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Conventional Product Forms & Exhibits
FHA Product Forms & Exhibits
Tax Advantage Product Forms & Exhibits
Home Improvement Product Forms & Exhibits
Rev
Form
Purpose
Use When
1/19Form 1
Delegated Administrator New Lender Set Up
To assist with setting up WHEDA-Connect After approval - required
12/16Form 2 
Borrower’s Affidavit 
Determines income for all household occupants for compliance with county income limitsSubmit with Application Package. Must be signed by all borrowers.
3/10Form 3 
Residential Loan Application 
Addendum
Verifies type of credit. Used to comply with WI Martial Property ActSubmit with Application Package. Must be signed by all borrowers.
12/14

Form 4 
Acknowledgment of 
Federal Recapture
Tax Requirements
Informs borrower of potential recapture taxSubmit with Application Package for FTHB only. 

2/20Form 6
Application Package 
Checklist
Ensures all forms and documents are submittedSubmit with Application Package.
10/15Form 6f 
Release of Liability 
Application Package 
Checklist
Ensures all forms and documents are submitted Contact WHEDA at 800-562-5546. 

11/18Form 7 
Funding Request
Request funds for all loan productsSubmit 2 business days prior to the closing date.
11/11Form 11 
Gift Affidavit  
Used if gifted funds will be used as funds to close. Lender may use their own version of this formSubmit with Application Package.
8/19Form 12 
Closing Package Checklist
Ensures all forms and documents are submittedSubmit with Closing Package.
01/19

Form 14 
Lender Training Request

To request training on WHEDA programs As needed. 
2/10Form 16 
Lender Changes
Inform WHEDA of changes in lender information (address, contact person, etc.)As needed.
6/15Form 17 
Authorization 
Agreement for ACH 
Transfers
Authorizes WHEDA to credit lender’s account via Automate Clearing House (ACH)Submit when becoming a participating lender or when changes to ACH accounts are needed.
3/16Form 23 
Automatic Payment 
Withdrawal Form
Authorizes WHEDA to debit borrower’s depository account for WHEDA loan paymentsSubmit with Closing Package. Signed by borrower at closing.
2/10Form 24 
Compliance Income Calculation
Worksheet 
Tool to calculate compliance incomeDetermining borrower eligibility.
9/15Form 27 
TPO Authorization 
Form
Inform WHEDA of participating TPOsAuthorizing a TPO to originate on your behalf.
4/18Form 29 
Compliance Income Evaluation  
Tool for lender to receive compliance income guaranty from WHEDAAs needed
12/14Form 34 
Lender Application
Application for becoming a WHEDA approved lenderNew lender application or annual recertification.
5/10Form 35 
Certification of Zero Income
Affidavit that borrower has no incomeAs needed
 10/18Form 38
HomeStyle® Renovation Contract Agreement
HomeStyle® Renovation Contract AgreementSubmit with Application Package.  Must be signed by the borrower(s) and Contractor(s)
 10/18Form 39
HomeStyle® Renovation Loan Agreement 
HomeStyle® Renovation Loan Agreement Submit with Application Package.  Must be signed by the borrower(s) and Lender
10/18 Form 40
HomeStyle® Renovation Multi Disbursement Form
HomeStyle® Renovation Multi Disbursement Form Submit with paid receipts and lien waivers. 
12/18Form 41
HomeStyle® Renovation Maximum Mortgage Worksheet
HomeStyle® Renovation calculation of maximum mortgage and renovations Must be submitted with Application package
11/18Form 42
HomeStyle® Renovation Contractor Acknowledgement 
HomeStyle® Renovation Contractor acknowledgement of HomeStyle® terms As needed
11/18Form 43
HomeStyle® Permit Certification
HomeStyle® Renovation request to municipality to confirm needed permits As needed
3/19 Form 44
HomeStyle® Renovation Pre-Close Review Request
For use by Correspondent Lenders to receive WHEDA Certification on mortgage/renovation calculation, & scope of work eligibility Submit this form and required documentation prior to closing a HomeStyle® Renovation loan.
3/19 Form 45
Correspondent Pre-Delegated Review Request
For use by New Correspondent Lenders to receive WHEDA certification on mortgage eligibility prior to receiving full delegated authority Submit this form and required documentation after lender underwriter has reviewed the file, but prior to lender issuing an approval
 12/19Form 47
Tax Consent 
Allows WHEDA to share tax return information with third parties. Submit for all loans where tax returns/transcripts were obtained
11/18Form 1204
HomeStyle® Renovation Mortgage Consumer Tips
Helpful tips and information for Borrower(s) Submit with Application Package.  Must be signed by the borrower(s) and Lender
2/20Exhibit 4 
Schedule of Fees  
Fees charged for various servicesAs needed
3/11 

Exhibit 5 
Confirmation of 
Receipt of 
Appraisal Report
  
Borrower acknowledges they received a copy of the property appraisalAs needed 

9/16Exhibit 7 
Recapture Tax 
Reimbursement
To request reimbursement of recapture tax paidAs needed
10/18Exhibit 9 
Finance Charges
Used to determine fees included in the APR calculationWhen preparing the truth in lending disclosure.
7/14Exhibit 13
Delegated Administrator (DA) Agreement 
Used to authorize user for WHEDA-Connect New lender application or change in Delegated Administrator

 

RevFormPurposeUse When
2/20Form 1a 
Loan Registration Form
Request FHA Case # from WHEDA  Processing a WHEDA FHA Advantage loan as a Sponsored Originator 
12/16Form 2 
Borrower's Affidavit
Disclosure of income for all household occupants for compliance with county income limitSubmit with Application Package. Must be signed by all borrowers
3/10Form 3 
Residential Loan Application Addendum
Verifies type of credit, used to comply with WI Marital Property ActSubmit with Application Package. Must be signed by all borrowers

2/20

Form 6
Application Package Checklist
Checklist for lenders to ensure all forms and documents are submittedSubmit to WHEDA for underwriting
11/18Form 7 
Funding Request
Request funds for all loan productsSubmit 2 business days prior to the loan closing date
11/11Form 11 
Gift Affidavit
Used if gift funds will be used as funds to close. Lender may use their own version of this formSubmit with Application Package
8/19Form 12 
Closing Package Checklist
Checklist for lender to ensure all forms and documents are submittedSubmit with Closing Package
2/10Form 16 
Lender Changes
Informs WHEDA of changes or corrections in an institution’s name, contact person, address and telephone numberSubmit to WHEDA when notification is necessary
6/15Form 17 
Authorization Agreement for ACH Transfers
Authorizes WHEDA to credit lender’s account via Automated Clearing House (ACH)Submit when becoming a participating lender or when changes to ACH accounts are needed
3/16Form 23 
Automatic Payment Withdrawal Form
Authorizes WHEDA to debit borrower’s depository account for WHEDA loan paymentsSubmit with Closing Package. Signed by borrower at closing
2/10Form 24 
Compliance Income Calculation worksheet
Tool for lender to assist in determining Compliance IncomeAs needed
12/16Form 29 
Compliance Income Evaluation
Tool for lender to receive a Compliance Income guaranty from WHEDAAs needed
5/14Form 34 
Lender Application
Application for becoming a WHEDA approved lenderNew lender application or annual recertification
11/14Form 34c 
Originator Application
Application to submit FHA loan applicationsAs needed
5/10Form 35 
Certification of Zero Income
Affidavit that borrower has no incomeAs needed
8/11Form 36 
Affidavit of Identity of Interest
Used to document variances in borrower nameSubmit with Application Package
3/19 Form 45
Correspondent Pre-Delegated Review Request
For use by New Correspondent Lenders to receive WHEDA certification on mortgage eligibility prior to receiving full delegated authority Submit this form and required documentation after lender underwriter has reviewed the file, but prior to lender issuing an approval
 12/19Form 47
Tax Consent 
Allows WHEDA to share tax return information with third parties. Submit with Application Package for all First Mortgage loans. 
2/20Exhibit 4 
WHEDA Schedule of Fees
Breakdown of fees for various servicesAs needed
3/11Exhibit 5 
Confirmation of Receipt of Appraisal
Signed by borrower to verify receipt of appraisalSubmit with the Closing Package
10/15Exhibit 9 
Finance Charges
Used to determine fees included in the APR calculationWhen preparing the truth in lending disclosure
7/14Exhibit 13
Delegated Administrator (DA) Agreement 
Used to authorize user for WHEDA-Connect New lender application or change in Delegated Administrator

 

Rev
Date
FormPurposeUse When
12/19MCC-001
Reservation Package Checklist 
To reserve a MCC Submit after receipt of a signed and accepted Offer to Purchase 
4/13MCC-002 
Request for Conditional Commitment
Applicant attestations Submit with the Reservation Package Checklist 
4/13MCC-003 
Acknowledgment of Federal Recapture Tax Requirements 
Applicant’s acknowledgement of recapture tax provision Submit with the Reservation Package Checklist 
2/15MCC-004 
Income Tax Affidavit 
Applicant’s explanation for missing tax returns Submit with the Reservation Package Checklist 
11/18MCC-005
Closing Package Checklist 
Confirmation of loan closing Submit within 10 business days of loan closing 
5/13MCC-006
Lender Affidavit 
Lender attestations Submit with the Closing Package Checklist 
4/13MCC-007 
Seller’s Affidavit 
Seller attestationsSubmit with the Closing Package Checklist 
4/13MCC-008 
Closing Affidavit 
Applicant reaffirmations Submit with Closing Package Checklist 
4/13MCC-009
Owner Occupancy Certification 
Applicant attestations Request for reissuance if the first mortgage is refinanced 
5/13MCC-010
Participation Agreement
Lender Eligibility Submit prior to submitting a reservation request 
2/17MCC-011
Reissue Request
Borrower request to reissue a MCC Within 1 year of a refinance
 12/19Form 47
Tax Consent 
Allows WHEDA to share tax return information with third parties. Submit for all loans where tax returns/transcripts were obtained
4/13  Exhibit 1
Tax Credit Worksheet 
Example of  how to calculate the monthly benefit to the borrower for qualifying income purposes May be provided to the applicant to demonstrate the benefit of the MCC 
9/15  Exhibit 2
Schedule of Fees 
Conveys MCC processing fees Refer to as needed 
9/14Exhibit 12
Training Request Form 
To identify program trainingAs needed

 

RevFormPurposeUse When
9/16Form 1A
Rate Lock Management Form 
Locks interest rate on the Home Improvement Loan for 45 daysFax to WHEDA prior to submitting the application for underwriting
12/19Form 1 
Application Package Checklist
Checklist for lender to ensure all forms and documents are submittedSubmit to WHEDA for underwriting
9/16Form 2 
Borrower's Affidavit
Disclosure of income for all household occupants for compliance with county income limitSubmit with Application Package. Must be signed by all borrowers
9/16Form 3 
Funding Certificate
Requests funds for loan closingSubmit by noon the day prior to the disbursement date
9/16Form 4 
Closing package Checklist
Checklist for lender to ensure all forms and documents are submittedSubmit with Closing Package within 15 days of closing
 12/19Form 47
Tax Consent 
Allows WHEDA to share tax return information with third parties. Submit for all loans where tax returns/transcripts were obtained
9/14Exhibit 12 
Training Request Form 
To identify program trainingAs needed