26-1805 Request For Determination of Reasonable Value (Real Esta

OMB Control No. 2900-0045
Respondent Burden: 12 minutes
Expiration Date: XX/XX/20XX

REQUEST FOR DETERMINATION OF REASONABLE VALUE (Real Estate)
EQUAL OPPORTUNITY IN HOUSING
NOTE: Federal laws and regulations prohibit discrimination because of race, color, religion, sex, or national origin in the sale or rental of residential property.
Numerous State statutes and local ordinances also prohibit such discrimination. In addition, section 805 of the Civil Rights Act of 1968 prohibits discriminatory
practices in connection with the finance of housing.
If VA finds there is noncompliance with any anti-discrimination laws or regulations, it may discontinue business with the violator.

SECTION I: PROPERTY ADDRESS AND DESCRIPTION
1A. VA LOAN IDENTIFICATION NUMBER (LIN)

1B. APN/LOT NUMBER

1C. LATITUDE/LONGITUDE GRID

1D. PROPERTY ADDRESS (No., Street, City, State, County and ZIP Code)

1E. BUILDING TYPE

1F. PROPERTY LEASEHOLD?

SINGLE FAMILY RESIDENCE

MANUFACTURED HOME

CONDO

MULTI-FAMILY RESIDENCE

YES

1G. VERIFIED BY USPS?

NO

YES

NO

SECTION II: LOAN TYPE AND INFORMATION
2A. APPRAISAL TYPE

2B. LOAN USE (If Applicable)

2C. BUILDING STATUS

PURCHASE

RENOVATION (Alterations/Repairs)

PROPOSED

REFINANCE

CONSTRUCTION

NEW CONSTRUCTION/UNDER CONSTRUCTION

LIQUIDATION

ENERGY EFFICIENCY MORTGAGE (EEM)

EXISTING

OTHER

OTHER

OTHER

2D. SALES PRICE

NEW OR PROPOSED CONSTRUCTION - COMPLETE BUILDER INFORMATION 2E THROUGH 2G BELOW
2E. BUILDER NAME

2G. BUILDER TELEPHONE NUMBER

2F. BUILDER ID NUMBER

(Include Area Code)

SECTION III: SPECIAL INSTRUCTIONS AND ADDITIONAL INFORMATION
3A. SPECIAL INSTRUCTIONS
VETERAN/SELLER WORKS NIGHTS

PETS ON PREMISES

HOUSE ALARM

GATED COMMUNITY

SPECIAL ENERGY EFFICIENCY

3B. OTHER SPECIAL INSTRUCTIONS OR INVOICE INFORMATION (Please describe)

3C. NUMBER OF PAGES IN UPLOADED SALES CONTRACT

NOTE: INITIATING THE TIDEWATER PROCESS (VALUE NOT SUPPORTED)
When Purchase Price is not supported, Tidewater is to be sent to Tidewater POC in Section 4.

SECTION IV: POINT(S) OF CONTACT INFORMATION
(Please complete for property access or notification purposes.)
4. LENDER POINT OF CONTACT INFORMATION (POC)
4B. LENDER POC PHONE NUMBER

4A. LENDER POC NAME

(Include Area Code)

4C. LENDER POC E-MAIL ADDRESS

5. VETERAN/BORROWER POINT OF CONTACT (POC) INFORMATION
5B. VETERAN/BORROWER POC PHONE
NUMBER (Include Area Code)

5A. VETERAN/BORROWER POC NAME

5C. VETERAN/BORROWER POC E-MAIL ADDRESS

6. BUYER AGENT POINT OF CONTACT (POC) INFORMATION
6B. BUYER AGENT POC PHONE NUMBER

6A. BUYER AGENT POC NAME

(Include Area Code)

6C. BUYER AGENT POC E-MAIL ADDRESS

7. SELLER AGENT POINT OF CONTACT (POC) INFORMATION
7B. SELLER AGENT POC PHONE NUMBER

7A. SELLER AGENT POC NAME

(Include Area Code)

7C. SELLER AGENT POC E-MAIL ADDRESS

VA FORM
XXX XXXX

26-1805

SUPERSEDES VA FORM 26-1805, JAN 2022,
WHICH WILL NOT BE USED.

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SECTION IV: POINT(S) OF CONTACT INFORMATION (Continued)
(Please complete for property access or notification purposes.)

8. SELLER/HOME OWNER POINT OF CONTACT (POC) INFORMATION
8B. SELLER/HOME OWNER POC PHONE
NUMBER (Include Area Code)

8A. SELLER/HOME OWNER POC NAME

8C. SELLER/HOME OWNER POC E-MAIL ADDRESS

9. BUILDER SALES OFFICE POINT OF CONTACT (POC) INFORMATION
9B. BUILDER SALES OFFICE POC PHONE
NUMBER (Include Area Code)

9A. BUILDER SALES OFFICE POC NAME

9C. BUILDER SALES OFFICE POC E-MAIL ADDRESS

10. TIDEWATER POINT OF CONTACT (POC) INFORMATION
10B. TIDEWATER POC PHONE NUMBER

10A. TIDEWATER POC NAME

(Include Area Code)

10C. TIDEWATER POC E-MAIL ADDRESS

SECTION V: REQUESTER INFORMATION
11. BUSINESS/LENDER NAME
12. REQUESTER NAME

13. REQUESTER TITLE

14. REQUESTER PHONE NUMBER (Include Area Code)

15. REQUESTER E-MAIL ADDRESS

16. BUSINESS/LENDER ADDRESS (No., Street, City, State and ZIP Code)

17. INSTITUTION CASE NUMBER

18. SPONSOR TYPE
LENDER

19. SPONSOR ID
SERVICER

20. CAN ASSISTED APPRAISAL PROCESSING PROGRAM (AAPP) BE UTILIZED ON THIS APPRAISAL ASSIGNMENT?

YES

NO

SECTION VI: VETERAN/BORROWER INFORMATION
21. VETERAN'S NAME (First, Middle Initial, Last)
22. OTHER BORROWER NAME(S) (Spouse, Partner, etc.)
23. VETERAN'S ADDRESS (No., Street, City, State and ZIP Code)

24. VETERAN'S PHONE NUMBER (Include Area Code)

25. VETERAN'S E-MAIL ADDRESS

CERTIFICATION FOR SUBMISSION TO VA
On receipt of "Notice of Value" or upon advice from the Department of Veterans Affairs that a "Notice of Value" will not be issued, we agree to
forward to the appraiser the approved fee which we are holding for this purpose.
26A. SIGNATURE OF PERSON AUTHORIZING THIS REQUEST

26B. AUTHORIZER'S TITLE

26C. APPRAISAL REQUEST DATE

(MM/DD/YYYY)

VA USE ONLY: TO BE COMPLETED BY THE SYSTEM
27B. ASSIGNED APPRAISER'S PHONE
NUMBER (Include Area Code)

27A. ASSIGNED APPRAISER'S NAME

27D. APPRAISER ASSIGNMENT DATE (MM/DD/YYYY)

27C. ASSIGNED APPRAISER E-MAIL ADDRESS
27E. APPRAISAL ORDER DATE (MM/DD/YYYY)

27F. APPRAISAL DUE DATE (MM/DD/YYYY)

27G. APPRAISAL FEE

WARNING: Section 1010 of title 18, U.S.C. provides "Whoever for the purpose of ...influencing such Administration...makes, passes, utters or
publishes any statement knowing the same to be false...shall be fined not more than $5,000 or imprisoned not more than two years or both."
PRIVACY ACT INFORMATION: 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 (for example: Authorize release of information to Congress when requested on how many
properties have been appraised under the VA Home Loan program) as identified in the VA system of records, 17VA26, Loan Guaranty Program Participant Records VA, published in the Federal Register. Your obligation to respond is mandatory. Providing personal property information is mandatory as Applicants are required to
provide this information under 38 U.S.C. 3702 (d).
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 2900-0045, and it expires XX/XX/20XX. Public reporting burden for this collection
of information is estimated to average 12 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. 2900-0045 in any correspondence. Do not send your completed VA Form 26-1805 to this email address.

VA FORM 26-1805, XXX XXXX

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