OMB Approval No. 2502-0610
Expires: 3/31/2020
FHA Condominium Loan Level/Single-Unit Approval Questionnaire Page 1 of 5
Form HUD-9991 (01/21)
General: The information in this questionnaire is needed to obtain FHA-insured financing for a Condominium Unit (Unit)
located in a Condominium Project. The Condominium Association/management company is to complete Section 2 and
the section(s) checked below and return the completed questionnaire to the Mortgagee.
Section 3: Loan Level Requirements Section 4: Additional Requirements for Single-Unit Approval
FHA Case Number: ___________________________ Lender Loan Number: ________________________________
Section 1: Mortgagee Information. To be completed by the Mortgagee.
1.a. Mortgagee Information
Mortgagee Name:
FHAC Lender ID Number:
Street Address:
City:
State:
Zip Code:
Phone Number:
Contact Name:
Email Address:
Fax Number:
Section 2: Condominium Project Information. To be completed by the Condominium Association or
management company.
2.a. Condominium Project
Legal Name of Project:
Street Address:
City:
State:
2.b. Condominium Association
Condominium Association Name:
Association Tax ID Number:
Street Address:
City:
State:
Zip Code:
Phone Number:
Association Contact Name:
Email Address:
Fax Number:
2.c. Management Company
Management Company Name:
Management Company Tax ID Number:
Street Address:
City:
State:
Zip Code:
Phone Number:
Management Contact Name / Title:
Email Address:
Fax Number:
Public Reporting Burden for this collection of information is estimated to average .75 hours per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This
information collection is required to obtain or retain benefits. Send comments regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden, to the Reports Management Officer, Office of the Chief Information Officer, U.S. Department
of Housing and Urban Development, 451 7
th
Street, SW, Washington, DC 20410-3600 and to the Office of Management and Budget, Paperwork Reduction
Project (OMB Number: 2502-0610) Washington, DC 20503. Do not send this completed form to either of the above addresses.
FHA Condominium Loan Level/
U.S. Department of Housing
Single-Unit Approval and Urban Development
Questionnaire Office of Housing
OMB Approval No. 2502-0610
FHA Condominium Loan Level/Single-Unit Approval Questionnaire Page 2 of 5
Form HUD-9991 (01/21)
Section 3: Loan Level Requirements. To be completed by the Condominium Association or management
company and used to verify loan level requirements for Units located in an Approved Condominium Project/phase and
Single-Unit Approvals.
3.a.
Occupancy Requirements by Construction Type
Owner-occupied Units include any Unit:
i. occupied by the owner for any portion of the calendar year and that is not rented for a majority of the year;
ii. listed for sale, and not listed for rent, that was previously occupied by the owner as described in (i) above; or
iii. sold to an owner who intends to occupy the Unit as described in (i) above.
A Unit owned by the builder/developer is not an owner-occupied Unit.
A non-owner occupied Unit refers to a Unit that does not meet the definitions above.
1. Existing Construction Occupancy
Existing Construction (greater than 12 months old)
Units in
Project
Total Number of Units in the Condominium Project
a. Owner-occupied Units as defined above
b. Non owner-occupied Units as defined above
2. New Construction (not eligible for Single-Unit Approval)
New Complete Project (less than 12 months old); or
Legal Phase
Total Number of Units in the Condominium Project
i. Multi-phased Condominium Project: Include the total number of Units in the first declared Legal Phase and
cumulatively on subsequent Legal Phases.
ii. Single-phased Condominium Project: Include all Units.
a. Owner-occupied Units as defined above
b. Non-owner occupied Units as defined above
3.b.
Individual Owner Concentration
Total number of Units owned by a single owner or Related Party (Related Party includes any individual
or Entity related to the Unit owner)
If any single owner or Related Party own more than the number of Units allowed under FHA’s Individual Owner Concentration
limit, please complete the information in the table below.
Individual / Entity Name
Developer/
Sponsor
Number
of Units
Owned
Attach list for additional individual owners as required.
3.c.
Property Information
Is the Unit located in any of the following (check all that apply):
Yes
No
1.
a Condominium Project under a Leasehold Interest?
2.
a Gut Rehabilitation (Gut Rehab) conversion project?
3.
a New Construction project? including Proposed Construction, Under Construction, or Existing
Construction Less than a Year
4.
a Manufactured Home Condominium Project?
OMB Approval No. 2502-0610
FHA Condominium Loan Level/Single-Unit Approval Questionnaire Page 3 of 5
Form HUD-9991 (01/21)
3.d.
Units in Arrears
Number
1.
How many Units are 60 Days or more past due on their Condominium Association fee
payments? (Excluding late fees or other administrative expenses)
3.e.
Insurance Requirements
Insurance Type
Yes
No
1.
Walls-In
Does the Condominium Association have a master or blanket insurance that
includes interior Unit coverage that will cover the replacement of interior
improvements the Borrower may have made to the Unit? If “No”, Borrower
must obtain a Walls-In policy (HO-6).
2.
Hazard Insurance
Does the Condominium Association have a master or blanket Hazard
Insurance policy in an amount equal to at least 100% of the insurable
replacement cost of the Condominium Project, including the individual Units
in the Condominium Project?
3.
Flood Insurance
Are Units or Common Elements located in a Special Flood Hazard Area
(SFHA)?
If “Yes,” Flood Insurance is in force equaling (select only one option below):
100% replacement cost;
Maximum coverage per Condominium Unit available under the
National Flood Insurance Program (NFIP); or
Some other amount (enter amount here) $_____________.
3.f.
Required Documentation for All Units (Loan Level and Single-Unit Approval)
Section
Required Documentation
3.e.1. Walls-In Insurance
Certificate of insurance or complete copy of the insurance policy.
3.e.2. Hazard Insurance
Certificate of insurance or complete copy of the insurance policy.
3.e.3. Flood Insurance
Federal Emergency Management Agency (FEMA) flood map with the
Condominium Project location clearly marked; and, if applicable:
the certificate of insurance or a complete copy of the NFIP policy; and
the Letter of Map Amendment (LOMA), Letter of Map Revision (LOMR),
or elevation certificate.
3.c.1. Property Information -
Leasehold Interest
Leasehold agreement and any other documentation required by the Mortgagee
to comply with FHA’s leasehold guidance.
3.c. Property Information - New
Construction, Gut Rehab,
Manufactured Home
Mortgagee to determine eligibility and may request additional documentation
for Units located in these types of Properties.
I certi
fy that I have completed this section of the questionnaire using information and resources that, to the best of my knowledge
and belief, are correct and reliable. WARNING: HUD will prosecute false claims and statements. Conviction may result in criminal
and/or civil penalties (18 U.S.C. 1001, 1010, 1012; 31 U.S.C. 3729, 3802).
_____________
____________________________________ __________________________________________
Name (printed) Title
_____________
___________________________________ __________________________________________
Signature Date
click to sign
signature
click to edit
OMB Approval No. 2502-0610
FHA Condominium Loan Level/Single-Unit Approval Questionnaire Page 4 of 5
Form HUD-9991 (01/21)
Section 4: Additional Requirements for Single-Unit Approval. To be completed by the Condominium
Association or management company and used by the Mortgagee in combination with the information in Section 3 to
verify FHA’s requirements for approval of a Unit located in a Condominium Project that is not FHA-approved.
4.a. Project Eligibility
Does the Condominium Project, Unit(s), or Common Elements have any of the following characteristics? (Check all that apply)
Yes
No
1.
Cooperative ownership
2.
Condominium hotel or “condotel”
3.
Mandatory rental pooling agreements that require Unit owners to either rent their Units or give a management
firm control over the occupancy of the Units
4.
Timeshare or segmented ownership projects
5.
Multi-dwelling condominiums (more than one dwelling per Condominium Unit)
6.
Houseboat project
7.
Continuing care facility
8.
Less than five Units
9.
Located in an Approved Condominium Project or unapproved Legal Phase of a Condominium project with an
approved Legal Phase
10.
Defined Coastal Barrier Resources System (CBRS) location
11.
A Certificate of Occupancy that was issued less than one year ago or has never been occupied
12.
Adverse determination by FHA for significant issues
4.b.
Transfer of Control and Recorded Documents
Yes
No
1.
Have governing documents been recorded as required by applicable law to bind the prospective Unit
owners or other third parties?
2.
Does the Condominium Project allow for Live/Work arrangements?
3.
Has control of the Condominium Association been transferred from the developer/builder to the Unit
owners?
Date
4.
Date of transfer
4.c.
Financial Condition
Yes
No
1.
Does the Condominium Association have a reserve account for capital expenditures and deferred
maintenance?
2.
Is the reserve account funded as required by FHA?
3.
Does the Condominium Association maintain separate accounts for operating and reserve funds?
4.
For projects with Commercial/Non-Residential Space, are the residential and commercial portions of the
Condominium Project independently sustainable?
Check here if not applicable:
5.
Has the project experienced a Financial Distress Event within the last 36 months:
sought protection under bankruptcy laws;
been placed into receivership (mandated or voluntary);
been subject to foreclosure or any seizure of assets by creditors; or
offered a Deed-in-Lieu (DIL) of Foreclosure?
OMB Approval No. 2502-0610
FHA Condominium Loan Level/Single-Unit Approval Questionnaire Page 5 of 5
Form HUD-9991 (01/21)
4.d.
Commercial/Non-Residential Space
Square Footage
1.
Total square footage
2.
Total square footage of Commercial/Non-Residential Space
3.
Total square footage of the Residential Space
4.e.
Additional Insurance Requirements for Single-Unit Approval
Insurance Type
Yes
No
1.
Liability
Insurance
Does the Condominium Association maintain a comprehensive Liability Insurance for
the entire Condominium Project, including all common areas, Common Elements,
public ways, and all other areas that are under its supervision, in the amount of at
least $1 million for each occurrence?
2.
Fidelity
Insurance
Does the Condominium Association maintain Fidelity Insurance for all officers,
directors, and employees of the Condominium Association and all other persons
handling or responsible for funds administered by the Condominium Association
(including management company)?
4.f.
Litigation
Yes
No
1.
Is the Condominium Project or Condominium Association subject to pending Litigation? If “Yes,” provide
a signed and dated explanation.
2.
Is the Condominium Project or Condominium Association subject to any other litigation risk?
4.g.
Additional Required Documentation for Single-Unit Approval
Section
Required Documentation
4.b. Transfer of Control and
Recorded Documents
Recorded Covenants, Conditions, and Restrictions (CC&Rs).
4.c.4. Financial Stability -
Commercial/Non-Residential Space
a current year budget approved by the board(s);
an income and expense statement for the previous year’s end results;
a year-to-date income and expense statement dated within 90 days if the
prior year-to-date actuals are more than 90 Days old; and
a current balance sheet dated within 90 Days prior to the date of
submission.
4.c.5. Financial Stability Distress
Event
Dated legal document evidencing Resolution of Financial Distress Event.
4.d. Commercial/Non-Residential
Space
Recorded Site Condominium plans and recorded CC&Rs.
4.e.1. Liability Insurance
Certificate of insurance or a complete copy of the insurance policy.
4.e.2. Fidelity Insurance
Certificate of insurance or a complete copy of the insurance policy from the
Condominium Association and/or from the management company.
4.f.1. Litigation
Explanation for pending Litigation.
I certify that I have completed this section of the questionnaire using information and resources that, to the best of my knowledge
and belief, are correct and reliable. WARNING: HUD will prosecute false claims and statements. Conviction may result in criminal
and/or civil penalties (18 U.S.C. 1001, 1010, 1012; 31 U.S.C. 3729, 3802).
_______
__________________________________________ __________________________________________
Name (printed) Title
_______
_________________________________________ __________________________________________
Signature Date
click to sign
signature
click to edit