VA Form 26-8923 Interest Rate Reduction Refinancing Loan Worksheet

OMB Approved No. 2900-0386
Respondent Burden: 30 minutes
Expiration Date: XX/XX/20XX

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: An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently
valid OMB control number. The OMB control number for this project is 2900-0386, and it expires XX/XX/20XX. Public reporting burden for this collection of
information is estimated to average 30 minutes per respondent, per year, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate and any other aspect of this
collection of information, including suggestions for reducing the burden, to VA Reports Clearance Officer at VACOPaperworkReduAct@va.gov. Please refer to OMB
Control No. 2900-0386 in any correspondence. Do not send your completed VA Form 26-8923 to this email address.

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

VA LOAN NUMBER

SECTION I - INITIAL COMPUTATION

LINE NO.

ITEM

1.

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

2.

SUBTRACT ANY CASH PAYMENT FROM VETERAN

3.

TOTAL
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 II - PRELIMINARY LOAN AMOUNT
4.

AMOUNT

$
$
+
+
+
+

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
XXX XXXX

NAME OF LENDER

26-8923

SIGNATURE AND TITLE OF OFFICER OF LENDER (Sign in ink)

SUPERSEDES VA FORM 26-8923, DEC 2021, WHICH
WILL NOT BE USED.

*