Form VA FORM 26-1805 VA FORM 26-1805 VA REQUEST FOR DETERMINATION OF REASONABLE VALUE

VA Request for Determination of Reasonable Value

26-1805

VA Request for Determination of Reasonable Value

OMB: 2900-0045

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 2900-0045 can be found here:

Document [pdf]

Download: pdf | pdf

OMB APPROVED NO. 2900-0045
RESPONDENT BURDEN: 12 minutes

INSTRUCTIONS FOR PREPARATION OF VA REQUEST FOR DETERMINATION OF REASONABLE VALUE
RESPONDENT BURDEN: We need this information to request an appraisal on the property for which VA guarantee of the loan is
requested (38 U.S.C. 3701(b)). Title 38, United States Code, allows us to ask for this information. We estimate that you will need an
average of 12 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 numbers can be located on the OMB Internet Page at
www.whitehouse.gov/omb/library/OMBINV.VA.EPA.html#VA. If desired, you can call 1-800-827-1000 to get information on
where to send comments or suggestions about this form. Your obligation to respond is required to obtain or retain this benefit.
NOTE: ALL ENTRIES MUST BE TYPED
Remove this instruction page and complete page 1 following the instructions below, using the reverse of this instruction page as a
worksheet. After completion of page 1, detach page 2 for your records and forward the packet, together with any necessary exhibits
to the VA office having jurisdiction.
Since certain selected data from page 1 is transcribed onto the VA CRV (Certificate of Reasonable Value), we request that this form
be carefully prepared. Incomplete submissions impede timely processing at the expense of both the Government and the requester.
This report is authorized by law (38 U.S.C. 3704(a) and 3710(b). Failure to provide the information requested can result in rejection
of the property as security for a loan.
REQUIRED EXHIBITS TO BE SENT WITH APPLICATION
SALES CONTRACTS: In cases involving proposed construction or existing construction not previously occupied, a copy of the
executed or proposed sales contract must be submitted or, if a previously approved form of contract is to be used, the approved
contract code number may be shown in Item 37. In those cases in which a veteran is under contract, submission of the contract may
be deferred until a loan application is received.
PROPOSED CONSTRUCTION: Complete working drawings, including plot plan, foundation or basement plans, plans of all floors,
exterior elevations, grade levels, sectional wall details, heating layout, individual well and septic system layout, and specifications on
VA Form 26-1852, Description of Materials. (Consult local VA office for number of exhibit sets required.) This information is
subject to reproduction by VA under 38 U.S.C. 3705 (b) and for storage purposes.
EXISTING CONSTRUCTION: 1. ALTERATIONS, IMPROVEMENTS OR REPAIRS - Complete drawings and specifications
indicating the work to be done and its relation to the house, in the quantity required by the local VA office. 2. NOT PREVIOUSLY
OCCUPIED AND CONSTRUCTION COMPLETED WITHIN 12 CALENDAR MONTHS - Contact local VA office for eligibility
criteria and required exhibits.

FORM ENTRIES
NAME, ADDRESS, AND ZIP CODE: Make sure to enter the
ZIP code in all blocks which require an address entry.
LEGAL DESCRIPTION: Insert legal description. If necessary,
attach 4 copies of a separate sheet showing the legal description.
TITLE LIMITATIONS: Enter known title exceptions. If none
are known, enter "None." Include easements, special
assessments, mandatory homeowners association membership,
etc. Exceptions noted on this application will be considered in
reasonable value. Attach separate sheet (4 copies) if necessary.
LOT DIMENSIONS: Show frontage X depth. If irregular,
indicate dimensions of all perimeter lot lines.
REMOVABLE EQUIPMENT: Personal property, such as
furniture, drapes and rugs, will not be valued and may not be
included in the loan. However, wall-to-wall carpeting may be
included in value and also included in the loan.
CONSTRUCTION COMPLETED: Insert both month and year
when property has been completed less than two years. If over
two years old, insert year completed only.

COMMENTS ON SPECIAL ASSESSMENTS AND/OR
HOMEOWNER ASSOCIATION CHARGES: Indicate special
assessments which are now a lien or will become a lien. In the
case of a planned unit development, condominium, or a
mandatory membership homeowner association, indicate the
current monthly or other periodic assessment.
MINERAL RIGHTS: If reserved, explain either in space shown
as title exceptions or by separate page.
LEASEHOLD CASES: (Usually Hawaii or Maryland.) If
property involves a leasehold, insert the ground rent per year
and show whether the lease is for 99 years or renewable,
whether it has previously been VA approved, and its expiration
date. Submit two copies of the lease agreement.
SALE PRICE: Enter proposed sale price except when
application involves an individual owner-occupant building for
himself/herself. In such cases, enter estimated cost of
construction and the balance owed on the lot, if any. If
refinancing, enter amount of proposed loan in Item 35.

NOTE: If title is not "fee simple," submit copies in duplicate of all pertinent legal data providing a full explanation of the title
involved.

VA FORM
AUG. 2007

26-1805

SUPERSEDES VA FORM 26-1805, AUG 2004,
WHICH WILL NOT BE USED.

OMB APPROVED NO. 2900-0045
RESPONDENT BURDEN: 12 minutes

REQUEST FOR DETERMINATION OF REASONABLE VALUE (Real Estate)
1. CASE NUMBER

4. TITLE LIMITATIONS AND RESTRICTIVE
COVENANTS:

2. PROPERTY ADDRESS (Include ZIP Code and county)

3. LEGAL DESCRIPTION

1.
CONDOMINIUM
6. LOT DIMENSIONS:

5. NAME AND ADDRESS OF FIRM OR PERSON MAKING REQUEST/APPLICATION (Include ZIP Code)

IRREGULAR:

7. UTILITIES ( )

SQ/FT

PLANNED UNIT
DEVELOPMENT

ACRES:

ELEC. GAS WATER SAN. SEWER

1. PUBLIC
2. COMMUNITY
3. INDIVIDUAL
8. E 1.
RANGE/

9. BUILDING STATUS

Q
U 2.
I
P. 3.
12A. NO. OF
11. FACTORY
FABRICATED? BUILDINGS

10. BUILDING TYPE
EXISTING
1.
DETACHED 3.
ROW
ALTERATIONS,
SEMIAPT.
IMPROVEMENTS,
1. YES 2. NO
2.
DETACHED 4.
UNIT
2.
UNDER CONSTRUCTION
4.
OR REPAIRS
14A. CONSTRUCTION WARRANTY INCLUDED? 14B. NAME OF WARRANTY PROGRAM
14C. EXPIRATION DATE
(Month, day, year)
1.

4.
CLOTHES 7
VENT FAN
WASHER
OVEN
8.
W/W
5.
DRYER
REFRIG.
CARPET
DISH
GARBAGE
WASHER
6.
DISPOSAL 9.
12B. NO. OF 13A. STREET 13B. STREET
LIVING UNITS ACCESS
MAINTENANCE

PROPOSED

YES

PRIVATE 1.

PRIVATE

PUBLIC

15. CONSTRUCTION COMPLETED (Mo.,yr.)

(If "Yes," complete
Items 14b and 14c also)

16. NAME OF OWNER

17. PROPERTY:

18. RENT (If applic.)

NEVER
OCCUPIED

OCCUPIED BY
OWNER
19. NAME OF OCCUPANT

20. TELEPHONE NO.

VACANT

21. NAME OF BROKER

24. KEYS AT (Address)

OCCUPIED BY TENANT
(Complete Item18 also)

$
/ MONTH
22. TELEPHONE NO. 23. DATE AND TIME AVAILABLE
FOR INSPECTION

25. ORIGINATOR’S IDENT. NO. 26. SPONSOR’S IDENT. NO.

28. PURCHASER’S NAME AND ADDRESS (Complete mailing address, Include ZIP Code)

Worksheet

AM
PM
27. INSTITUTION’S CASE NO.

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 financing of housing.
If VA finds there is noncompliance with any
antidiscrimination laws or regulations, it may
discontinue business with the violator.

29. NEW OR PROPOSED CONSTRUCTION - Complete Items 29A through 29G for new or proposed construction cases only
A. COMPLIANCE INSPECTIONS WILL BE OR WERE MADE BY: B. PLANS (Check one)
C. PLANS SUBMITTED PREVIOUSLY UNDER CASE NO.
FIRST
REPEAT CASE (If checked
FHA
VA
NONE MADE
SUBMISSION
complete Item 29C)
E. TELEPHONE NO.
F. NAME AND ADDRESS OF WARRANTOR
G. TELEPHONE NO.
D. NAME AND ADDRESS OF BUILDER

30. COMMENTS ON SPECIAL ASSESSMENTS OR HOMEOWNERS
ASSOCIATION CHARGES

31. ANNUAL REAL ESTATE TAXES
$
32. MINERAL RIGHTS RESERVED?

33. LEASEHOLD CASES (Complete if applicable)
A. LEASE IS:
B. EXPIRES (Date)
99 YEARS

YES (Explain)

C. ANNUAL GROUND RENT
RENEWABLE

NO
34A. SALE PRICE OF PROPERTY 34B. IS BUYER PURCHASING LOT
SEPARATELY?

YES

(If "Yes," see instruction page
under "Sale Price")

$
35. REFINANCING-AMOUNT OF 36. PROPOSED SALE
37. CONTRACT NO.
PROPOSED LOAN
CONTRACT ATTACHED PREVIOUSLY
APPROVED
BY VA THAT WILL BE

YES

CERTIFICATIONS FOR SUBMISSIONS TO VA

1. On receipt of "Certificate of Reasonable Value" or advice from the Department of Veterans Affairs that a "Certificate of Reasonable Value" will
not be issued, we agree to forward to the appraiser the approved fee which we are holding for this purpose.
2. CERTIFICATION REQUIRED ON CONSTRUCTION UNDER FHA SUPERVISION (Strike out inappropriate phrases in parentheses)
I hereby certify that plans and specifications and related exhibits, including acceptable FHA Change Orders, if any, supplied to VA in this case,
are identical to those (submitted to) (to be submitted to) (approved by) FHA inspections, and that FHA inspections (have been) (will be) made
pursuant to FHA approval for mortgage insurance on this basis of proposed construction under Sec.
38. SIGNATURE OF PERSON AUTHORIZING THIS REQUEST

42. DATE OF ASSIGNMENT

39. TITLE

40. TELEPHONE NUMBER

41. DATE

43. NAME OF APPRAISER

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 that two years or both.
VA FORM
AUG 2007

26-1805

SUPERSEDES VA FORM 26-1805, AUG 2004,
WHICH WILL NOT BE USED.

OMB APPROVED NO. 2900-0045
RESPONDENT BURDEN: 12 minutes

REQUEST FOR DETERMINATION OF REASONABLE VALUE (Real Estate)
1. CASE NUMBER

4. TITLE LIMITATIONS AND RESTRICTIVE
COVENANTS:

2. PROPERTY ADDRESS (Include ZIP Code and county)

3. LEGAL DESCRIPTION

1.
CONDOMINIUM
6. LOT DIMENSIONS:

5. NAME AND ADDRESS OF FIRM OR PERSON MAKING REQUEST/APPLICATION (Include ZIP Code)

IRREGULAR:

7. UTILITIES ( )

SQ/FT

PLANNED UNIT
DEVELOPMENT

ACRES:

ELEC. GAS WATER SAN. SEWER

1. PUBLIC
2. COMMUNITY
3. INDIVIDUAL
8. E 1.
RANGE/

9. BUILDING STATUS

Q
U 2.
I
P. 3.
12A. NO. OF
11. FACTORY
FABRICATED? BUILDINGS

4.
CLOTHES 7
VENT FAN
WASHER
OVEN
8.
W/W
5.
DRYER
REFRIG.
CARPET
DISH
GARBAGE
WASHER
6.
DISPOSAL 9.
12B. NO. OF 13A. STREET 13B. STREET
LIVING UNITS ACCESS
MAINTENANCE

PROPOSED

YES

PRIVATE 1.

PRIVATE

PUBLIC

15. CONSTRUCTION COMPLETED (Mo.,yr.)

(If "Yes," complete
Items 14b and 14c also)

16. NAME OF OWNER

17. PROPERTY:

18. RENT (If applic.)

NEVER
OCCUPIED

OCCUPIED BY
OWNER
19. NAME OF OCCUPANT

20. TELEPHONE NO.

VACANT

21. NAME OF BROKER

24. KEYS AT (Address)

OCCUPIED BY TENANT
(Complete Item18 also)

$
/ MONTH
22. TELEPHONE NO. 23. DATE AND TIME AVAILABLE
FOR INSPECTION

25. ORIGINATOR’S IDENT. NO. 26. SPONSOR’S IDENT. NO.

28. PURCHASER’S NAME AND ADDRESS (Complete mailing address, Include ZIP Code)

AM
PM
27. INSTITUTION’S CASE NO.

30. COMMENTS ON SPECIAL ASSESSMENTS OR HOMEOWNERS
ASSOCIATION CHARGES

31. ANNUAL REAL ESTATE TAXES
$
32. MINERAL RIGHTS RESERVED?

33. LEASEHOLD CASES (Complete if applicable)
A. LEASE IS:
B. EXPIRES (Date)
99 YEARS

YES (Explain)

C. ANNUAL GROUND RENT
RENEWABLE

NO
34A. SALE PRICE OF PROPERTY 34B. IS BUYER PURCHASING LOT
SEPARATELY?

YES

(If "Yes," see instruction page
under "Sale Price")

$
35. REFINANCING-AMOUNT OF 36. PROPOSED SALE
37. CONTRACT NO.
PROPOSED LOAN
CONTRACT ATTACHED PREVIOUSLY
APPROVED
BY VA THAT WILL BE

YES

CERTIFICATIONS FOR SUBMISSIONS TO VA

42. DATE OF ASSIGNMENT

39. TITLE

40. TELEPHONE NUMBER

41. DATE

43. NAME OF APPRAISER

26-1805

SUPERSEDES VA FORM 26-1805, AUG 2004,
WHICH WILL NOT BE USED.

VA FILE COPY 1

OMB APPROVED NO. 2900-0045
RESPONDENT BURDEN: 12 minutes

REQUEST FOR DETERMINATION OF REASONABLE VALUE (Real Estate)
1. CASE NUMBER

4. TITLE LIMITATIONS AND RESTRICTIVE
COVENANTS:

2. PROPERTY ADDRESS (Include ZIP Code and county)

3. LEGAL DESCRIPTION

1.
CONDOMINIUM
6. LOT DIMENSIONS:

5. NAME AND ADDRESS OF FIRM OR PERSON MAKING REQUEST/APPLICATION (Include ZIP Code)

IRREGULAR:

SQ/FT

7. UTILITIES ( )

PLANNED UNIT
DEVELOPMENT

ACRES:

ELEC. GAS WATER SAN. SEWER

1. PUBLIC
2. COMMUNITY
3. INDIVIDUAL
8. E 1.
RANGE/

9. BUILDING STATUS

Q
U 2.
I
P. 3.
12A. NO. OF
11. FACTORY
FABRICATED? BUILDINGS

4.
CLOTHES 7
VENT FAN
WASHER
OVEN
8.
W/W
5.
DRYER
REFRIG.
CARPET
DISH
GARBAGE
WASHER
6.
DISPOSAL 9.
12B. NO. OF 13A. STREET 13B. STREET
LIVING UNITS ACCESS
MAINTENANCE

PROPOSED

YES

PRIVATE 1.

PRIVATE

PUBLIC

15. CONSTRUCTION COMPLETED (Mo.,yr.)

(If "Yes," complete
Items 14b and 14c also)

16. NAME OF OWNER

17. PROPERTY:

18. RENT (If applic.)

NEVER
OCCUPIED

OCCUPIED BY
OWNER
19. NAME OF OCCUPANT

20. TELEPHONE NO.

VACANT

21. NAME OF BROKER

24. KEYS AT (Address)

OCCUPIED BY TENANT
(Complete Item18 also)

$
/ MONTH
22. TELEPHONE NO. 23. DATE AND TIME AVAILABLE
FOR INSPECTION
AM
PM
27. INSTITUTION’S CASE NO.

25. ORIGINATOR’S IDENT. NO. 26. SPONSOR’S IDENT. NO.

28. PURCHASER’S NAME AND ADDRESS (Complete mailing address, Include ZIP Code)

30. COMMENTS ON SPECIAL ASSESSMENTS OR HOMEOWNERS
ASSOCIATION CHARGES

31. ANNUAL REAL ESTATE TAXES
$
32. MINERAL RIGHTS RESERVED?

33. LEASEHOLD CASES (Complete if applicable)
A. LEASE IS:
B. EXPIRES (Date)
99 YEARS

YES (Explain)

C. ANNUAL GROUND RENT
RENEWABLE

NO
34A. SALE PRICE OF PROPERTY 34B. IS BUYER PURCHASING LOT
SEPARATELY?

YES

(If "Yes," see instruction page
under "Sale Price")

$
35. REFINANCING-AMOUNT OF 36. PROPOSED SALE
37. CONTRACT NO.
PROPOSED LOAN
CONTRACT ATTACHED PREVIOUSLY
APPROVED
BY VA THAT WILL BE

YES

CERTIFICATIONS FOR SUBMISSIONS TO VA

42. DATE OF ASSIGNMENT

39. TITLE

40. TELEPHONE NUMBER

41. DATE

43. NAME OF APPRAISER

26-1805

SUPERSEDES VA FORM 26-1805, AUG 2004,
WHICH WILL NOT BE USED.

REQUESTOR’S COPY 2

CERTIFICATE OF REASONABLE VALUE
1. CASE NUMBER

4. TITLE LIMITATIONS AND RESTRICTIVE
COVENANTS:

2. PROPERTY ADDRESS (Include ZIP Code and county)

3. LEGAL DESCRIPTION

5. NAME AND ADDRESS OF FIRM OR PERSON MAKING REQUEST/APPLICATION (Include ZIP Code)

PLANNED UNIT
1.
CONDOMINIUM
2.
DEVELOPMENT
6. REMAINING ECONOMIC LIFE OF PROPERTY IS
ESTIMATED TO BE NOT LESS THAN (Enter
number of years)

YEARS
7. ESTIMATED REASONABLE
VALUE OF PROPERTY

8. EXPIRATION
DATE

$
9. SECRETARY OF VETERANS AFFAIRS BY
(Signature of authorized agent)

10. DATE ISSUED

11. VA OFFICE

GENERAL CONDITIONS
(NOTE: THE DEPARTMENT OF VETERANS AFFAIRS DOES NOT ASSUME ANY RESPONSIBILITY FOR THE CONDITION OF THE PROPERTY.
THE CORRECTION OF ANY DEFECTS NOW EXISTING OR THAT MAY DEVELOP WILL BE THE RESPONSIBILITY OF THE PURCHASER.)
1. This certificate will remain effective as to any written contract of sale entered into by an eligible veteran within the validity period indicated.
2. This dwelling conforms with the Minimum Property Requirements prescribed by the Secretary of Veterans Affairs.
3. The aggregate of any loan secured by this property plus the amount of any assessment consequent on any special improvements as to which a lien or right to a lien
shall exist against the property, except as provided in Item 13 below, may not exceed the reasonable value in Item 7 above.
4. Proposed construction shall be completed in accordance with the plans and specifications identified below, relating to both onsite and offsite improvements upon
which this valuation is based and shall otherwise conform fully to the VA Minium Property Requirements. Satisfactory completion must be evidenced by either:
A. VA Final Compliance Inspection Report (VA Form 26-1839), or
B. VA Acceptance of FHA Compliance Inspection Reports or other evidence of completion under FHA supervision applicable to proposed construction.
5. By contracting to sell property, as proposed construction or existing construction not previously occupied, to a veteran purchaser who is to be assisted in the
purchase by a loan made, guaranteed, or insured by VA, the builder or other seller agrees to place any downpayment received by the seller or agent of the seller in
a special trust account as required by section 3706 of title 38, U.S. Code.
6. The VA guaranty is subject to and conditioned upon the lending institution’s compliance, at the time of the making, increasing, extending or renewing of the
proposed loan, with section 102 of P.L. 93-234, "Flood Disaster Protection Act of 1973."
12. PURCHASER’S NAME AND ADDRESS (Complete mailing address, Include ZIP Code)

13. EXCEPTIONS TO GENERAL CONDITION NO. 3
ABOVE
ENERGY EFFICIENT MORTGAGE PROGRAM The buyer may wish to contact a qualified person/firm for a
home energy audit to identify needed energy efficiency
improvements to the property. In some localities, the utility
company may perform this service. The mortgage amount
may be increased as a result of making energy efficiency
improvements
such
as:
Solar
or
conventional
heating/cooling systems, water heaters, insulation,
weather-stripping/caulking, and storm windows/doors.
Other energy related improvements may also be
considered. The mortgage may be increased by (a) up to
$3,000 based solely on documented costs; or, (b) up to
$6,000 provided the increase in monthly mortgage payment
does not exceed the likely reduction in monthly utility costs;
or, (c) more
than $6000 subject to a value determination by VA.

OTHER (Cite and explain in Item 26 below)

SPECIFIC CONDITIONS (Applicable when checked or completed)
14. THE REASONABLE VALUE ESTABLISHED HEREIN FOR THE RELATED
PROPERTY IS:
PREDICATED UPON
BASED UPON OBSERVATION OF
COMPLETION OF
THE PROPERTY IN ITS "AS IS" CONDITION
PROPOSED CONSTRUCTION
PREDICATED UPON COMPLETION
(If checked, complete Item 15)
OF REPAIRS LISTED IN ITEM 17
16. INSPECTIONS REQUIRED

15. PROPOSED CONSTRUCTION TO BE COMPLETED

17. REPAIRS TO BE COMPLETED

FHA COMPLIANCE INSPECTIONS FOR PROPOSED CONSTRUCTION
VA COMPLIANCE INSPECITONS
18. NAME OF COMPLIANCE INSPECTOR

LENDER TO CERTIFY

19. HEALTH AUTHORITY APPROVAL - Execution of Health Authority form or letter
indicating approval of the individual:

WATER SUPPLY

20.
This document is subject to the provisions of Executive Orders 11246 and 11375,
and the Rules and Regulations of the Secretary of Labor in effect on this date,
and 38 CFR 36.4390 through 36.4393, and also the provisions of the certification
executed by the builder, sponsor or developer named herein which is on file in
this office.

SEWAGE DISPOSAL SYSTEM

21.

WOOD DESTROYING INSECT INFORMATION - EXISTING CONSTRUCTION - The seller shall, at no cost to the veteran-purchaser, prior to
settlement, obtain a written statement from a qualified pest control operator reporting wood destroying insect information using the NPCA-1, National
Pest Control Association form or other form acceptable to VA.
22. WARRANTY

23. NAME OF WARRANTOR

24.

Since this property is located in a Special Flood Hazard Area as
(If checked,
established by FEMA, flood insurance will be required in accordance with
complete Item 23)
38 CFR 36.4326
25. SAFE DRINKING WATER ACT
Certification required that in construction, any solders and flux did not contain more than 0.2 percent lead and any pipes and pipe fittings did not contain more
than 8.0 percent lead.
26. OTHER REQUIREMENTS

VA FORM
AUG 2007

26-1843

SUPERSEDES VA FORM 26-1805, AUG 2004,
WHICH WILL NOT BE USED.

REQUESTOR’S COPY 3

CERTIFICATE OF REASONABLE VALUE
1. CASE NUMBER

4. TITLE LIMITATIONS AND RESTRICTIVE
COVENANTS:

2. PROPERTY ADDRESS (Include ZIP Code and county)

3. LEGAL DESCRIPTION

5. NAME AND ADDRESS OF FIRM OR PERSON MAKING REQUEST/APPLICATION (Include ZIP Code)

PLANNED UNIT
1.
CONDOMINIUM
2.
DEVELOPMENT
6. REMAINING ECONOMIC LIFE OF PROPERTY IS
ESTIMATED TO BE NOT LESS THAN (Enter
number of years)

YEARS
7. ESTIMATED REASONABLE
VALUE OF PROPERTY

8. EXPIRATION
DATE

$
9. SECRETARY OF VETERANS AFFAIRS BY
(Signature of authorized agent)

10. DATE ISSUED

11. VA OFFICE

OTHER (Cite and explain in Item 26 below)

15. PROPOSED CONSTRUCTION TO BE COMPLETED

17. REPAIRS TO BE COMPLETED

FHA COMPLIANCE INSPECTIONS FOR PROPOSED CONSTRUCTION
VA COMPLIANCE INSPECITONS
18. NAME OF COMPLIANCE INSPECTOR

LENDER TO CERTIFY

19. HEALTH AUTHORITY APPROVAL - Execution of Health Authority form or letter
indicating approval of the individual:

WATER SUPPLY

SEWAGE DISPOSAL SYSTEM

21.

23. NAME OF WARRANTOR

24.

VA FORM
AUG 2007

26-1843

SUPERSEDES VA FORM 26-1805, AUG 2004,
WHICH WILL NOT BE USED.

VA FILE COPY 4

CERTIFICATE OF REASONABLE VALUE
1. CASE NUMBER

4. TITLE LIMITATIONS AND RESTRICTIVE
COVENANTS:

2. PROPERTY ADDRESS (Include ZIP Code and county)

3. LEGAL DESCRIPTION

5. NAME AND ADDRESS OF FIRM OR PERSON MAKING REQUEST/APPLICATION (Include ZIP Code)

PLANNED UNIT
1.
CONDOMINIUM
2.
DEVELOPMENT
6. REMAINING ECONOMIC LIFE OF PROPERTY IS
ESTIMATED TO BE NOT LESS THAN (Enter
number of years)

YEARS
7. ESTIMATED REASONABLE
VALUE OF PROPERTY

8. EXPIRATION
DATE

$
9. SECRETARY OF VETERANS AFFAIRS BY
(Signature of authorized agent)

10. DATE ISSUED

11. VA OFFICE

OTHER (Cite and explain in Item 26 below)

15. PROPOSED CONSTRUCTION TO BE COMPLETED

17. REPAIRS TO BE COMPLETED

FHA COMPLIANCE INSPECTIONS FOR PROPOSED CONSTRUCTION
VA COMPLIANCE INSPECITONS
18. NAME OF COMPLIANCE INSPECTOR

LENDER TO CERTIFY

19. HEALTH AUTHORITY APPROVAL - Execution of Health Authority form or letter
indicating approval of the individual:

WATER SUPPLY

SEWAGE DISPOSAL SYSTEM

21.

23. NAME OF WARRANTOR

24.

VA FORM
AUG 2007

26-1843

SUPERSEDES VA FORM 26-1805, AUG 2004,
WHICH WILL NOT BE USED.

PURCHASER’S COPY 5

OMB APPROVED NO. 2900-0045
RESPONDENT BURDEN: 12 minutes

REQUEST FOR DETERMINATION OF REASONABLE VALUE (Real Estate)
1. CASE NUMBER

4. TITLE LIMITATIONS AND RESTRICTIVE
COVENANTS:

2. PROPERTY ADDRESS (Include ZIP Code and county)

3. LEGAL DESCRIPTION

1.
CONDOMINIUM
6. LOT DIMENSIONS:

5. NAME AND ADDRESS OF FIRM OR PERSON MAKING REQUEST/APPLICATION (Include ZIP Code)

IRREGULAR:

7. UTILITIES ( )

SQ/FT

PLANNED UNIT
DEVELOPMENT

ACRES:

ELEC. GAS WATER SAN. SEWER

1. PUBLIC
2. COMMUNITY
3. INDIVIDUAL
8. E 1.
RANGE/

9. BUILDING STATUS

Q
U 2.
I
P. 3.
12A. NO. OF
11. FACTORY
FABRICATED? BUILDINGS

4.
CLOTHES 7
VENT FAN
WASHER
OVEN
8.
W/W
5.
DRYER
REFRIG.
CARPET
DISH
GARBAGE
WASHER
6.
DISPOSAL 9.
12B. NO. OF 13A. STREET 13B. STREET
LIVING UNITS ACCESS
MAINTENANCE

PROPOSED

YES

PRIVATE 1.

PRIVATE

PUBLIC

15. CONSTRUCTION COMPLETED (Mo.,yr.)

(If "Yes," complete
Items 14b and 14c also)

16. NAME OF OWNER

17. PROPERTY:

18. RENT (If applic.)

OCCUPIED BY
OWNER
19. NAME OF OCCUPANT

20. TELEPHONE NO.

NEVER
OCCUPIED

VACANT

21. NAME OF BROKER

24. KEYS AT (Address)

OCCUPIED BY TENANT
(Complete Item18 also)

$
/ MONTH
22. TELEPHONE NO. 23. DATE AND TIME AVAILABLE
FOR INSPECTION

25. ORIGINATOR’S IDENT. NO. 26. SPONSOR’S IDENT. NO.

28. PURCHASER’S NAME AND ADDRESS (Complete mailing address, Include ZIP Code)

AM
PM
27. INSTITUTION’S CASE NO.

EQUAL OPPORTUNITY IN HOUSING

30. COMMENTS ON SPECIAL ASSESSMENTS OR HOMEOWNERS
ASSOCIATION CHARGES

31. ANNUAL REAL ESTATE TAXES
$
32. MINERAL RIGHTS RESERVED?

33. LEASEHOLD CASES (Complete if applicable)
A. LEASE IS:
B. EXPIRES (Date)
99 YEARS

YES (Explain)

C. ANNUAL GROUND RENT
RENEWABLE

NO
34A. SALE PRICE OF PROPERTY 34B. IS BUYER PURCHASING LOT
SEPARATELY?

$
38. REMARKS

YES

$
35. REFINANCING-AMOUNT OF 36. PROPOSED SALE
37. CONTRACT NO.
PROPOSED LOAN
CONTRACT ATTACHED PREVIOUSLY
APPROVED
BY VA THAT WILL BE

(If "Yes," see instruction page
under "Sale Price")

YES

ASSIGNMENT OF APPRAISER
39. DATE OF ASSIGNMENT

40. SIGNATURE OF LOAN GUARANTY OFFICER OR DESIGNEE

41. NAME AND ADDRESS OF APPRAISER (Complete mailing address, Include ZIP Code)

NOTE TO APPRAISER: You are assigned to make an appraisal of the
above-described property and to submit your report to this office. If
Item 1, 3 or 4 * of block 9 is checked, you must submit two copies of
the report. Your estimate of reasonable value is subject to
administrative adjustment. If existing construction is appraised, you
must gain access to the interior of the property to be appraised, and
two photos (different views) of the subject property must be submitted
with your report. A front-view picture of each comparable used in the
market data analysis must also be provided with your report unless
this appraisal involves a low-rise or high-rise condominium; or a
horizontal condominium development or townhouse planned-unit
development, provided the comparables are located in the same
project as the subject property and are considered substantially
identical to the subject property in design (i.e., same unit type
constructed by same builder). If you cannot complete this assignment
in 5 days, please notify the Loan Guaranty Officer or designee
immediately.
*Photos of the subject property are required only if Item 3 or 4 is
checked.
VA FORM
26-1805 APPRAISER’S COPY
AUG 2007

File Type	application/pdf
File Modified	0000-00-00
File Created	0000-00-00