Form Va Form 26-8844 - Financial Counseling Statement

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OMB Control Number: 2900-0270
Respondent Burden: 45 Minutes
FINANCIAL
1. INTERVIEW CONDUCTED
2. DATE OF INTERVIEW
COUNSELING
IN FIELD
STATEMENT
IN OFFICE
BY PHONE
3. NAMES(S) OF PERSON(S) INTERVIEWED
5. LOAN NUMBER
(Include area code)
4. TELEPHONE NUMBERS
HOME
OFFICE
SECTION I - FINANCIAL INFORMATION (Complete VA Form 26-6807, if appropriate)
(Include Area Code)
7. LENGTH OF
8. TYPE OF WORK
9. AGE OF
6. NAME, ADDRESS, AND TELEPHONE NUMBER OF EMPLOYER
EMPLOYMENT
HOMEOWNER
Include Area Code)
11. LENGTH OF
12. TYPE OF WORK
13. AGE OF
10. NAME, ADDRESS, AND TELEPHONE NUMBER OF SPOUSE'S EMPLOYER (
EMPLOYMENT
SPOUSE
(Include area code)
14. NAME, ADDRESS, AND TELEPHONE NUMBER OF NEXT OF KIN
15. AGE(S) OF OTHER DEPENDENTS
16. AVERAGE MONTHLY INCOME FROM ALL SOURCES
(Disclosure of child support,alimony and maintenance income is optional)
(Gross pay)
A. SALARIES
B. COMPENSATION OR PENSION
C. OTHER
D. TOTAL
$
$
$
$
17. ESTIMATED MONTHLY DEBTS (Other than mortgage)
A. NAME OF CREDITOR
B. DATE DUE
C. BALANCE DUE
D. MONTHLY PAYMENTS
$
$
TOTAL
$
$
18. REASON FOR DELINQUENCY
19. DELINQUENCY REGARDED AS
TEMPORARY
PERMANENT
SECTION II - MONTHLY OBLIGATIONS AND BUDGET
EXISTING
PROPOSED
DESCRIPTION
OBLIGATIONS
BUDGET
$
$
A. MORTGAGE LOAN PAYMENTS (Include investment properties, rents paid, and subordinate mortgages)
B. PROPERTY TAXES (Not included in "A" above)
C. TELEPHONE AND UTILITIES (Electricity, gas, fuel, water, etc.)
D. HOME MAINTENANCE AND REPAIRS
20.
HOUSE
E. GARDEN AND POOL MAINTENANCE
EXPENSES
F. HOUSEHOLD FURNISHINGS
G. HOUSEHOLD HELP AND/OR CHILD CARE (Including Social Security, carfare, etc.)
H. HOMEOWNER'S AND/OR PROPERTY INSURANCE PREMIUMS (Not included in "A" shown)
I. SUB TOTAL
$
$
A. GROCERIES AND HOUSEHOLD ITEMS
$
$
B. CLOTHING PURCHASES (Work, children, personal)
C. LAUNDRY AND DRY CLEANING
D. MEDICAL EXPENSES (Physician, dentist, pharmacy)
21.
E. HEALTH INSURANCE PREMIUMS
BASIC
F. EDUCATION (Tuition, supplies, room and board, etc.)
FAMILY
G. VEHICLE PAYMENTS
EXPENSES
H. VEHICLE EXPENSES (Gas, oil, repairs, insurance)
I. COMMUTING EXPENSES (Other than personal vehicles)
J. POCKET MONEY (Allowances, wife, husband, children, lunches)
$
$
K. SUB TOTAL
$
$
A. ENTERTAINMENT (Meals, shows, etc.)
B. VACATIONS AND CAMPS
C. RECREATION (Skiing, boats, riding, etc.)
D. SPECIAL COURSES OR LESSONS
22.
E. GIFTS (Birthdays, anniversaries, etc.)
ADDITIONAL
FAMILY
F. CHARITABLE CONTRIBUTIONS
EXPENSES
G. CLUB DUES AND EXPENSES
H. BOOKS AND SUBSCRIPTIONS (Record clubs, etc.)
I. PETS (Food, veterinary care)
$
$
J. SUB TOTAL
$
$
A. FEDERAL INCOME TAXES
B. STATE AND CITY INCOME TAXES
C. SOCIAL SECURITY TAXES AND/OR RETIREMENT DEPOSIT
D. LIFE INSURANCE PREMIUMS
E. DISABILITY INSURANCE PREMIUMS
23. OTHER
F. INSTALLMENT LOAN PAYMENTS (Including interest)
EXPENSES
G. PROFESSIONAL SERVICES (Union dues, accounting, legal, investment, etc.)
H. ALIMONY
I. CHILD SUPPORT
J. OTHER EXPENSES
K. SUB TOTAL
$
$
24. TOTAL MONTHLY EXPENSES
$
$
25. RECAP: INCOME/EXPENSES
(Item 24)
A. MONTHLY GROSS INCOME (Item 16D)
C. TOTAL
B. MINUS MONTHLY EXPENSES
$
- $
= $
26-8844
VA FORM
SUPERSEDES VA FORM 26-8844, OCT 2004,
JUN 2008
WHICH WILL NOT BE USED.

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