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.
*Donors 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 _______