Form 26-6381 Application for Assumption Approval and/or Release from

OMB Control No. 2900-0110
Respondent Burden: 10 minutes
Expiration Date: 03/31/2024

APPLICATION FOR ASSUMPTION APPROVAL AND/OR RELEASE FROM
PERSONAL LIABILITY TO THE GOVERNMENT ON A HOME LOAN
INSTRUCTIONS: Please complete this form fully and accurately and return it to the office of the Department of Veterans Affairs (VA) shown below. Enclose
remittance (certified check or money order) payable to VA in the amount shown on the instruction letter which accompanied this form. (NOTE: Use of this form
does not affect the seller's liability on a VA-guaranteed loan from a private lender.) See Section II for Privacy Act Information.
SECTION I (To be completed by VA)
1. VA LOAN NUMBER
ADDRESS (Complete)
DEPARTMENT OF VETERANS AFFAIRS
RETURN Attn: Loan Guaranty

TO:

SECTION II (To be completed by Seller)
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., providing information that is used in determining whether VA can approve a request for assumption approval and/or release of liability to the
Government on a loan) 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, published in the Federal Register. Your response is required to obtain or retain benefits. Giving us your SSN
account information is voluntary. Refusal to provide your SSN by itself will not result in the denial of benefits. 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 determine your qualifications for the desired benefit. 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 http://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.
2B. SOCIAL SECURITY NUMBER
2A. FIRST-MIDDLE-LAST NAME OF SELLER (Type or Print)
3A. TELEPHONE NUMBER (Include Area Code)

3B. EMAIL ADDRESS

4A. MAILING ADDRESS OF SELLER (Number and street or rural route, city or
P.O. Box, State and ZIP Code)

4B. ADDRESS OF PROPERTY WHICH IS SECURITY FOR THE LOAN ON
WHICH YOU WISH TO BE RELEASED FROM LIABILITY (If rural property give
directions to locate it.)

5. INFORMATION ABOUT PURCHASER OR OWNER OF PROPERTY WHO WILL ASSUME YOUR LOAN
A. FIRST-MIDDLE-LAST NAME OF ASSUMER OF LOAN (Type or Print)

B. MAILING ADDRESS OF ASSUMER OF LOAN (Number and street or rural route,
city or P.O. Box, State and ZIP Code)

6B. AGREED PURCHASE PRICE

6A. STATUS OF SALE TRANSACTION (Check one)
HAVE AGREED ON PURCHASE PRICE BUT NO SALE HAS BEEN
COMPLETED AND NO CONTRACT OR DEED SIGNED (Complete Item 6B)
NO SALE HAS BEEN COMPLETED BUT CONTRACT FOR SALE HAS BEEN SIGNED AND COPY
IS ATTACHED (Complete Item 6B)

$
6C. SALE PRICE

SALE HAS BEEN COMPLETED AND DEED EXECUTED AND DELIVERED TO PURCHASER (Complete Item 6C)

$

7A. PAYMENT ENCLOSED FOR CREDIT REPORT AND/OR PROCESSING CHARGE (Check one if applicable)
MONEY ORDER

7B. AMOUNT
$

OTHER (Specify)

8A. NAME OF SERVICER YOU MAKE YOUR
PAYMENTS TO

9A. AMOUNT OF MONTHLY LOAN PAYMENT
$

8B. ADDRESS OF LENDER

8C. LENDER'S LOAN NO. (If known)

9B. APPROXIMATE LOAN BALANCE (May be obtained from year-end statement)
$

10. ASSESSMENTS AND/OR OTHER LIENS OUTSTANDING (Note: Lien is a legal claim against a property that must be paid off when the property is sold. Assessment
is a tax or levy imposed against specific parcels of real estate that can benefit from improvements such as a street or sewer.)
A. AMOUNT
C. HOW PAYABLE
B. PURPOSE (Streets, sidewalks, sewers, etc.)

11. HAVE VA FORMS 26-6382 AND 26-6807 BEEN PROVIDED TO YOUR PURCHASER FOR COMPLETION?

YES

NO

IMPORTANT - In order for VA to release you from liability, it will be necessary that your purchaser assume all of your liability to the Government, as well as to the loan holder, if this is
other than VA. The instruction letter you received with this form indicates whether this liability may be assumed through a clause in the deed transferring the property to the purchaser. If
not, or if you have already completed the sale of the property without a proper clause included in the deed, then it will be necessary that a separate "Agreement Creating Liability to Holder
and to U.S." be executed by your purchaser. You must ensure that the purchaser is willing to assume your liability by a clause in the deed or by executing the agreement. This may be
accomplished by a provision in your sales contract, or by other written assurance. Should your purchaser be willing to assume your liability, please call the VA office above for guidance on
your available options. If you already completed the sale of your home and included a VA approved clause in the deed, attach to this form a copy of the deed showing the date and place it
was recorded. Similarly, a copy of the agreement should be submitted if this has already been executed at the time of sale.
12B. DATE

12A. SIGNATURE OF SELLER

VA FORM
MAR 2021

26-6381

SUPERSEDES VA FORM 26-6381, MAY 2018,
WHICH WILL NOT BE USED.