Form FL 26-626 FL 26-626 Request for Identifying Information RE: Veteran's Loan R

DEPARTMENT OF VETERANS AFFAIRS

.

In Reply Refer To:

We are unable to identify the enclosed material with the loan records of any veteran or other
borrower.
To help us promptly process your mail, please complete as many of the items listed below as
possible and return this letter with your original correspondence.
This request is authorized by law 38 U.S.C. 5103. VA will disclose the information you supply
to outside sources only as permitted by law. Failure to furnish this information will prevent
further action on your correspondence; however, it will have no other adverse effect.
Thank you for your cooperation.
Sincerely yours,

Loan Guaranty Officer
OMB Approved No. 2900-0317
Respondent Burden: 5 Mins.

PRIVACY ACT NOTICE: VA will not disclose information collected on this form letter 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. sent to a veteran asking to identify
documents) 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 necessary to obtain or retain benefits. Giving us your SSN account information is voluntary. 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.
RESPONDENT BURDEN: We need this information to help us identify the VA loan associated with your inquiry. Title 38, United States
Code 5103, allows us to ask for this information. We estimated that you will need an average of 5 minutes to review the instructions, find
the information, and complete the 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/omb/library/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.
1. GI LOAN NUMBER

2. VA LOAN ACCOUNT NO.

3. FIRST - MIDDLE - LAST NAME OF VETERAN

4. NAME OF PROPERTY OWNER

5. ADDRESS OF PROPERTY SECURING OR WHICH WILL
SECURE LOAN IDENTIFIED ABOVE

6. NAME AND ADDRESS OF FIRM TO WHICH LOAN
INSTALLMENT PAYMENTS WILL BE OR ARE MADE
(Company, bank,saving and loan association,VA, etc.)

FL 26-626
JUN 2010(RS)