Form VA Form 26-0971 VA Form 26-0971 Status of Loan Account - Foreclosure or Other Liquidatio

OMB Control No.: 2900-0851
Respondent Burden: 30 minutes
Expiration Date: XX/XX/XXXX

STATUS OF LOAN ACCOUNT - FORECLOSURE OR
OTHER LIQUIDATION

INSTRUCTIONS: Complete all applicable items. If additional space is required, attach a separate sheet and identify each item by number. The date in Item 1 is the
applicable cutoff per 38 CFR 36.
NOTE: LOAN NUMBER MUST BE NUMERIC, 12 DIGITS
LOAN NO.:

VA LOAN NO.:

CURRENT OWNER:

ORIGINAL VETERAN:

ORIGINAL LOAN AMOUNT:

PERCENT OF GUARANTY:

TERM OF LOAN:

P & I:

DATE OF FINAL DISBURSEMENT:

DATE OF FIRST PAYMENT:

PROPERTY ADDRESS

ITEM
1. PRINCIPAL
AN UNPAID PRINCIPAL

DATE

AMOUNT
$

2. INTEREST
FROM:
TO:

A. UNPAID INTEREST ("From" is the Interest Collected Date and "To" is the Cutoff Date)

$

DATE APPLIED

B. INTEREST BUYDOWN TO OBTAIN A NET VALUE

3. AMOUNT IN TAX AND INSURANCE ACCOUNT (If other than a positive balance, show "0" and list advances in Item 6)
TYPE

4. OTHER CREDITS (e.g., unearned add-on interest or discount, amount in receiver's rent
account, unapplied interest, buydown funds escrowed at origination, credits applied by
the holder in order to obtain a net value from VA, hazard insurance proceeds, etc.)

$
$

DATE

AMOUNT
$

5. ACTUAL FORECLOSURE COSTS PAID OR WHICH WILL BE PAID PRIOR TO DATE OF FORECLOSURE (Itemize)
PAYMENT DATE
DESCRIPTION

AMOUNT PAID
$
$

6. ANY OTHER CHARGES LEGALLY CHARGEABLE TO MORTGAGOR INLUDING TAX/INSURANCE ADVANCES AND PROPERTY
PRESERVATION COSTS PAID OR WHICH WILL BE PAID PRIOR TO DATE OF FORECLOSURE (Itemize)
PAYMENT DATE
AMOUNT PAID
DESCRIPTION
$
$
$
7. TOTAL INDEBTEDNESS AT FORECLOSURE (Or other liquidations/cutoff date) (Sum of Items 2A, 5 and 6 less sum of Items 2B, 3 and 4)

$

8. STATUS OF PROPERTY TAXES
TYPE TAX

DATE LAST PAID ANNUAL AMOUNT

PERIOD COVERED

NAME OF TAX AUTHORITY

TAX AUTHORITY
ACCOUNT NO.

COUNTY
CITY
SCHOOL
OTHER TAX
9. WATER AND SEWER CHARGES AND SPECIAL ASSESSMENTS
AMOUNT

DATE LAST PAID

TYPE

PERIOD COVERED

10. NAME, ADDRESS AND TELEPHONE NUMBER OF HOLDER

11. SIGNATURE AND TITLE OF LENDING INSTITUTION OFFICIAL (Sign in ink)
VA FORM
XXX XXXX

26-0971

SUPERSEDES VA FORM 26-0971, APR 2017,
WHICH WILL NOT BE USED.

12. DATE
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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, CFR 1.576 for routine uses (for example: authorized release of information to
Congress when requested for statistical purposes) 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, published in the Federal Register. Your obligation to respond is required to in order to determine your
eligibility for a Specially Adapted Housing grant.
RESPONDENT BURDEN: We need this information to determine or verify your eligibility for a grant for specially adapted housing.
Title 38, U.S.C. 2101(a) or 2101(b), allows us to ask for this information. We estimate that you will need an average of 30 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. Valid OMB control numbers can be located on the OMB Internet Page at
www.reginfo.gov/public/do/PRAMain. If desired, you can call 1-800-827-1000 to get information on where to send comments or
suggestions about this form.

VA FORM 26-0971, XXX XXXX

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