VA Form 26-8903 Notice for Election to Convey and/or Invoice for Transfe

OMB Approved No. 2900-0021
Respondent Burden: 10 Minutes
Expiration Date: XX-XX-XXXX

NOTICE FOR ELECTION TO CONVEY AND/OR INVOICE FOR
TRANSFER OF PROPERTY
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 (e.g., 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 - VA, and published in the Federal Register. Your obligation to respond is required to exercise your right to convey property under 38 CFR 36.4320.
RESPONDENT BURDEN: We need this information to process your election to convey a property under 38 CFR 36.4320. 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.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.

IMPORTANT: Submit original and two copies by fax or e-mail to the Regional Loan Center for the office of jurisdiction.
TO: DEPARTMENT OF VETERANS AFFAIRS
FROM: (Name and address of holder (or payee), including ZIP Code)

1. NAME OF VETERAN (First, middle, last)

2A. VA LOAN NUMBER

2B. HOLDER'S (OR PAYEE'S) LOAN NUMBER

3. TRANSFEREE(S)
4. LOCATION OF PROPERTY

5. DATE OF SALE, DATE DEED RECORDED OR DATE DEED SENT FOR RECORDING
6. AMOUNT BID BY HOLDER

7. TYPE OF DEED
A. HOLDER WILL CONVEY TO VA BY: (Description of Deed) (Check one)
FULL COVENANT AND WARRENTY DEED

B. BID ASSIGNED TO VA

OTHER (Specify)

YES

BARGAIN AND SALE DEED WITH COVENANTS

NO

8. TAX AND INSURANCE INFORMATION
B. POLICY NUMBER

A. NAME OF INSURANCE COMPANY
D. TYPE OF COVERAGE

E. AMOUNT OF TOTAL COVERAGE

C. EXPIRATION DATE

F. VA ENDORSEMENT

$

ATTACHED

G. PROPERTY/TAX IDENTIFICATION NUMBER(S) (i.e., PIN, parcel number,

OBTAINED

WILL BE OBTAINED

H. LAST TAX(ES) PAID (Date, type and amount)

block and lot numbers, etc.)

9. CUSTODY INFORMATION
CHECK APPLICABLE BOX(ES)
CUSTODY TO VA

PROPERTY OCCUPIED BY TENANT(S)

PROPERTY OCCUPIED BY VETERAN

LETTER-ADDRESSED TO TENANT(S) ATTACHED

PROPERTY IS WINTERIZED
HOLDER'S MASTER KEY PREVIOUSLY
FORWARDED

PROPERTY IS VACANT

KEY(S) TO PROPERTY ATTACHED

PROPERTY OCCUPIED BY TRANSFEREE

INVOICE FOR TRANSFER OF PROPERTY TO VA
This is to certify that the undersigned is due the amount specified or unpaid principal for conveyance of the property securing the loan identified above.
10A. AMOUNT SPECIFIED

10B. UNPAID PRINCIPAL

$

$

11A. SIGNATURE OF AUTHORIZED OFFICIAL

11B. TITLE OF AUTHORIZED OFFICIAL

11C. TELEPHONE NUMBER OF
AUTHORIZED OFFICIAL

11D. DATE SIGNED

VA USE ONLY
DATE ASSIGNED TO PROPERTY MANAGEMENT
PAYEE ENTITLED TO PAYMENT DESCRIBED
HEREIN (Amount paid to holder):

SIGNATURE OF LOAN ADMINISTRATION OFFICER OR DESIGNEE

$

LOAN GUARANTY FUND NUMBER

REMARKS

LOAN GUARANTY OFFICER OR DESIGNEE
VA FORM
XXXX

26-8903

DATE