26-6851 Notice of Intention to Foreclose

OMB Approved No. 2900-0021
Respondent Burden: 15 minutes

NOTICE OF INTENTION TO FORECLOSE
(SUBMIT ORIGINAL ONLY BY CERTIFIED MAIL)

VA LOAN NUMBER

SERVICER’S LOAN NUMBER

DATE OF THIS NOTICE

PRIVACY ACT INFORMATION: 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 (e.g. to a member of Congress inquiring on behalf of a veteran) 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 mandatory under 38 CFR 36.4315, 36.4317 and 36.4330.
RESPONDENT BURDEN: We need this information to determine compliance with the applicable reporting requirements of VA regulations. 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 www.whitehouse.gov/library/omb/OMBINV.VA.EPA.html#VA. If desired, you can call 1-800-827-1000 to get information on where to send comments or
suggestions about this form.

To (Complete Regional Office/Center Address)

1A. HOLDER’S NAME, ADDRESS, AND TELEPHONE NUMBER

DEPARTMENT OF VETERANS AFFAIRS
LOAN GUARANTY DIVISION

1B. NAME AND TELEPHONE NUMBER OF PROPERTY OWNER

1C. SERVICING AGENT’S NAME, ADDRESS, AND PHONE NUMBER (Complete only
if different from holder shown in Item 1A above)

2. ORIGINAL VETERAN BORROWER (Name and present or last known address
if different from Item 1B)

3A. LOCATION OF PROPERTY

4. DATE OF FIRST UNCURED DEFAULT

HOME (1)

5. POSSIBILITIES OF CURING DEFAULT HAVE BEEN EXHAUSTED?
YES

3B. PURPOSE OF LOAN

NO (If "NO," explain in Item 12)

HOME (5)
(Refinancing)

MANUFACTURED
HOME (0)
HOME (8)
(Condominium)
6. WERE OTHER TRANSFEREES INVOLVED?
(If "YES," complete as much
NO
as possible of Item 7)
YES

7. OTHER TRANSFEREE DATA
NAME

LAST KNOWN ADDRESS

SOCIAL SECURITY NUMBER

9. UNPAID BALANCE
8. REPOSSESSION AND/OR FORECLOSURE DATA
OF LOAN INCLUDING UNPAID ACCRUED
A. PROCEEDINGS WILL BE
B. PROCEEDINGS UNDER EMERGENCY C. ESTIMATED COST OF
INTEREST
INSTITUTED ON OR AFTER (Date)
PROVISIONS OF 38 CFR 36.4280(e)
FORECLOSURE AND/OR
A. DATE
B. AMOUNT
OR 36.4317(a) WERE INSTITUTED
REPOSSESSION
ON (Date)

10. TOTAL AMOUNT OF DELINQUENCY

11. IS DEED IN LIEU OF FORECLOSURE OR VOLUNTARY CONVEYANCE OF THE SECURITY
OBTAINABLE?

A. PRINCIPAL
YES
B. INTEREST

NO
12. HOLDER’S LOAN SERVICING
B. SUMMARY OF LOAN SERVICING SINCE NOTICE
OF DEFAULT WAS GIVEN
NUMBER

A. CONTACT(S) WITH MORTGAGOR

C. CHARGES

TYPE

(Under 38 CFR 36.4246(a)
or 36.4313(a)

LETTER/WIRE
FACE TO FACE

D. TOTAL DELINQUENCY

TELEPHONE

13. OCCUPANCY DATA
A. IS PROPERTY OCCUPIED?

B. OCCUPANT IS (Check)

ORIGINAL BORROWER
YES
NO
C. IF VACANT, KEYS TO PROPERTY MAY BE OBTAINED FROM:

TRANSFEREE

TENANT
OTHER (Specify)
D. NAME OF OCCUPANT (If other than original borrower)

E. IF VACANT, HAVE STEPS BEEN TAKEN TO PROTECT THE PROPERTY?
YES
NO
14. NAME AND TITLE OF AUTHORIZED OFFICIAL
HOLDER
SERVICING
AGENT
VA FORM
JAN 2007

26-6851

15. SIGNATURE OF AUTHORIZED OFFICIAL

EXISTING STOCKS OF VA FORM 26-6851, DEC 1993,
WILL BE USED.