TRACER FOUND CASE FORM


DISTRIBUTIVE SHARE/MORTGAGE INSURANCE PREMIUM REFUND

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THIRD-PARTY TRACER INFORMATION
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Tracer Name ____________________________________________________________

Street _________________________________________________________________

City ________________________________State_________ Zip________________

Contact __________________________ Phone Number (______)_____-________

E-mail ____________________________


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CLAIMANT INFORMATION
======================

FHA Case Number________________________________________ (MANDATORY!!)

NAME 1 ______________________________________________________________
First Middle Initial Last

NAME 2 ______________________________________________________________

CURRENT
ADDRESS ____________________________________________________________

____________________________________________________________
City State Zip Code

TELEPHONE NUMBER (______) _______-________________

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Property Address________________________________________________________

________________________________________________________
City State Zip Code



Date title acquired: ______________________________________________________

Date property sold, if applicable: ________________________________________

Date mortgage was paid off: _______________________________________________


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The Department of Housing and Urban Development is not a party to any financial agreement between the tracer and the claimant.

MORTGAGORS: I/We, hereby certify that I/We never received a distributive share or a premium refund from HUD in connection with this FHA insured mortgage.
I/We consent to the above Tracer submitting this form on my/our behalf.



SIGNATURE(S)  ____________________________________ DATE_____________
of Mortgagor(s)

                          ____________________________________ DATE_____________



FORWARD YOUR "FOUND" CASES TO:


Department of Housing and Urban Development, Disbursements Branch,
P.O. Box 23699, Washington, D.C. 20026-3699