Fillable Va Form 26-8084 - Claim For Repurchase Of Loan printable pdf download

OMB Approved No. 2900-0377

Respondent Burden: 30 minutes

NOTE - Use this form when requesting VA to repurchase a

loan under 38 CFR 36.4600.

Submit in duplicate.

CLAIM FOR REPURCHASE OF LOAN

Signatures are required on the ORIGINAL ONLY. See

below for documents required and Instructions.

(Chapter 37, Title 38, U.S.C., 38 CFR 36.4600)

NOTE - Please read the Privacy Act and Respondent Burden statements on the reverse.

SUPPORTING DOCUMENTS REQUIRED

1. Executed instrument of reassignment, and/or reconveyance as

7. Receipted tax bill for last period paid.

prescribed by VA.

8. If claimant is an assignee or transferee of the original holder

2. Instrument evidencing the debt.

who purchased this loan from VA, a certified copy of the

3. Security instrument.

instrument of transfer.

4. Title evidence (if any obtained from VA when loan

9. Statement of account, in duplicate, one certified. This in effect

was purchased).

should be a copy of ledger sheets or equivalent showing amounts

5. Insurance policies.

of all debits and credits.

6. Any other instruments customarily transferred to a purchaser

incident to the assignment of a loan.

INSTRUCTIONS

purchased

tem 4 - If available, insert the Social Security and/or taxpayer identification

Item 7 - Explain here any advances made to principal since holder

number(s) of all obligors.

loan from VA and enter total at Item 8G.

Item 6A - This will include any payments remitted to the holder by VA.

Item 8 - Any payments received by the holder after this claim is filed will be

Item 6H - Due date of earliest installment not fully satisfied by proper

endorsed as appropriate and forwarded to VA.

application of available credits or deposits.

PURSUANT TO 38 CFR 36.4600 ISSUED UNDER CHAPTER 37, TITLE 38, U.S. CODE, THE UNDERSIGNED SUBMITS

CLAIM FOR REPURCHASE OF LOAN AS SET FORTH BELOW.

1. NAME AND ADDRESS OF HOLDER

2. NAME AND ADDRESS OF OBLIGOR(S)

3. HOLDER'S LOAN NUMBER

4A. OBLIGOR(S) SOCIAL SECURITY NUMBER

4B. OBLIGOR(S) TAXPAYER INDENTIFICATION NUMBER(S)

5. VA LOAN NUMBER

6. SUMMARY OF LOAN ACCOUNT FOLLOWING PURCHASE FROM VA

A. TOTAL PYMENTS

B. AMOUNT APPLIED TO

C. AMOUNT APPLIED

D. AMOUNT APPLIED ON

E. LATE CHARGES COLLECTED

RECEIVED

TAX & INSURANCE

TO INTEREST

PRINCIPAL

F. DATE LAST PAYMENT MADE

J. TAXES

TYPE

PAID THROUGH (Date)

TOWN OR CITY

G. AMOUNT OF LAST PAYMENT

H. DATE OF FIRST UNCURED DEFAULT

COUNTY

I. INTEREST COLLECTED TO: (Date)

OTHER

L. BALANCE IN TAX AND

K. INSURANCE PREMIUMS PAID THROUGH (Date)

M. PRINCIPAL BALANCE OF LOAN

INSURANCE ACCOUNT

7. ADVANCES

AMOUNT

DATE

PURPOSE

8. COMPUTATION OF CLAIM FOR REPURCHASE OF VENDEE ACCOUNT

ITEM

AMOUNT

A. PRINCIPAL BALANCE OF OBLIGOR WHEN LOAN WAS PURCHASED

FROM VA

B. PERCENTAGE OF PAR PAID FOR LOAN

C. AMOUNT PAID FOR LOAN (Not to include any accrued interest. Item 8A X 8B)

D. CREDITS TO PRINCIPAL

E. CREDIT BALANCE IN TAX AND INSURANCE ACCOUNT (Item 6L)

F. SUBTOTAL

G. ADVANCES TO PRINCIPAL

H. UNPAID ACCRUED INTEREST - 38 CFR 36.4600(e)(1) - APPLICABLE ONLY

TO LOANS SOLD AFTER JULY 15, 1970 - USE 365 DAY YEAR BASIS

I. NET AMOUNT CLAIMED UNDER 38 CFR 36.4600(e)

CERTIFICATION: The undersigned hereby certifies that the information contained herein is true, accurate and complete, that this is a correct and

valid claim, and that payment therefore has not been received. The undersigned further certifies that it is the owner of the loan identified above.

9C. DATE

9A. NAME OF CLAIMANT (Type or print)

9B. OFFICIAL SIGNATURE AND TITLE

Federal statues provide severe penalties for any fraud, intentional misrepresentation or criminal connivance or conspiracy in making any claim upon or against the

Government of the United States, or any department or officer thereof, and obtaining or aiding to obtain the payment or approval of such claim.

THE PAYEE IS ENTITLED, UNDER 38 CFR 36.400(E), TO

AUTHORIZED SIGNATURE

DATE

FOR VA

THE PAYMENT OF

USE ONLY

VA FORM

EXISTING STOCK OF VA FORM 26-8084, JUN 2006,

26-8084

OCT 2012

WILL BE USED.

Va Form 26-8084 - Claim For Repurchase Of Loan

Related Articles

Related forms

Related Categories