Form Number: HUD-92403

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Form Description:

The form is used by mortgagors for funds expended or obligated for construction related items; by mortgagees to request
mortgage insurance for funds so advanced. The information will be used by the Department to as its certificate of mortgage insurance for
funds it approves for advance. This is a requirement under Section 207, 213, 220, 221, 231, 232, 234(d), 236, 241, 242 and 810 of the
National Housing Act, P.L. 479 48 Stat. 1246 U.S.C. et. seq. Furnishing of this information is required to obtain benefits, and failure to
provide it may result in your not receiving your benefits.

Download HUD-92403 Form