Sample Gift Letter

(All Donor information fields must be completed by donor prior to signature)

Borrower's Name(s) _________________________________________

Prperty Address ____________________________________________

Donor's Name _______________________________________________

Donor's Phone # ____________________________________________

Donor's Address ____________________________________________

Donor's Relationship to borrower ___________________________

I acknowledge that I have read the warning below and certify that I am related to the borrower as stated above and that I have given/will give a gift in the amount of $______to the above stated borrower to be applied toward the mortgage transaction on the above stated property.  I certify that the funds were not made available to me from any person or entity with an interest in the sale of the property.  I further certify that no repayment is expected or implied either in the form of cash or future services from the recipients.



*Donor’s Signature __________________________________ Date _____________

WARNING: Section 1010 of Title 18, U.S.C., Department of Housing and Urban Development Transactions provides “Whoever, for the purpose of influencing in any way the action of such Department, makes, passes, utters, or publishes any statement, knowing the same to be false . . . shall be fined not more than $5000 or imprisoned not more than two years, or both.”

Borrowers’ Acknowledgement of Warning:

Borrower Signature ________________________________________ Date _______

Co-Borrower Signature _____________________________________ Date _______