"Mortgage Gift Letter Template"

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GIFT LETTER
TO WHOM IT MAY CONCERN:
DATE:
I, _________________________________________ am the ____________________________________________
Name of Donor
Relationship to Applicant
of______________________________________________________________________, and am giving the sum of
Name of Applicant
$ _____________________________________________________________________ as a gift for the purchase of
______________________________________________________________________________________________.
Property Address
This is a gift and no repayment is expected or implied. The source of funds for the gift is
______________________________________________________________________________________________
Name and Address of Institution
and will be in the form of_________________________________________________________.
Certified Funds/Cashiers Check/Personal Check
This gift was/will be transferred to the applicant on ____________________________________.
Date Funds Transferred to Applicant
The funds given to the applicant were not made available to the donor from any person or entity with an
interest in the sale of the property, including the seller, real estate agent, broker, builder, loan officer, or any
entity associated with them.
W A R N I N G
Section 1010 of Title 18 USC provides that, whoever for the purpose of obtaining any loan or advance of credit
shall be offered to or accepted by the Department of Housing and Urban Development for insurance, or for the
purpose of obtaining any extension or renewal of any loan, advance of credit, or mortgage insured by such
Department, … makes, passes, utters, or publishes any statement, knowing the same to be false, or alters, forges, or
counterfeits any instrument, paper, or document, or utters, publishes, or passes as true any instrument, paper, or
document, knowing it to have been altered, forged, or counterfeited, … shall be fined not more than $5,000 or
imprisoned for not more than two years, or both.
Privacy Act Notice: This information is to be used by the agency collecting it or its assignees in determining
whether you qualify as a prospective mortgagee under its program. It will not be disclosed outside the agency
except as required and permitted by law. You do not have to provide this information, but if you do not submit your
application for approval as a prospective mortgagor or borrower may be delayed or rejected. The information
request in this form is authorized by Title 38, USD, Chapter 37 (if VA); by 12 USC, Section 1701 et.seq. (if
HUD/FHA); by 42 USC, Section 1452b (if HUD/CPD; and Title 42 USC, 1471 et.seq., or 7 USC, 1921 et.seq. (if
USDA/FmHA).
_______________________________________________________________________________________________
Donor's Signature
Date
_______________________________________________________________________________________________
Address of Donor
__________________________________________
Telephone Number of Donor
_______________________________________________________________________________________________
Applicant Signature
Date
_______________________________________________________________________________________________
Applicant Signature
Date
Gift letter 05/09
Page 1 of 1
ML4D110
GIFT LETTER
TO WHOM IT MAY CONCERN:
DATE:
I, _________________________________________ am the ____________________________________________
Name of Donor
Relationship to Applicant
of______________________________________________________________________, and am giving the sum of
Name of Applicant
$ _____________________________________________________________________ as a gift for the purchase of
______________________________________________________________________________________________.
Property Address
This is a gift and no repayment is expected or implied. The source of funds for the gift is
______________________________________________________________________________________________
Name and Address of Institution
and will be in the form of_________________________________________________________.
Certified Funds/Cashiers Check/Personal Check
This gift was/will be transferred to the applicant on ____________________________________.
Date Funds Transferred to Applicant
The funds given to the applicant were not made available to the donor from any person or entity with an
interest in the sale of the property, including the seller, real estate agent, broker, builder, loan officer, or any
entity associated with them.
W A R N I N G
Section 1010 of Title 18 USC provides that, whoever for the purpose of obtaining any loan or advance of credit
shall be offered to or accepted by the Department of Housing and Urban Development for insurance, or for the
purpose of obtaining any extension or renewal of any loan, advance of credit, or mortgage insured by such
Department, … makes, passes, utters, or publishes any statement, knowing the same to be false, or alters, forges, or
counterfeits any instrument, paper, or document, or utters, publishes, or passes as true any instrument, paper, or
document, knowing it to have been altered, forged, or counterfeited, … shall be fined not more than $5,000 or
imprisoned for not more than two years, or both.
Privacy Act Notice: This information is to be used by the agency collecting it or its assignees in determining
whether you qualify as a prospective mortgagee under its program. It will not be disclosed outside the agency
except as required and permitted by law. You do not have to provide this information, but if you do not submit your
application for approval as a prospective mortgagor or borrower may be delayed or rejected. The information
request in this form is authorized by Title 38, USD, Chapter 37 (if VA); by 12 USC, Section 1701 et.seq. (if
HUD/FHA); by 42 USC, Section 1452b (if HUD/CPD; and Title 42 USC, 1471 et.seq., or 7 USC, 1921 et.seq. (if
USDA/FmHA).
_______________________________________________________________________________________________
Donor's Signature
Date
_______________________________________________________________________________________________
Address of Donor
__________________________________________
Telephone Number of Donor
_______________________________________________________________________________________________
Applicant Signature
Date
_______________________________________________________________________________________________
Applicant Signature
Date
Gift letter 05/09
Page 1 of 1
ML4D110