of 1978,12 U.S.C. 3401, et seq. You authorize RHS to have access to financial records held by financial institutions in connection with the consider-
ation or administration of assistance to you. Financial records involving your loan and loan application will be available to RHS without further notice or authorization but will not
be disclosed or released by RHS to another Government agency or department without your consent except as required or permitted by law.
Federal collection policies for consumer debts: Delinquencies, defaults, foreclosures and abuses of mortgage loans involving programs of the Federal Government can be costly and
detrimental to your credit, now and in the future. The Federal Government, as mortgage lender in this transaction, its agencies, agents and assigns, are authorized to take any and all of the following
actions in the event loan payments become delinquent on the mortgage loan covered by this application: (1) Report your name and account information to a credit bureau; (2) Assess additional
interest and penalty charges for the period of time that payment is not made; (3) Assess charges to cover additional administrative costs incurred by the Government to service
your account; (4) Offset amounts owed to you under other Federal programs, (5) Refer your account to a private attorney, the United States Department of Justice, a collection agency, or
mortgage servicing agency to collect the amount due, and foreclose the mortgage, sell the property, and seek judgment against you for any deficiency; (6) If you are a current or retired Federal
employee, take action to offset your salary, or civil service retirement benefits; (7) Refer your debt to the Internal Revenue Service for offset against any amount owed to you as an income tax
refund; and (8) Report any resulting written-off debt of yours to the Internal Revenue Service as your taxable income. All of these actions can and will be used to recover any debts owed when
it is determined to be in the interest of the lender and/or Federal Government to do so.
Unlawful Discrimination. "The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, gender,
religion, age, disability, political beliefs, sexual orientation, or marital or family status. (Not all prohibited bases apply to all programs.) Persons with disabilities who require
alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA's TARGET Center at (202) 720-2600 (voice and TDD).
To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, Room 326-W, Whitten Building, 14th and Independence Avenue, SW, Washington, DC 20250-9410 or
call (202) 720-5964 (voice and TDD). USDA is an equal opportunity provider and employer."
The Fair Housing Act prohibits discrimination in real estate-related transactions, or in the terms or conditions of such a transaction, because of race, color, religion, sex, disability,
familial status, or national origin. It you believe you have been discriminated against for any of these reason you can write the U. S. Department of Housing and Urban Development,
Washington, D.C. 20410 or call (800) 669-9777.
Certification. As the applicant, I certify to the best of my knowledge and belief; (1) I am not presently debarred, suspended, declared ineligible, or voluntarily excluded from covered
transactions by any Federal department or agency; (2) I have not within a three year period preceding this proposal been convicted or had a civil judgment rendered against me for
commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, state, or local) transaction or contract under a public
transaction; or commission of embezzlement, theft, forgery, bribery, falsification, or destruction of records, making false statement, or receiving stolen property; (3) I am not a judgment
debtor on an outstanding judgment in favor of the United States which was obtained in any Federal court other than the United States Tax Court; and (4) I am not delinquent of any
outstanding debt to the Federal Government (including any Federal agency or department).
The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, sex, disability, familial status, national origin,
marital status, age (provided the borrower has the capacity to enter into a binding contract), because all or a part of the applicant's income derives from any public assistance program, or because
the applicant has in good faith exercised any right under the Consumer Credit Protection Act. If you believe you were denied a loan for this reason, you should contact the Federal Trade
Commission, Washington, DC. 20580.

16. I AM unable to provide the housing I need on my own account, and I am unable to secure the credit necessary for this purpose from other sources upon terms and conditions
which I can reasonably fulfill. I certify that the statements made by me in this application are true, complete to the best of my knowledge and belief and are made in good faith
to obtain a loan.
SECTION 1001 OF TITLE 18, UNITED STATES CODE PROVIDES: ''WHOEVER, IN ANY MATTER WITHIN THE JURISDICTION OF ANY DEPART-
MENT OR AGENCY OF THE UNITED STATES KNOWINGLY AND WILLFULLY FALSIFIES, CONCEALS OR COVERS UP BY ANY TRICK, SCHEME,
OR DEVICE A MATERIAL FACT, OR MAKES ANY FALSE, FICTITIOUS OR FRAUDULENT STATEMENTS OR REPRESENTATIONS, OR MAKES
OR USES ANY FALSE WRITING OR DOCUMENT KNOWING THE SAME TO CONTAIN ANY FALSE, FICTITIOUS OR FRAUDULENT STATEMENT
OR ENTRY, SHALL BE FINED UNDER THIS TITLE OR IMPRISONED NOT MORE THAN FIVE YEARS, OR BOTH.''
NOTE TO APPLICANT: IF ANY INFORMATION ON THIS APPLICATION IS FOUND TO BE FALSE OR INCOMPLETE, SUCH FINDING, IN ADDITION TO POSSIBLE
LIABILITY UNDER CIVIL AND CRIMINAL STATUS, MAY BE GROUNDS FOR DENIAL FOR THE REQUESTED CREDIT AND MAY BE A BASIS FOR DEBARMENT
FROM PARTICIPATION IN ALL FEDERAL PROGRAMS UNDER 7 C.F.R. PART 3017.
Date Signature of Applicant
X
Date Signature of Applicant
17. Date Signature of Loan Approval Official Determination of Eligibility Racial Data Provided by
Eligible Not Eligible Applicant RHS
18. Application received on .

Application completed on .
.
19. Credit Report Fee
Date Received: Amount Received: $

Initial:

NOTICE TO APPLICANT REGARDING PRIVACY ACT INFORMATION
The information requested on this form is authorized to be collected by the Rural Housing Service (RHS), Rural Business-Cooperative Services
(RBS), Rural Utilities Service (RUS) or the Farm Service Agency (FSA) (''the agency'') by title V of the Housing Act of 1949, as amended (42 U.S.C.
1471 et seq.) or by the Consolidated Farm and Rural Development Act (7 U.S.C. 1921 et seq.), or by other laws administered by RHS, RBS, RUS or
FSA.
Disclosure of information requested is voluntary. However, failure to disclose certain items of information requested, including your Social Security
Number or Federal Identification Number, may result in a delay in the processing of an application or its rejection. Information provided may be used
outside of the agency for the following purposes:
1 . When a record on its face, or in conjunction with other records, indicates a violation or potential violation of law, whether civil, criminal or
regulatory in nature, and whether arising by general statute or particular program statute, or by regulation, rule, or order issued pursuant thereto,
disclosure may be made to the appropriate agency, whether Federal, foreign, State, local, or tribal, or other public authority responsible for enforcing,
investigating or prosecuting such violation or charged with enforcing or implementing the statute, or rule, regulation, or order issued pursuant thereto,
if the information disclosed is relevant to any enforcement, regulatory, investigative, or prosecutive responsibility of the receiving entity.
2. A record from this system of records may be disclosed to a Member of Congress or to a congressional staff member in response to an inquiry of
the Congressional office made at the written request of the constituent about whom the record is maintained.
3. Rural Development will provide information from this system to the U.S. Department of the Treasury and to other Federal agencies maintaining
debt servicing centers, in connection with overdue debts, in order to participate in the Treasury Offset Program as required by the Debt Collection
Improvement Act, Pub. L. 104-134, Section 31001.
4. Disclosure of the name, home address, and information concerning default on loan repayment when the default involves a security interest in
tribal allotted or trust land. Pursuant to the Cranston-Gonzales National Affordable Housing Act of 1990 (42 U.S.C. 12701 et seq.), liquidation may
be pursued only after offering to transfer the account to an eligible tribal member, the tribe, or the Indian Housing Authority serving the tribe(s).
5. Referral of names, home addresses, social security numbers, and financial information to a collection or servicing contractor, financial institu-
tion, or a local, State, or Federal agency, when Rural Development determines such referral is appropriate for servicing or collecting the borrower's
account or as provided for in contracts with servicing or collection agencies.
6. It shall be a routine use of the records in this system of records to disclose them in a proceeding before a court or adjudicative body, when: (a)
the agency or any component thereof; or (b) any employee of the agency in his or her official capacity; or (c) any employee of the agency in his or
her individual capacity where the agency has agreed to represent the employee, or (d) the United States is a party to litigation or has an interest in
such litigation, and by careful review, the agency determines that the records are both relevant and necessary to the litigation, provided; however,
that in each case, the agency determines that disclosure of the records is a use of the information contained in the records that is compatible with the
purpose for which the agency collected the records.
7. Referral of names, home address, and financial information for selected borrowers to financial consultants, advisors, lending institutions,
packagers, agents and private or commercial credit sources, when Rural Development determines such referral is appropriate to encourage the
borrower to refinance the Rural Development indebtedness as required by title V of the Housing Act of 1949, as amended (42 U.S.C. 1471), or to
assist the borrower in the sale of the property .
8. Referral of legally enforceable debts to the Department of the Treasury, Internal Revenue Service (IRS), to be offset against any tax refund that
may become due the debtor for the tax year in which the referral is made, in accordance with the IRS regulations at 26 C.F.R. 301.6402-6T, Offset of
Past Due Legally Enforceable Debt Against Overpayment, and under the authority contained in 31 U.S.C. 3720A.
9. Referral of information regarding indebtedness to the Defense Manpower Data Center, Department of Defense, and the United States Postal
Service for the purpose of conducting computer matching programs to identify and locate individuals receiving Federal salary or benefit payments
and who are delinquent in their repayment of debts owed to the U.S. Government under certain programs administered by Rural Development in
order to collect debts under the provisions of the Debt Collection Act of 1982 (5 U.S.C. 5514) by voluntary repayment, administrative or salary
offset procedures, or by collection agencies.
10. Referral of names, home addresses, and financial information to lending institutions when Rural Development determines the
individual may be financially capable of qualifying for credit with or without a guarantee.
11. Disclosure of names, home addresses, social security numbers, and financial information to lending institutions that have a lien against the same
property as Rural Development for the purpose of the collection of the debt. These loans can be under the direct and guaranteed loan programs.
12. Referral to private attorneys under contract with either Rural Development or with the Department of Justice for the purpose of foreclosure and
possession actions and collection of past due accounts, in connection with Rural Development.
13. It shall be a routine use of the records in this system of records to disclose them to the Department of Justice when: (a) The agency or any
component thereof; or (b) any employee of the agency in his or her official capacity where the Department of Justice has agreed to represent the
employee; or (c) the United States Government, is a party to litigation or has an interest in such litigation, and by careful review, the agency deter-
mines that the records are both relevant and necessary to the litigation and the use of such records by the Department of Justice is therefore deemed
by the agency to be for a purpose that is compatible with the purpose for which the agency collected the records.
Page 9 of 10
Form RD 410-4
NOTICE TO APPLICANT REGARDING PRIVACY ACT INFORMATION- CONTINUED
14 Referral of names, home addresses, social security numbers, and financial information to the Department of Housing and Urban Development
(HUD) as a record of location utilized by Federal agencies for an automatic credit prescreening system.
15. Referral of names, home addresses, social security numbers, and financial information to the Department of Labor, State Wage Information
Collection Agencies, and other Federal, State, and local agencies, as well as those responsible for verifying information furnished to qualify for
Federal benefits, to conduct wage and benefit matching through manual and/or automated means, for the purpose of determining compliance with
Federal regulations and appropriate servicing actions against those not entitled to program benefits, including possible recovery of improper benefits.
16. Referral of names, home addresses, and financial information to financial consultants, advisors, or underwriters, when Rural Development
determines such referral is appropriate for developing packaging and marketing strategies involving the sale of Rural Development loan assets.
17. Rural Development, in accordance with 31 U.S.C. 3711(e)(5), will provide to consumer reporting agencies or commercial reporting agencies
information from this system indicating that an individual is responsible for a claim that is current.
18. Referral of names, home addresses, home telephone numbers, social security numbers, and financial information to escrow agents (which also
could include attorneys and title companies) selected by the applicant or borrower for the purpose of closing the loan.
19. Disclosures pursuant to 5 U.S.C. 552a(b)(12): Disclosures may be made from this system to consumer reporting agencies as defined in the
Fair Credit Reporting Act (15 U.S.C. 168a(f) or the Federal Claims Collection Act (31U.S.C. 3701(a)(3)).

Form Approved
Form RD 3550-1
OMB No. 0575-0172
(Rev. 06-06)
Exp. Date: 02/28/2025
United States Department of Agriculture

Rural Development
Rural Housing Service
AUTHORIZATION TO RELEASE INFORMATION
TO:
RE:
Account or Other Identifying Number
Name of Customer
I, and/or adults in my household, have applied for or obtained a loan or grant from the Rural Housing Service (RHS), part of the
Rural Development mission area of the United States Department of Agriculture. As part of this process or in considering
my household for interest credit, payment assistance, or other servicing assistance on such loan, RHS may verify information
contained in my request for assistance and in other documents required in connection with the request.
I, or another adult in my household, authorize you to provide to RHS for verification purposes the following applicable information:
Past and present employment or income records.

Bank account, stock holdings, and any other asset balances.
Past and present landlord references
Other consumer credit references.
If the request is for a new loan or grant, I further authorize RHS to order a consumer credit report and verify other credit information.
I understand that under the Right to Financial Privacy Act of 1978, 12 U.S.C. 3401, et seq., RHS is authorized to access my financial
records held by financial institutions in connection with the consideration or administration of assistance to me. I also understand
that financial records involving my loan and loan application will be available to RHS without further notice or authorization,
but will not be disclosed or released by RHS to another Government agency or department or used for another purpose without my
consent except as required or permitted by law.
This authorization is valid for the life of the loan.
The recipient of this form may rely on the Government's representation that the loan is still in existence.
The information RHS obtains is only to be used to process my request for a loan or grant, interest credit, payment assistance,
or other servicing assistance. I acknowledge that I have received a copy of the Notice to Applicant Regarding Privacy Act Information.
I understand that if I have requested interest credit or payment assistance, this authorization to release information will cover
any future requests for such assistance and that I will not be renotified of the Privacy Act information unless the Privacy Act
information has changed conceming use of such information.
A copy of this authorization may be accepted as an original.
Your prompt reply is appreciated.
Signature (Applicant or Adult Household Member) Date
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless as displays a valid OMB control number. The valid
OMB control number for this information collection is 0575-0172. The time required to complete this information collection is estimated to average 5 minutes 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.
RHS Is An Equal Opportunity Lender
SEE ATTACHED PRIVACY ACT NOTICE

The information requested on this form is authorized to be collected by the Rural Housing Service (RHS), Rural Business-Cooperative Services (RBS),
Rural Utilities Service (RUS) or the Farm Service Agency (FSA) (''the agency'') by title V of the Housing Act of 1949, as amended (42 U.S.C. 1471 et
seq.) or by the Consolidated Farm and Rural Development Act (7 U.S.C. 1921 et seq.), or by other laws administered by RHS, RBS, RUS or FSA.
if the information disclosed is relevant to any enforcement, regulatory, investigative, or persecutive responsibility of the receiving entity.
2. A record from this system of records may be disclosed to a Member of Congress or to a Congressional staff member in response to an inquiry of
the agency or any component thereof; or (b) any employee of the agency in his or her official capacity; or (c) any employee of the agency in his or her
individual capacity where the agency has agreed to represent the employee, or (d) the United States is a party to litigation or has an interest in such
litigation, and by careful review, the agency determines that the records are both relevant and necessary to the litigation, provided; however, that in
each case, the agency determines that disclosure of the records is a use of the information contained in the records that is compatible with the purpose
for which the agency collected the records.
7. Referral of names, home addresses, and financial information for selected borrowers to financial consultants, advisors, lending institutions,
assist the borrower in the sale of the property.
possession actions and collection of past due accounts in connection with Rural Development.
Form Approved
Form RD 3550-1
OMB No. 0575-0172
(Rev. 06-06)
Exp. Date: 02/28/2025

Rural Development
AUTHORIZATION TO RELEASE INFORMATION
TO:
RE:
Account or Other Identifying Number
Name of Customer
I, and/or adults in my household, have applied for or obtained a loan or grant from the Rural Housing Service (RHS), part of the
Rural Development mission area of the United States Department of Agriculture. As part of this process or in considering
my household for interest credit, payment assistance, or other servicing assistance on such loan, RHS may verify information
contained in my request for assistance and in other documents required in connection with the request.
I, or another adult in my household, authorize you to provide to RHS for verification purposes the following applicable information:
Past and present employment or income records.

Bank account, stock holdings, and any other asset balances.
Past and present landlord references
Other consumer credit references.
If the request is for a new loan or grant, I further authorize RHS to order a consumer credit report and verify other credit information.
I understand that under the Right to Financial Privacy Act of 1978, 12 U.S.C. 3401, et seq., RHS is authorized to access my financial
records held by financial institutions in connection with the consideration or administration of assistance to me. I also understand
that financial records involving my loan and loan application will be available to RHS without further notice or authorization,
but will not be disclosed or released by RHS to another Government agency or department or used for another purpose without my
consent except as required or permitted by law.
This authorization is valid for the life of the loan.
The recipient of this form may rely on the Government's representation that the loan is still in existence.
The information RHS obtains is only to be used to process my request for a loan or grant, interest credit, payment assistance,
or other servicing assistance. I acknowledge that I have received a copy of the Notice to Applicant Regarding Privacy Act Information.
I understand that if I have requested interest credit or payment assistance, this authorization to release information will cover
any future requests for such assistance and that I will not be renotified of the Privacy Act information unless the Privacy Act
information has changed conceming use of such information.
A copy of this authorization may be accepted as an original.
Your prompt reply is appreciated.
Signature (Applicant or Adult Household Member) Date
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless as displays a valid OMB control number. The valid
OMB control number for this information collection is 0575-0172. The time required to complete this information collection is estimated to average 5 minutes 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.
RHS Is An Equal Opportunity Lender
SEE ATTACHED PRIVACY ACT NOTICE

The information requested on this form is authorized to be collected by the Rural Housing Service (RHS), Rural Business-Cooperative Services (RBS),
Rural Utilities Service (RUS) or the Farm Service Agency (FSA) (''the agency'') by title V of the Housing Act of 1949, as amended (42 U.S.C. 1471 et
seq.) or by the Consolidated Farm and Rural Development Act (7 U.S.C. 1921 et seq.), or by other laws administered by RHS, RBS, RUS or FSA.
if the information disclosed is relevant to any enforcement, regulatory, investigative, or persecutive responsibility of the receiving entity.
2. A record from this system of records may be disclosed to a Member of Congress or to a Congressional staff member in response to an inquiry of
the agency or any component thereof; or (b) any employee of the agency in his or her official capacity; or (c) any employee of the agency in his or her
individual capacity where the agency has agreed to represent the employee, or (d) the United States is a party to litigation or has an interest in such
litigation, and by careful review, the agency determines that the records are both relevant and necessary to the litigation, provided; however, that in
each case, the agency determines that disclosure of the records is a use of the information contained in the records that is compatible with the purpose
for which the agency collected the records.
7. Referral of names, home addresses, and financial information for selected borrowers to financial consultants, advisors, lending institutions,
assist the borrower in the sale of the property.
possession actions and collection of past due accounts in connection with Rural Development.
Form RD 3550-4 Form Approved
(Rev. 07-19) OMB No. 0575-0172

EMPLOYMENT AND ASSET CERTIFICATION
EMPLOYMENT CERTIFICATION
Check the appropriate blocks and account for all adult household members by listing their or
your name under the applicable statement:
I hereby certify that the following adult household members are not presently
employed and do not intend to resume employment in the foreseeable future:
I hereby certify that the following adult household members are not presently
employed but are actively seeking employment. I agree to notify RHS
immediately when they become reemployed:
I hereby certify that the following adult household members are currently
employed. I agree to notify RHS should their employment status change:
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information
collection is 0575-0172. The time required to complete this information collection is estimated to average 5
minutes 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.
ASSET CERTIFICATION
I hereby certify that all nonretirement assets of all household members (adults and children) are
listed below. Nonretirement assets include, but are not limited to, savings accounts, stocks, bonds,
Treasury bills, savings certifications, money market funds, investment accounts, equity in real
property, revocable trust funds that are available to the household, lump-sum receipts, and personal
property held as an investment.
The nonretirement asset levels are as follows:
Household Member Nonretirement Asset(s)

Total (in $)
APPLICANT DATE
APPLICANT DATE
APPLICANT DATE
SECTION 1001 OF TITLE 18, UNITED STATES CODE PROVIDES: ''WHOEVER, IN ANY MATTER WITHIN THE
JURISDICTION OF ANY DEPARTMENT OR AGENCY OF THE UNITED STATES KNOWINGLY AND WILL-
FULLY FALSIFIES, CONCEALS OR COVERS UP BY ANY TRICK, SCHEME, OR DEVICE A MATERIAL FACT, OR
MAKES ANY FALSE, FICTITIOUS OR FRAUDULENT STATEMENTS OR REPRESENTATIONS, OR MAKES OR
USES ANY FALSE WRITING OR DOCUMENT KNOWING THE SAME TO CONTAIN ANY FALSE, FICTITIOUS
OR FRAUDULENT STATEMENT OR ENTRY, SHALL BE FINED UNDER THIS TITLE OR IMPRISONED NOT
MORE THAN FIVE YEARS, OR BOTH.''
Section 3
Additional information regarding the
SFH Direct Home Loan Program.
(Important - homeownership education is required for first-time homebuyers.)
HOMEOWNERSHIP EDUCATION
Please be advised that Rural Development has a homeownership education requirement for
first-time homebuyers. Attached is a list of Agency-approved homeownership education
providers. You are expected to successfully complete homeownership education from an
Agency-approved provider prior to entering into a sales contract to purchase or construct a
home, since the training prepares you for shopping, buying, financing, and owning a home.
During the time of the COVID-19 pandemic, classroom and one-on-one counseling being
offered by local providers is very limited or restricted. An alternative option to meet the
homeownership education requirement during the COVID-19 pandemic is to complete one
of the three nationally approved online homeownership education courses:
 eHome America - https://ehomeamerica.org/usda (cost $75),

 Framework - https://www.frameworkhomeownership.org/ (cost $75), and
 Utah State University - https://extension.learn.usu.edu/ (select Home Buyer Education)
(cost $60 for the applicant and $5 for a co-applicant).
Upon completion of the course, you must provide documentation that you have successfully
completed the course by submitting a certificate of completion or letter from the certified
provider. There is generally an out-of-pocket fee for the training, which can be reimbursed
should the loan request be approved and closed. Please be advised if you do not close on your
loan, you are responsible for the homeownership education fee.
(Important - homeownership education is required for first-time homebuyers.)
APPROVED HOMEOWNERSHIP EDUCATION PROVIDERS

Provider Name Phone, Email, Website Address Languages Cost Counties Served
PHFA, 1-855-827-3466, www.phfa.org 211 North Front St. free PA
Pennsylvania phfatraining.org/landing/index.html# Harrisburg, PA 17101
Housing Finance
Agency
(Be sure to read the SFH Direct Home Loan Fact Sheet.)
Together, America Prospers
Rural Home Loans (Direct Program)

What does this Who can apply for this program?
A number of factors are considered
Applicants must meet income
eligibility for a direct loan. You can
program do? when determining eligibility for
Single Family Direct Home Loans. At
visit the USDA Income and Property
Eligibility website (available at this link:
a minimum, applicants must have an https://go.usa.gov/xzcdM) for complete
Also known as the Section adjusted income that is at or below details. Or, contact your local Rural
the applicable low-income limit for the Development office (a map is available
502 Direct Loan Program,
area in which they wish to buy a house at this link: https://www.rd.usda.gov/
this program helps low- and (an income limit map is available at browse-state) to learn more.
this link: https://go.usa.gov/xzcfb). They
very-low-income applicants
must also demonstrate a willingness What is an eligible area?
buy decent, safe, and sanitary and ability to repay debt. Properties must be located in an
eligible rural area. Visit the USDA
housing in eligible rural
Applicants must: Income and Property Eligibility
areas by providing payment • Be without decent, safe, and website (available at this link:
sanitary housing https://go.usa.gov/xzcdM) for details.
assistance to increase their
applicant’s repayment ability. • Be unable to obtain a loan from How can funds be used?
other resources on terms and
Loan funds can be used to help
Payment assistance is a type conditions that can reasonably be low-income people or households
of subsidy that reduces the expected to be met buy homes in rural areas. Funds can
• Agree to occupy the property as be used to build, repair, renovate, or
mortgage payment for a short
their principal residence relocate a home, or to purchase and
time. The amount of assistance prepare sites, including providing
• Have the legal capacity to incur a water and waste treatment equipment.
is determined by the adjusted loan obligation
family income. • Meet citizenship or eligible How much can I borrow?
noncitizen requirements The maximum loan amount an
applicant qualifies for depends on
• Not be suspended or debarred from
their ability to repay a loan. Rural
participation in federal programs
Development considers various factors,
such as income, debts, assets, and
Properties financed with direct loan
the amount of payment assistance
funds must:
the applicant is eligible to receive.
• Be modest in size for the area Regardless of repayment ability,
• Not have market value in excess of applicants can never borrow more
the applicable area loan limit than the area loan limit (plus certain
other costs eligible to be financed)
• Not be designed for income- in the county in which the property is
producing activities located (information is available at this
link: https://go.usa.gov/xzcGB - PDF)
Borrowers are required to repay all or a
portion of the payment subsidy received
over the life of the loan when the title to
the property transfers, or the borrower
is no longer living in the dwelling.
(Be sure to read the SFH Direct Home Loan Fact Sheet.)
Rural Home Loans (Direct Program)
What is the interest rate and

payback period?
• The interest rate is fixed, and based
on current market rates at loan
approval or closing, whichever is lower.
• When modified by payment
assistance, the monthly mortgage
payment can be reduced to a low as
an effective 1 percent interest rate.
• The payback period is 33 years
(38 years for very-low-income
applicants who can’t afford a
33-year loan term).
How much down payment

is required?
Down payments are not typically
required, but applicants with assets
higher than the asset limit can be
required to use a portion of those assets.
Is there a deadline to apply?

Applications are accepted year-round
through your local Rural Development
office. A map is available at this link:
https://www.rd.usda.gov/browse-state.
How long does an application take?

Processing times vary depending
on funding availability and program
demand in the area in which the
applicant is interested in buying.
Processing times also are dependent
upon the completeness of the
applicant’s package.
What governs this program?

• The Housing Act of 1949 as amended;
7 CFR, Part 3550 (available at this
link: https://go.usa.gov/xzcvG)
• HB-1-3550 - Direct Single Family
Housing Program Field Office
Handbook (available at this link: NOTE: Because citations and other information are subject to change, always consult the
program instructions listed in the section above titled “What Governs This Program?”
https://go.usa.gov/xzcvM - PDF)
You can also contact your local office for assistance (a list is available at this link:
https://go.usa.gov/xzjP7). You will find additional forms, resources, and program
information at rd.usda.gov. USDA is an equal opportunity provider, employer, and lender.
Last Updated March 2022

HB-1-3550
Attachment 3-D
Page 1 of 5
ATTACHMENT 3-D
RURAL DEVELOPMENT
RURAL HOUSING SERVICE
“Applicant Information Sheet” - Single Family Housing
The Rural Housing Service (RHS) provides loans in rural areas to eligible low- and very
low-income applicants. The loan may be to purchase existing housing, purchase and repair
existing housing, purchase a building site and construct a dwelling, or purchase new housing.
Rural areas typically include open country and places with a population of 10,000 or less and,
under certain conditions, towns and cities between 10,000 and 20,000 population.
For detailed information on income limits and eligible areas, visit:

https://eligibility.sc.egov.usda.gov/eligibility/welcomeAction.do.
The property must be in good repair or placed in good repair with loan funds. For an
existing property, a whole house inspection performed by a qualified inspector is needed. The
buyer and seller should discuss who will cover the cost of the whole house inspection and
address this item in the purchase agreement.
All who apply get equal consideration without regard to race, color, national origin,
religion, sex, gender identity, sexual orientation, disability, age, marital status, family/parental
status, income derived from a public assistance program, political beliefs, or reprisal or
retaliation for prior civil rights activity.
To apply, complete all the applicable items in the attached checklist of items to
accompany the uniform residential loan application and submit the package using one of the
options below:
• Through a loan application packager. To locate an application packager, please visit

https://www.rd.usda.gov/sites/default/files/RD-SFH-IntermediaryMap.pdf.
• Apply online after registering to obtain a USDA eAuthentication identification and
password. https://forms.sc.egov.usda.gov/eForms/welcomeAction.do?Home
• Return to the Rural Development office using the address(es) below. If an email
address is listed below, password protect the email to protect personal identifiable
information.
Revised (10-19-23) PN 595
HB-1-3550
Attachment 3-D
Page 2 of 5
A loan application packager provides an optional service to an applicant seeking a housing loan
by helping to navigate the loan application process. A packager can help determine if the Section
502 Direct Loan Program is a good fit and, if so, help to assemble a complete loan application
package. Loan application packaging fees can generally be included in the Rural Development
loan or can be paid by the seller, builder, or third party. Packagers do not work for or represent
Rural Development. Eligible loan application packagers can either work with or without an
approved intermediary. An intermediary is an affordable housing nonprofit, public agency, or
State Housing Finance Agency approved by Rural Development to perform quality assurance
reviews on loan application packages. Loan application packages funneled through an approved
intermediary receive priority processing.
Priority status may also include applications for:

 Agency borrowers requesting subsequent loans to correct health and safety hazards
 Applicants interested in obtaining loans for Real Estate Owned property or related to the
transfer and assumption of property owned by a program borrower
 Applicants facing housing-related hardships (please identify any housing-related hardships you may
be experiencing on the Attachment 3-J, which is completed as part of the standardized application
package).
Loan applications which do not qualify for priority consideration will be selected for processing
after all applications with priority status have been processed.
Please contact a loan application packager or the above Rural Development office if you have
questions regarding what needs to be in your application package or if would like assistance in
completing a form. To determine if you qualify, review these frequently asked questions:
“CAN I ASSESS MY ELIGIBILITY PRIOR TO APPLYING?”
Using the Single Family Housing Direct Self-Assessment tool, potential applicants may enter
information online to determine if the Section 502 Direct Loan Program is a good fit for them
prior to applying. The tool will provide a preliminary review after a potential applicant enters
information on their general household composition, monthly income, monthly debts, property
location, estimated property taxes, and estimated hazard insurance.
To access the tool, visit https://eligibility.sc.egov.usda.gov/eligibility/welcomeAction.do and

click on the Single Family Housing Direct tab.
Potential applicants are welcome to submit a complete application for an official determination
by Rural Development regardless of the self-assessment results. Upon receipt of a complete
application, Rural Development will determine the applicant’s eligibility using verified
information and the applicant’s maximum loan amount based on their repayment ability and the
area loan limit for the county in which the property is located.
“DOES IT MATTER HOW MANY OTHER BILLS I HAVE TO PAY?”
RHS will look at your monthly obligations and how much you currently owe to others. We’ll
want to know if paying back the proposed loan on top of your other payments will be difficult for
you.
HB-1-3550
Attachment 3-D
Page 3 of 5
“WHAT IF I THINK MY INCOME IS TOO LOW?”
Having enough income to repay your loan is an important part of getting a loan; however, the
RHS loan may be subsidized. A subsidized loan is based on the applicant repaying a percentage
of their income toward the housing payment, taxes, and insurance. The percentage is generally
24 percent of the applicant’s household income.
“WHAT CAN I DO IF MY INCOME IS TOO LOW?”
Consider applying with a co-applicant if there is another member of your household willing and
able to be a note signer. RHS will then look at your combined income and credit when
determining repayment ability. You may also consider a cosigner. A cosigner is an individual
who will not reside in the dwelling, but who is willing to be responsible for the debt. You may
also consider applying for down payment assistance programs in your area which provide
affordable housing products. Many areas have Housing Finance Agencies, Housing Authorities,
or Nonprofit Agencies which administer these programs. Funding from these sources can be
combined with Rural Development loan funds.
“HOW CAN I DETERMINE IF MY INCOME IS ADEQUATE TO REPAY A LOAN?”
The amount of your proposed monthly house payment, real estate taxes, insurance, and other
credit debts cannot exceed 41 percent of your gross monthly income. If you have questions
regarding how this determination is made, you may contact the local Rural Development Office
shown on the front cover.
“CAN I GET A LOAN IF I’M UNEMPLOYED?”
A steady source of income is very important to getting a loan. An applicant must show sufficient
resources to repay the housing loan. Not having a job or a stable source of income may have an
impact on the Agency’s decision. Experience has shown that applicants with stable jobs and
income sources are more likely to repay the loan.
“WILL YOU FIND OUT ABOUT OTHER CREDIT I’VE HAD?”
Yes. Your credit report provides information on your payment history including any difficulty
you have had repaying other loans or credit cards. That information will be used to determine if
you can repay the loan. If you are unsure what your credit history contains, you can obtain a free
credit report by calling 1-877-322-8228 or logging into https://www.annualcreditreport.com. By
law, individuals are entitled to receive one free credit file disclosure every 12 months from each
of the nationwide consumer credit reporting companies – Equifax, Experian and TransUnion.
This free report cannot replace the credit report that the Agency will obtain to determine
eligibility.
Revised (10-19-23) PN 595
HB-1-3550
Attachment 3-D
Page 4 of 5
“HOW LONG WILL IT BE BEFORE I CAN MOVE INTO MY NEW HOME?”
Typically, applicant eligibility, loan approval, and loan closing may be accomplished within
approximately 120 days of filing a complete application. However, depending on the availability
of Government funding, this time-frame may be extended. The applicant is periodically advised
regarding the status of their application when there is lack of funding.
Applications will be processed based on the following priorities: 1) subsequent loans to correct
health and safety hazards, 2) loans to purchase homes owned by RHS and loans to transfer and
assume (or purchase with new loan funds) properties owned by RHS borrowers, 3) hardships as
defined by RHS, 4) loans that bring in additional resources as defined by RHS, including loan
application packages funneled through an approved intermediary, and 5) applications that do
not qualify for priorities 1 - 4. Within each priority category, veterans’ preference will be given
to applicants who were discharged or released (except for a dishonorable discharge) from the
U.S. active forces (regardless of the position held – administrative support, combat, mechanics,
medical, transportation, etc.) and who actively served during eligible periods.
“HOW MUCH MONEY WILL I NEED FOR A DOWN PAYMENT?”
A down payment is generally not required. Loans may be made for up to 100 percent of the
market (appraised) value. Simply put, this means if the sales price of the property is equal to or
less than the appraised value, no down payment is needed.
“DOES THIS MEAN I WON’T NEED ANY CASH TO GET A LOAN?”
Generally, the applicant will need some cash available. There are costs associated with the credit
report, appraisal report, escrow, and other related closing costs. The credit report fee is always
paid by the applicant upfront. The first year’s hazard insurance premium and whole house
inspection report fee are paid prior to closing unless included in the loan amount. Costs pertaining
to the appraisal, escrow, and loan closing may be included in the loan amount. You may also
negotiate with the seller to contribute a percentage toward closing costs. Any agreement with the
seller should be entered into prior to signing and documented in the purchase agreement or sales
contract.
“DOES THE APPLICANT HAVE OTHER RESPONSIBILITIES?”
Yes. Rural Development staff are available to assist the applicant from the application to loan
closing. The applicant is responsible for providing requested information timely. The
information may be requested by Rural Development staff, a loan application packager, a real
estate agent, or a closing agent. Failure to provide information timely results in delayed
decisions and other actions.
HB-1-3550
Attachment 3-D
Page 5 of 5
Yes. The applicant must:
1. Be without decent, safe, and sanitary housing.
2. Be unable to obtain a loan from other resources on terms and conditions that they can
reasonably be expected to meet.
3. Possess the legal capacity to incur the loan obligation.
4. Be a U.S. citizen, a U.S. noncitizen national, or a qualified alien and provide
acceptable evidence of qualified alien status.
“WHAT ARE THE TERMS OF THE LOAN?”
The maximum repayment period is 33 years and, under certain conditions, 38 years if the
applicant is income eligible and the longer term is necessary to show repayment ability. Rural
Development staff can work with you if you are determined eligible, to determine whether a
38-year term is appropriate. The maximum repayment period for manufactured homes is 30
years.
“WHERE MAY HOUSES BE LOCATED?”
Houses must be located in a rural area, on desirable sites with an adequate supply of safe
drinking water and suitable arrangements for sewage disposal. Streets must have an all-weather
surface and be maintained by a public body or a homeowner’s association.
“WHAT ABOUT THE FEATURES OF THE HOME AND SITE?”

While cost and features vary in different areas of the country, the home and site must be
modest. A modest site generally cannot be subdivided under local zoning laws, does not
include land or structures that will be used principally for income-producing purposes, and
complies with local zoning requirements. An existing home with an in-ground swimming
pool may be considered modest; however, in-ground swimming pools with new construction
or with properties that are purchased new are prohibited. Under certain conditions, an
exception to these standards may be granted on a case-by-case basis. The value of a dwelling
may not exceed the area loan limit for the area in which the applicant is requesting financing.
WHO IS RESPONSIBLE FOR INSPECTING THE HOME?

The applicant/borrower is responsible for hiring a qualified inspector to conduct a whole house
inspection on an existing property and for making inspections necessary to protect their interests.
While a Rural Development staff member or designee may inspect a property during and/or
following construction or repair, these inspections do not create or imply a warranty or guarantee
on the condition of the property.
“WHERE MAY I APPLY?”

Applications are made at the local Rural Development office or through an application packager
serving the area where the house will be located. To locate your nearest Rural Development
office, please visit: https://offices.sc.egov.usda.gov/locator/app?state=us&agency=rd. To locate
an application packager, please visit https://www.rd.usda.gov/sites/default/files/RD-SFH-
IntermediaryMap.pdf.
Revised (10-19-23) PN 595
Attachment 3-H
Page 1 of 2
ATTACHMENT 3-H
CREDIT SCORE DISCLOSURE
In accordance with the Fair and Accurate Credit Transactions Act of 2003 (FACT Act) and in
connection with your application for a Rural Development Single Family Housing (hereafter
referred to as “the Agency”) home loan, the Agency, upon request, must disclose to you the
score that a credit bureau distributes to users and will be used by the Agency in connection with
your home loan as well as the key factors affecting your credit scores.
While the Agency does not consider credit scores in determining adverse credit decisions, we
may use them to presume acceptable credit in lieu of other credit underwriting practices.
Credit scores assist lenders in evaluating your credit history in a more expedient and objective
manner. Your credit scores are found on your tri-merge credit report, a copy of which will be
provided to you upon request. The range of possible scores is from 300 to 850. The Agency
may also obtain and consider other credit scores in making its decision on your application.
In addition to the credit scores, your credit report lists the key factors related to why your
scores were less than the maximum possible score. Please keep in mind that the factors are only
indicators of why you received less than the maximum score possible. The listing of these
factors does not by itself indicate that you would not be approved for the loan you have
requested. Rural Development considers many factors in addition to your credit scores in
making a decision on your application. If your application is not approved, you will receive a
separate notice stating the specific reason(s) for that action which may or may not relate to
your credit scores.
The Agency did not calculate your credit scores or develop the scoring models. If you have any
questions about your credit scores or the information in the tri-merge credit report from which
the scores were computed, you can contact the credit bureau at the address listed below.
Equifax Mortgage Solutions

4300 Westown Parkway, Suite 200
West Des Moines, IA 50266
(800) 333-0037
Revised (12-12-19) PN 532
HB-1-3550
Attachment 3-H
Page 2 of 2
NOTICE TO HOME LOAN APPLICANT
Pursuant to FACT Act, Section 212.
In connection with your application for a home loan, Rural Development must disclose to you
the score that a credit bureau distributed to the Agency and was used in connection with your
home loan, as well as key factors affecting your tri-merge credit score.
The credit score is a computer-generated summary calculated at the time of the request and
based on the information a credit bureau has on file. The scores are based on data about your
credit history and payment patterns. Credit scores are important because they are used to
assist the Agency in determining whether you will obtain a loan. Credit scores can change over
time, depending on your conduct, how your credit history and payment patterns change, and
how credit scoring technologies change.
Because the score is based on information in your tri-merge credit history, it is very important
that you review the credit-related information to make sure it is accurate. Credit records may
vary from one company to another.
If you have any questions, about your score or the credit information that is furnished to you,
contact the credit bureau at the address and telephone number provided with this notice. The
credit bureaus play no part in the decision to take any action on the loan application and are
unable to provide you with specific reasons for the decision on the loan application.
If you have any questions concerning the terms of the loan, contact Rural Development.
THIS DISCLOSURE HAS BEEN PROVIDED TO THE APPLICANT(S) PURSUANT TO SECTION 212 OF
THE FAIR AND ACCURATE CREDIT TRANSACTIONS ACT OF 2003. I UNDERSTAND THAT I MAY
RECEIVE A COPY OF MY TRI-MERGE CREDIT REPORT BY MAKING A WRITTEN REQUEST TO THE
RURAL DEVELOPMENT OFFICE HANDLING MY LOAN APPLICATION.
Note: To be eligible for a Section 502 Direct loan, applicants must demonstrate that they are reasonably able and
willing to repay an Agency loan. An applicant's credit record does not have to be perfect; a few instances of credit
problems can be acceptable if an applicant's overall credit record demonstrates an ability and willingness to repay
obligations. (An applicant with an outstanding judgment obtained by the United States in a Federal court, other than the
United States Tax court, is not eligible for a Section 502 loan. This requirement is statutory and cannot be waived.)
Exhibit 4-4
Indicators of Unacceptable Credit
x Little or no credit history. The lack of credit history on the credit report may be mitigated if the applicant
can document a willingness to pay recurring debts through other acceptable means such as third party
verifications or canceled checks. Due to impartiality issues, third party verifications from relatives of
household members are not permissible.
x Payments on any installment account, on a per account basis, where the amount of the delinquency
exceeded one installment for more than 30 days within the last 12 months.
x Payments on any revolving account, on a per account basis, which was delinquent for more than 30 days on
two or more occasions within the last 12 months.
x A foreclosure that has been completed within the last 36 months.
x An outstanding Internal Revenue Service (IRS) tax lien or any other outstanding tax liens with no
satisfactory arrangement for payment.
x Two or more rent or mortgage payments paid 30 or more days late within the last 2 years. If the applicant
has experienced no other credit problems in the past 2 years, only 1 year of rent history will be evaluated.
This requirement may be waived if the program loan will reduce shelter costs significantly and contribute
to improved repayment ability.
x Outstanding collection accounts with a record of irregular payments with no satisfactory arrangements for
repayment, or collection accounts that were paid in full within the last 6 months, unless the applicant had
been making regular payments previously.
x Non-Agency debts written off within the last 36 months, unless the debt was paid in full at least 12 months ago.
x Agency debts that were debt settled within the past 36 months, or are being considered for debt settlement.
x Delinquency on a federal debt.
x A court-created or court-affirmed obligation or judgment caused by nonpayment that is currently
outstanding or has been outstanding within the last 12 months, except:
¡ A bankruptcy in which:
¡ Debts were discharged more than 36 months prior to the date of application; or
¡ Where an applicant successfully completed a bankruptcy debt restructuring plan and has
demonstrated a willingness to meet obligations when due for the 12 months prior to the date of
application.
¡ A judgment satisfied more than 12 months before the date of application.
An applicant with an outstanding judgment obtained by the United States in a Federal court, other than
the United States Tax Court, is not eligible for a Section 502 loan. This requirement is statutory and
cannot be waived.
Together, America Prospers
Subsidy Recapture Single Family Housing

(Direct Loans)
What is subsidy How do I know if I will have to pay
subsidy recapture?
– In certain circumstances, the
subsidy recapture amount may
recapture? If you have ever received payment
subsidy, the subsidy is subject
be refinanced. Call the Servicing
and Asset Management Office
to recapture. (hereafter: Servicing Office) at
Payment assistance – also 800-414-1226 to learn more about
The mortgage or deed of trust on a this possible option.
called “subsidy” – is offered property categorizes the subsidy as a
lien against that property. The lien will How is subsidy recapture calculated?
to eligible homeowners with not be released - and that means the
Under the current formula, the
property cannot be sold - until subsidy
USDA Rural Development Single maximum subsidy recapture amount
recapture is paid in full.
is calculated at 50 percent of the
Family Housing Direct-financed property’s value appreciation or the
When is subsidy recapture repaid? total dollar amount of subsidy the
mortgages. This assistance
The borrower must pay subsidy borrower received – whichever is less.
reduces eligible customers’ recapture when they: Other factors – such as the loan term,
• Sell the property average interest rate, percentage of
required monthly payments
outstanding balance(s) on other open
based on their household income. • No longer live on the property loans, and whether other loans subject
(NOTE: Subsidy is also recaptured to recapture are being paid off – also
At loan closing, borrowers sign following the death of a borrower.) are considered when the subsidy
capture is calculated.
a subsidy repayment agreement • Pay the loan in full
which defines their loan – If a borrower pays their loan How can I find out how much subsidy
in full and continues to occupy recapture I must repay?
repayment terms, including the the property, subsidy recapture
You can get a verbal loan payoff
can be deferred until they move
circumstances under which all – estimate – including subsidy
or transfer the property title to
recapture – by calling USDA Rural
or a portion of – the subsidy must someone else.
Development’s Servicing Office
– As an incentive to encourage early Interactive Voice Response system at
be repaid (known as “subsidy repayment, Rural Development
will offer eligible borrowers a (800) 414-1226. Choose the “payoff
recapture.”)
25-percent discount on their information” option. Be ready to provide
– subsidy recapture if it is repaid an estimate of the current market
at the same time the loan itself is value of the property, along with an
paid in full. estimate of any closing costs that may
be result from selling or refinancing.
– In the event of a loan default (a
foreclosure or deed in lieu of A sample subsidy recapture
foreclosure) the amount of subsidy worksheet is available at this link:
recapture due is equal to the https://go.usa.gov/xtTke.
amount of subsidy received over
the life of the loan.
NOTE: Because information is subject to change, always consult official program

instructions or contact your local Rural Development office for help. You will find
additional resources, forms, and program information at this link: https://rd.usda.gov.
USDA is an equal opportunity provider, employer, and lender.
Last Updated April 2022

Single Family Housing Subsidy Recapture
(Direct Loans) Worksheet
Subsidy Recapture Example – Sale of Home

Part 1. Calculating Value Appreciation Amount
1 Current market value of property $200,000.00
2 (less) Original amounts of prior liens and subordinate affordable housing products $2,000.00
3 (less) Rural Development (RD) loans being paid off $150,000.00
4 (less) Equity recapture due from Farm Program (FP) loan $0.00
5 (less) Closing costs $5,500.00
6 (less) Principal reduction (note rate) on RD loan being paid off $1,200.00
7 (less) Principal Reduction Attributed to Subsidy (PRAS) on loan being paid off $0.00
8 (less) Original equity $0.00
9 (less) Capital improvement credit $0.00
10 Value appreciation (Line 1 minus the total of Lines 2–9) $41,300.00
(If $0 or less, enter $0 and complete Part II; if more than $0, complete Part III.)
Part II. Amount Due if There is No Value Appreciation Amount
11 Rural Development loans being paid off (Line 3) n/a
12 Equity recapture from FP loan to be collected n/a
13 PRAS to be collected n/a
14 Amount due (Lines 11 + 12 + 13) n/a
(If negative, stop here. If positive continue to Part III.)
Part III. Percentage of Total Debt Subject to Recapture to be Paid Off Amount
15 Rural Development loans being paid off which are subject to recapture (Line 3) $150,000.00
16 Outstanding balance of all RD loans and the balance of prior non-RD liens and subordinate affordable $150,000.00
housing products being paid off [In this example, at the time of payoff, the prior non-RD liens and subordinate
affordable housing products were already paid in full.]
17 RD loans being paid off as a percentage of all mortgage loans (Line 15 ∕ Line 16) 100.00%
Part IV. Value Appreciation Subject to Recapture Amount
18 Amount of value appreciation attributable to loans subject to recapture (Line 10; or if Part III was completed, $41,300.00
Line 10 × Line 17)
19 Recapture percentage (the lesser of 50% or the percentage contained in the Subsidy Recapture Agreement) 50.00%
[For the purposes of this example, 50% is used.]
20 Value appreciation reduced by recapture percentage (Line 18 × Line 19) $20,650.00
21 Percentage of original equity (from Subsidy Repayment Agreement) 0.00%
22 Value appreciation, reduced by recapture percentage, attributable to original equity (Line 20 × Line 21) $0.00
23 Value appreciation subject to recapture (Line 20 − Line 22) $20,650.00
Part V. Amount Due if There is Value Appreciation Amount
24 Amount of payment subsidy received $30,000.00
25 Recapture amount (Line 7 + the lesser of Line 23 or Line 24) $20,650.00
26 Discounted recapture amount, if applicable (Line 25 × 75%) n/a
27 Final payoff amount (Line 3 + Line 4 + Line 25 or Line 26 as appropriate) $170,650.00
NOTE: Because information is subject to change, always consult official program instructions or contact your local Rural
Development office for help. You will find additional resources, forms, and program information at rd.usda.gov. USDA is an equal
opportunity provider, employer, and lender.
Last Updated April 2022

Dear Applicant,
This is the end of the Single Family Housing Direct Home Loan application package.
Prior to submitting your application, please check the following items:
1. Check that all sections on all forms are fully completed.

2. Check that all forms are signed and dated.
3. Make sure all applicable items listed on Attachment 3-J, Checklist of Items to
Accompany the Uniform Residential Application are provided with the application
package.
IMPORTANT: If any item, information and/or signature is missing, your application is

considered incomplete and you will be contacted and asked to provide the missing pieces.
Please forward the entire application package to one of the options listed on the cover page.
Thank you for choosing USDA Rural Development for your home loan.
Respectfully,
USDA Rural Development

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Rural Development

U.S. DEPARTMENT OF AGRICULTURE

The application package includes the following:

USDA is an equal opportunity provider, employer and lender.

Option 3: Return to a local Rural Development office:

To locate a Rural Development Service Center, go to:

Option 1 - Working with a Loan Application

What is a loan application packager?

An intermediary is an affordable housing nonprofit, public agency, or State Housing Finance

How do I file an application with the guidance of a loan application packager?

2. Contact an intermediary using the information found on the following website:

List of Loan Application Packagers for

Entity Name Contact Phone Email Website Counties Served

Pathstone Thelma Corrales 717-264-5913 tcorrales@pathstone.org pathstone.org PA

Ahayah Community Akia N. Hardnett 301-556-6608 akiahardnett@gmail.com Www.buyaffordablehousing.c PA

Option 2 - TRANSMITTING SINGLE FAMILY HOUSING DIRECT APPLICATIONS

Step 1: Obtain a USDA eAuthentication account with a verified identity.

CHECKLIST OF ITEMS TO ACCOMPANY THE

Applicants who are first-time homebuyers are strongly encouraged to complete a

Legal Description of Subject Property (Attach description if necessary) Year Built

Purpose of Loan Purchase Construction Other (Explain): Property will be:

Ill. APPLICANT INFORMATION

Freddie Mac Form 65 Page 1 of 10 Fannie Mae Form 1003

Yrs/Mos. employed in this Yrs/Mos. employed in this

V. MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION

Dividends/Interest 0.00 Real Estate Taxes

Net Rental Income 0.00 Mortgage Insurance

Total $ 0.00 $ 0.00 $ Total $ 0.00 0.00 $ 0.00

Freddie Mac Form 65 Page 2 of 10 Fannie Mae Form 1003

Name and Address of Bank, S&L, or Credit Union

Subtotal Liquid Assets $

Vested interest in retirement fund $ Name and Address of Company $ Payment/Months $

Automobiles owned (Make and year) $

Other Assets (Itemize) $

Net Worth Total Liabilities b.

Freddie Mac Form 65 Page 3 of 10 Fannie Mae Form 1003

VII. DETAILS OF TRANSACTION VIII. DECLARATIONS

f. Estimated closing costs lieu thereof in the last 7 years?

g, PMI, MIP, Funding Fee d. Are you a party to a lawsuit?

h. Discount (If Borrower will pay)

m. Loan amount j. Are you a U.S. citizen?

Freddie Mac Form 65 Page 4 of 10 Fannie Mae Form 1003

Applicant's Signature Date Applicant's Signature Date

Race American Indian or Black or Race American Indian or Black or

Native Hawaiian or White Native Hawaiian or White

Continuation For/Residential Loan Application

Freddie Mac Form 65 Page 5 of 10 Fannie Mae Form 1003

6. Are you a Veteran? Yes No 7. Are you a Veteran? Yes No

10. Name, Address and Telephone No. of Child care Provider(s).

11. Characteristics of Present Housing

Page 6 of 10 Form RD 410-4

Page 7 of 10 Form RD 410-4

Date Signature of Applicant

Eligible Not Eligible Applicant RHS

18. Application received on .

Date Received: Amount Received: $

Page 8 of 10 Form RD 410-4

Page 10 of 10 Form RD 410-4

United States Department of Agriculture

AUTHORIZATION TO RELEASE INFORMATION