Va Form 26-6705 - Offer To Purchase And Contract Of Sale - Veterans Benefits Administration

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OMB Control No. 2900-0029
PURCHASE OFFER NO:
Respondent Burden: 20 Minutes
Expiration Date: 10/31/2017
OFFER TO PURCHASE AND CONTRACT OF SALE
Privacy Act Notice: VA and the Service Provider will not disclose information collected on this form to any source other than what has been authorized under the Privacy Act of 1974 or Title 38,
Code of Federal Regulations 1.576 for routine uses (i.e., The information collected on this form will serve as an offer to purchase a VA-acquired property. The acquisition and sale of such property
is authorized by law (38 U.S.C. 3720 (a) (5)).) as identified in the VA system of records, 55VA26, Loan Guaranty Home, Condominium and Manufactured Home Loan Applicant Records,
Specially Adapted Housing Applicant Records and Vendee Loan Applicant Records - VA, and published in the Federal Register. Your obligation to respond is required to obtain or retain benefits.
Respondent Burden: We need this information to consider your offer to purchase a VA acquired property. Title 38, United States Code, allows us to ask for this information. We estimate that you
will need an average of 20 minutes to review the instructions, find the information, and complete this form. VA and the Service Provider cannot conduct or sponsor a collection of information
unless a valid OMB control number is displayed. You are not required to respond to a collection of information if this number is not displayed. Valid OMB control numbers can be located on the
OMB Internet Page at If desired, you can call 1-800-827-1000 to get information on where to send comments or suggestions about this form.
INSTRUCTIONS TO BROKER - Follow the instructions of the Service Provider to submit offer.
1A. ADDRESS OF PROPERTY TO BE PURCHASED (Include No., Street or rural route, City or P.O. Box, State and ZIP Code)
1B. PROPERTY IDENTIFIER
SECTION I - PURCHASER(S) INFORMATION
2A. NAME OF PURCHASER
2C. HOME PHONE
2B. ADDRESS OF PURCHASER (Include No., Street or rural route, City or
P.O. Box, State and ZIP Code)
2D. BUSINESS PHONE
3A. NAME OF PURCHASER
3C. HOME PHONE
3B. ADDRESS OF PURCHASER (Include No., Street or rural route, City or
P.O. Box, State and ZIP Code) (If same as above write "SAME")
3D. BUSINESS PHONE
5. DO YOU PLAN TO OCCUPY THE
4. STATE EXACT NAME(S) IN WHICH TITLE IS TO BE CONVEYED
PROPERTY?
YES
NO
5A. IS ANY PURCHASER A VETERAN?
5B. SERVICE/SERIAL NUMBER
5C. DATES OF LATEST SERVICE
YES
NO
(If "YES", complete Items 5B and 5C)
6. IS THE PROPERTY BEING PURCHASED DIRECTLY OR INDIRECTLY BY OR FOR ANY OF THE FOLLOWING PERSONS OR THEIR CLOSE RELATIVE?
(If any answer(s) for Items 6A through 6D is/are "YES," give a detailed statement of circumstances on a separate sheet. The term "Close relative" as used means the spouse, parents, children,
brother or sister, or any other relative who is a member of the purchaser's household.)
YES
NO
A. ANY PERSON WHO AT ANY TIME OBTAINED OR ASSUMED THE PAYMENT OF ANY LOAN MADE OR HELD BY VA OR GUARANTEED OR
INSURED BY VA UNDER CHAPTER 37, TITLE 38, U.S. CODE?
B. ANY PERSON WHO HAS BEEN EMPLOYED BY THE SERVICE PROVIDER OR ANY OTHER ENTITY UNDER COMMON OWNERSHIP WITH
THE SERVICE PROVIDER WITHIN THE LAST 6 MONTHS.
(If "YES," is checked please give relationship)
C. ANY PERSON WHO AT ANY TIME WAS THE OWNER OF THE PROPERTY?
D. ANY PERSON WHO PREVIOUSLY PURCHASED A PROPERTY FROM VA?
SECTION II - TERMS OF PURCHASE, CERTIFICATIONS AND CONDITIONS OF TRANSMITTAL OF OFFER
7. CASH OFFER
8. TERM OFFER
A. OFFERED PRICE
$
A. OFFERED PRICE
$
DEDUCTIONS:
B. LESS (-) DOWNPAYMENT
$
C. AMOUNT OF VENDEE LOAN
B. DISCOUNT POINTS
$
$
REQUESTED (Item A - Item B)
C. LOAN ORIGINATION FEE
$
D. TIMES (X) CASH EQUIVALENT FACTOR
%
D. CLOSING COSTS
$
E. CASH EQUIVALENT VALUE (CEV) OF
SALES
$
$
LOAN AMOUNT (Item C x Item D)
E. COMMISSION
LISTING
$
$
F. PLUS (+) FUNDING FEE (
% of Item C)
G. PLUS (+) DOWNPAYMENT (Item B)
F. SALES BONUS
$
$
G. TOTAL DEDUCTIONS
H. ADDITIONS TO CEV OF
$
LOAN AMOUNT (Item F + Item G)
(Item B through Item F)
$
I. CASH EQUIVALENT VALUE OF TOTAL
H. NET TO VA (Item A - Item G)
$
$
OFFER (Item E + Item H)
SALES
$
J. LESS (-) COMMISSION
LISTING
$
K. LESS (-) SALES BONUS
$
L. TOTAL DEDUCTIONS (Item J + Item K)
$
M. NET TO VA (Item I - Item L)
$
I. PURCHASER(S) AGREE TO CLOSE WITHIN
N. INTEREST RATE
O. NO. OF YEARS
P. MONTHLY P @ I PAYMENT
DAYS AFTER OFFER IS ACCEPTED BY VA.
$
%
9. AMOUNT OF EARNEST MONEY DEPOSIT
$
BASED ON CORRECT CALCULATIONS, THE OFFER WHICH PROVIDES THE HIGHEST NET RETURN TO VA WILL BE ACCEPTED. ERRORS IN THE
COMPUTATION OF THE NET TO VA MAY RESULT IN THE OFFER BEING REJECTED AND ANOTHER OFFER ACCEPTED.
The "Conditions of Sale" on the reverse of this Offer to Purchase and Contract of Sale and any required Attachments and Addendums to it executed by the purchaser(s) are
incorporated herein and are a part hereof. All parties hereto acknowledge they have read and understand the "Conditions of Sale" on the reverse of this Offer to Purchase
and Contract of Sale (and any required Attachments and Addendums) as evidenced by their signature(s) herein below.
PENALTY- The law provides severe penalties which include fine or imprisonment, or both, for the willful submission of any statement or evidence of a material fact, knowing it to be false.
10A. SIGNATURE OF PURCHASER
10B. DATE SIGNED
11A. SIGNATURE OF SPOUSE OR CO-PURCHASER
11B. DATE SIGNED
12A. NAME AND ADDRESS OF REAL ESTATE FIRM
12B. NAME OF PRINCIPAL BROKER
12C. TAX ID OR SOCIAL SECURITY NUMBER
12D. NAME OF SALES PERSON
12E. TELEPHONE NUMBER
13A. SIGNATURE OF PRINCIPAL BROKER OR AUTHORIZED REPRESENTATIVE
13B. DATE SIGNED
SECTION III - ACCEPTANCE BY THE DEPARTMENT OF VETERANS AFFAIRS
Acceptance of this offer is hereby evidenced by my signature below and by the return to the Purchaser or Sales Broker of a copy hereof, so signed. (If the offer is not accepted it will not be signed
in Item 14A on behalf of VA and the prospective purchaser will be notified of the rejection.)
14A. THE SECRETARY OF VETERANS AFFAIRS
14B. DATE ACCEPTED
BY:
TITLE:
VA FORM
SUPERSEDES VA FORM 26-6705, MAY 2011,
26-6705
(Continued on Reverse)
OCT 2014
WHICH WILL NOT BE USED.

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