Va Form 26-6382 - Statement Of Purchaser Or Owner Assuming Seller'S Loan Page 2
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2NOTE: PLEASE READ CAREFULLY BEFORE SIGNING THE FRONT OF THE FORM
PRIVACY ACT NOTICE
VA 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 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. Giving us your SSN account information is mandatory.
Applicants are required to provide their SSN under the Debt Collection Act of 1982. VA will not deny an individual
benefits for refusing to provide his or her SSN unless the disclosure of the SSN is required by a Federal Statute of law in
effect prior to January 1, 1975, and still in effect.
No release of liability of the veteran seller may be granted unless this form has been completed and received (38 U.S.C.
3713 and 3714). This form provides information that is used in determining whether VA can approve the seller's request
for release of liability to the Government on the loan. Failure to provide the requested credit information could result in
disapproval of your application for a loan. Under the Debt Collection Act of 1982, VA is required to collect the social
security numbers of loan applicants. Under the Financial Privacy Act of 1973, VA may obtain financial records held by
financial institutions in connection with the consideration or administration of assistance to you. Such financial records
will be available to VA without further notice of authorization.
RESPONDENT BURDEN
We need this information to make determinations for releases of liability as well as for credit underwriting
determinations for substitution of entitlement cases. Title 38, United States Code, allows us to ask for this information.
We estimate that you will need an average of 15 minutes to review the instructions, find the information, and complete
this form. VA 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.
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