HUD.gov / U.S. Department of Housing and Urban Development (HUD)

Revised Section 232 Healthcare Documents

Based on OMB approval of the entire Section 232 Healthcare document collection (June 17, 2019), the final documents on this page should be used for all Section 232 transactions effective October 3, 2019.

Accounts Receivable Documents

Accounts Receivable Financing Certification (90020)
Intercreditor Agreement (for AR Financed Projects) (92322)

Asset Management Documents

Multifamily Insurance Branch Claim (1044_D)
Mortgagee's Application for Partial Settlement (2537)
Application for Insurance Benefits (2747)
Funds Authorizations (9250)
Insurance Termination Request (9807)
Auditor's Loss period Financial Statement Certification (223d) (90019)
232 Healthcare Portal Access (90029)
Lender Narrative, Requests to Release or Modify Original Loan Collateral (90030)
Lender Narrative, Accounts Receivable (90031)
Lender Narrative, Loan Modification (90032)
Loan Modification Lender Certification (90033)
Mortgage Record Change - 232 (92080)
Borrower’s Certification – Completion of Non-Critical Repairs (92117)

Model Form Bill of Sale and Assignment (92228)
Lender Narrative – Change of Ownership Review (92266)
Lender Narrative, Change of Operator/Lessee (92266A)
Lender Narrative, Change of Management Agent (92266B)
Personal Financial and Credit Statement (92417)
Certification of Exigent Health & Safety (EH&S) Issues (93332)
Certification Physical Condition in Compliance (93333)
Servicer's Notification to HUD of Risks to Healthcare Project (93334)
Operator's Notification to HUD of Threats to Permits and Approvals (93335)
Monthly Report for Establishing Net Income (93479)
Schedule of Disbursements (93480)
Schedule of Accounts Payable (93481)
Computation of Surplus Cash (93486)

Closing Documents

Borrower’s Certificate of Actual Cost (2205a)
Subordination, Non-Disturbance and Attornment Agreement of Operating Lease (SNDA) (91110)
Survey Instructions and Borrower’s Certification (91111)
Refund Request (91112)
Borrower’s Certification – Completion of Critical Repairs (91118)
Residual Receipts Note - Non Profit Mortgagor (91710)
Request for Final Endorsement (92023)
Lease Addendum (92070)
Management Agreement Addendum (92071)
Surplus Cash Note (92223)
Operator Security Agreement (92323)

Operator Assignment of Leases and Rents (92324)
Borrower's Certificate of Actual Cost (92330)
Contractor's Certificate of Actual Cost (92330a)
Subordination Agreement - Financing (92420)
Lender's Certification - Insurance Coverage (92435)
Healthcare Regulatory Agreement - Borrower (92466)
Healthcare Regulatory Agreement - Operator (92466a)
Healthcare Regulatory Agreement - Fire Safety (92468)
Security Instrument/Mortgage/Deed of Trust (94000)
Rider to Security Instrument - LIHTC (94000B)
Healthcare Facility Note (94001)

Consolidated Certifications

Consolidated Certification - Lender (90012)
Consolidated Certification - Principal of the Borrower (90014)
Consolidated Certification - Parent of Operator (90016)
Consolidated Certification - Contractors (90018)

Consolidated Certification - Borrower (90013)
Consolidated Certification - Operator (90015)
Consolidated Certification - Management Agent (90017)
Previous Participation Certification - Controlling Participant (90021)

Construction Documents

Memo for Post-Commitment Early Start of Construction Request (9442)
Design Professional's Certification of Liability Insurance (91123)
Staffing Schedule (91125)
Lender Certification for New Construction Cost Certifications (91129)
Application for Insurance of Advance of Mortgage Proceeds (92403)
Request for Permission to Commence Construction Prior to Initial Endorsement for Mortgage Insurance (Post-Commitment Early Start of Construction) (92415)
Building Loan Agreement (92441)
Construction Contract (92442)
Completion Assurance Agreement (92450)
Payment Bond (92452A)
Escrow Agreement for Incomplete Construction (92456)

Borrower Certification - Early Start of Construction (90023)
Design Architect Certification (91124)
Financial Statement Certification - General Contractor (91127)
Contractor's and/or Mortgagor's Cost Breakdown (92328)
HUD Amendment to B108 (92408)
Request for Construction Changes on Project Mortgages (92437)
Building Loan Agreement Supplemental (92441A)
Contractor's Requisition (92448)
Performance Bond - Dual Obligee (92452)
Request for Endorsement (92455)
Offsite Bond - Dual Obligee (92479)
Permission to Occupy (92485)
Supplementary Conditions of the Contract for Construction (92554)
Agreement and Certification (93305)
HUD Representative's Trip Report (95379

Escrow Documents

Minor Moveable Escrow (9443)
Escrow Agreement for Off-site Facilities (91071)
Initial Operating Deficit Escrow Calculation Template (91128)
Working Capital Escrow (92412)
Latent Defects Escrow (92414)

Request Approval Advance of Escrow Funds (92464)
Escrow Agreement Noncritical Deferred Repairs (92467)
Escrow Agreement for Operating Deficits (92476B)
Escrow Agreement for Debt Service Reserves (92476C)

Legal Documents

Operator Estoppel Certificate (91117)
Guide for Opinion of Borrower's Counsel (91725)
Instructions to Guide for Opinion of Borrower’s and Operator’s Counsel (91725inst)

Exhibit A to Opinion of Borrower's Counsel - Certification (91725cert)
Guide for Opinion of Operator's Counsel and Certification (92325)
Consolidated Operator Opinion [Single State] (92327)

Master Lease Documents

Master Lease Addendum (92211)
Cross-Default Guaranty of Subtenants (92331)
Master Lease SNDA (92333)
Master Tenant Assignment of Leases and Rents (92334)
Guide for Opinion of Master Tenant’s Counsel (92335)
Subordinate Cross-Default Guaranty of Subtenants (92336)
Healthcare Regulatory Agreement - Master Tenant (92337

Master Lease Estoppel Agreement (92339)
Master Tenant Security Agreement (92340)
Termination and Release of Cross-Default Guaranty of Subtenants (92341)
Amendment to HUD Master Lease (Partial Termination and Release) (92342)
Limited Guaranty and Security Agreement (92343)

Underwriting Documents

Request for Waiver of Housing Directive (2)
Affirmative Fair Housing Marketing Plan - 232 (935.2D)
Lenders FHA Number Request Form (941)
Certification of Outstanding Obligations (9445)
Management Certification—Residential Care Facility (9839)
Certification for Electronic Submittal (90022)
Contact Sheet (90024)

Addendum to Operating Lease (91116)
Financial Statement Certification - Borrower (91126)
Building Code Certification (91130)
Maximum Insurable Loan Calculation (92264A)
Lender Certification (92434

Underwriting Lender Narratives

Lender Narrative 223a7 (9001)
Lender Narrative 223f (9002)
Lender Narrative 241a (9003)
Lender Narrative - Substantial Rehabilitation - Single Stage(9006)
Lender Narrative - Substantial Rehabilitation - 2 Stage Initial (9007)
Lender Narrative - Substantial Rehabilitation - 2 Stage Final Submittal (9007a)
Lender Narrative 223(d) - Operating Loss Loan (90011)
Lender Narrative Cost Certification Supplement (9444)

241a - Supplemental Loan Documents

Supplemental Addendum to Operating Lease (91116A)
Supplemental Master Lease Addendum (92211A)
Supplemental Operator Security Agreement (92323A)
Supplemental Operator Assignment of Leases and Rents (92324A)
Supplemental Master Lease SNDA (92333A)
Supplemental Master Tenant Assignment of Leases and Rents (92334A)
Supplemental Healthcare Regulatory Agreement – Master Tenant (92338)
Supplemental Master Tenant Security Agreement (92340A

Supplemental Lender's Certificate for 241(a) (92434A)
Supplemental Building Loan Agreement for 241(a) (92441B)
Supplemental Healthcare Regulatory Agreement – Borrower (92467)
Supplemental Healthcare Regulatory Agreement – Operator (92467A)
Supplemental Security Instrument/Mortgage/Deed of Trust (94000A)
Supplemental Healthcare Facility Note (94001A)

Security Instrument/ Mortgage/ Deed of Trust Addenda (various states)

Healthcare Facility Note - Rider (various states)

Former Section 232 Healthcare Documents

For a limited time, participants may use the former Section 232 Healthcare Documents below. The new documents will be required to be used for transactions in which the firm commitment is issued on or after October 3, 2019. Participants may choose to use the new documents beginning on the effective date (June 17, 2019); however, if participants choose to use the new documents for a transaction (e.g. application submission, change of ownership, etc.), they must use all the new documents in their entirety and may not mix the use of old and new documents. Upon the Implementation Date (October 3, 2019), the use of only new documents in submitted transactions will be mandatory.

Accounts Receivable Documents