Form 26-8923 Interest Rate Reduction Refinancing Loan Worksheet

OMB Control No. 2900-0386
Respondent Burden: 10 minutes

INTEREST RATE REDUCTION REFINANCING LOAN WORKSHEET
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 (i.e., 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 voluntary; however, failure to complete the form could result in your
making a loan in excess of the allowable amount.
RESPONDENT BURDEN: This information is needed to help you determine the appropriate amount of the VA-guaranteed loan you intend to process. Title 38, United
States Code, allows us to ask for this information. We estimate that you will need an average of 10 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/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.
VA LOAN NUMBER

NOTE - Submit this form when requesting guaranty on an Interest Rate Reduction Refinancing Loan.

SECTION I - INITIAL COMPUTATION
LINE NO.

ITEM

AMOUNT

1.

EXISTING VA LOAN BALANCE (PLUS COST OF ENERGY EFFICIENT
IMPROVEMENTS)

$

2.

SUBTRACT ANY CASH PAYMENT FROM VETERANS

_

3.

TOTAL

$
SECTION II - PRELIMINARY LOAN AMOUNT

4.

ENTER TOTAL FROM LINE 3

$

5.

ADD

% DISCOUNT BASED ON LINE 4

+

6.

ADD

% ORIGINATION FEE BASED ON LINE 4

+

7.

ADD

% FUNDING FEE BASED ON LINE 4

+

8.

ADD OTHER ALLOWABLE CLOSING COSTS AND PREPAIDS

+

9.

TOTAL

$
SECTION III- FINAL COMPUTATION

10.

ENTER TOTAL FROM LINE 9

$

11.

ADD

+

12.

SUBTOTAL

=

13.

SUBTRACT AMOUNT SHOWN ON LINE 5

_

14.

SUBTOTAL

=

15.

SUBTRACT AMOUNT SHOWN ON LINE 7

_

16.

SUBTOTAL

=

17.

ADD

18.

TOTAL - MAXIMUM LOAN AMOUNT

% DISCOUNT BASED ON LINE 10

% FUNDING FEE BASED ON LINE 16

+
$

NOTE: * MAXIMUM LOAN AMOUNT MAY BE ROUNDED OFF, BUT MUST ALWAYS BE ROUNDED DOWN TO AVOID CASH TO THE
VETERAN. ROUND-OFF AMOUNTS OF LESS THAN $50 DO NOT REQUIRE RECOMPUTATION.
DATE

VA FORM
JUN 2009

NAME OF LENDER

26-8923

SIGNATURE AND TITLE OF OFFICER OF LENDER

EXISTING STOCKS OF VA FORM 26-8923, SEP 2006,
WILL BE USED.

*