American Security Mortgage Corp.

GIFT LETTER

Applicant

Property Address

This is to certify that I/We (donor) have

Given/will give on my/our (state

relationship with recipient) a gift in the amount of $ .

This is a bona fide gift. There is no obligation, expressed or implied, to repay this sum in cash or services of any kind,
now or in the future. The funds were not made available to the donor(s) from any person or entity with an interest in the
sale of the property including the seller, real estate agent or broker, builder, loan officer, or any entity associated with
them. These funds are available and ____ will be given no later than the closing date or; ____ have been given to the
recipient(s) to be used for the purchase of property located at the address above.

Funds not yet given will be provided in time to close the mortgage transaction on the purchase of the above
property*. American Security Mortgage may confirm the availability of funds to be given.

Name of Donor’s Depository or other Source Account Number

Address of Depository or other Source (#, street, city, state, zip code)

Address & Phone Number of Donor (#, street, city, state, zip code) Date

Signature of Donor Signature of Applicant

NOTICE: Documentation of the transfer of the funds from the donor’s account to the applicant’s account is
required. This may include obtaining a copy of the donor’s withdrawal slip or cancelled check, along with the
applicant’s deposit slip or bank statement showing the deposit. If the funds are not deposited to the applicant’s
account prior to closing, American Security Mortgage must obtain verification that the closing agent received
funds from the donor for the amount of the gift.

WARNING: Section 1010 of Title 18, U. S. C. Federal Housing Administration transactions provides: “Whoever, for the
purpose of influencing in any way the action of such Administration makes, passes, utters, or published any statement,
knowing the same to be false, shall be fined not more than $5,000 or imprisoned not more than two years, or both”.

Rev 5/2004