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pdfOMB Approved No. 2900-0021
Respondent Burden: 10 minutes
NOTICE OF DEFAULT
(Chapter 37, Title 38, U.S.C.)
TYPE VA LOAN NUMBER (NOTE: Loan
number must be numeric, 12 digits)
DATE OF THIS
NOTICE
INSTRUCTIONS:Please type or print. Note the special instructions for "VA Loan No." and
Items 1-4 and 7, as these entries will be used for VA coding purposes. For 38 CFR
36.4600 Loans, code a "4" in the block titled "TYPE."
HOLDER’S NOTICE
HOLDER’S NAME, ADDRESS AND TELEPHONE NO.
PURPOSE OF LOAN
(Check One)
To (Complete Regional Office/Center Address)
DEPARTMENT OF VETERANS AFFAIRS
LOAN GUARANTY DIVISION
HOME (1)
HOME CONDO (0)
HOME REFIN. (5)
SERVICING AGENT’S NAME, ADDRESS AND TELEPHONE
NO.(Complete only if different from holder shown above)
MANUFACTURED
HOME (8)
SERVICER CODE
(6 Digits)
DESCRIPTION OF DELINQUENT
1. SERVICER LOAN NO.
3A. SOCIAL SECURITY
2. DATE OF FIRST UNCURED DEFAULT
NOTE: Enter number only
NO. (Present Owner)
without spaces, dashes, etc.
MONTH DAY
YEAR
EXAMPLE: Enter 05 01 93 for
DO NOT ENTER MORE
THAN 14 CHARACTERS
May 1, 1993
Enter last name,
3B. NAME OF PRESENT OWNER
NOTE
5. COUNTY OR PARISH (Property location)
comma, first name
and middle initial
4. ADDRESS OF
A. NUMBER AND STREET OR RURAL ROUTE
Item 3B: Do not enter more 6. PROPERTY ADDRESS (If different than
PRESENT OWNER
Item 4)
than 25 characters in this
(Entries in Items A
area
and B MUST be
B. CITY AND STATE
C. ZIP
limited to 25
CODE
characters)
8. ORIGINAL VETERAN’S NAME AND PRESENT
9. AMOUNT OF EACH INSTALLMENT
7. DATE OF FIRST PAYMENT
ADDRESS (If different than Items 3B and 4 above)
PRINCIPAL AND
(Per loan instruments)
$
INTEREST
EXAMPLE: Enter
06 01 93 for
June 1, 1993
MONTH
DAY
OTHER
10. OTHER DEFAULT (Specify, real estate, taxes,
insurance, special assessments, etc.)
TYPE
13.
CONTACT(S)
WITH
MORTGAGOR
TAX AND INSURANCE
YEAR
11.
AMOUNT
OF
DEFAULT
PRINCIPAL
$
INTEREST
A. INTEREST
RATE
TAX AND INSURANCE
TOTAL
TOTAL
$
12. INTEREST RATE AND OUTSTANDING
LOAN BALANCE
C. AMOUNT
$
HOLDER’S LOAN SERVICING
15. CONDITION OF PROPERTY
NUMBER 14. DATES OF PROPERTY
INSPECTIONS
LETTER/WIRE
16. PROPERTY OCCUPIED BY
ORIGINAL
VETERAN
TENANT
FACE TO FACE
TELEPHONE
A. MONTHLY
INCOME
17.
B. DATE
B. MONTHLY
OBLIGATIONS
C. BORROWER’S ATTITUDE
TOWARD DEFAULT
D. PLACE OF EMPLOYMENT
TRANSFEREE
VACANT
E. WORK
TELEPHONE
NUMBER
F. HOME
TELEPHONE
NUMBER
BORROWER
SPOUSE
18. IS FORBEARANCE WARRANTED?
19. REASON FOR DEFAULT
20. SUMMARY OF LOAN SERVICING (Must give complete details to support conclusion that forbearance is or is not warranted. Include
repayment schedules or other arrangements, etc.)
21. NAME AND TITLE OF AUTHORIZED OFFICIAL (Type or Print)
HOLDER
22. SIGNATURE OF AUTHORIZED OFFICIAL
SERVICING
AGENT
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 (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, Specially Adapted Housing Applicant Records, and Vendee Loan Applicant
Records - VA, and published in the Federal Register. Your obligation to respond is mandatory under 38 CFR 36.4315, 36.4317 and 36.4330.
RESPONDENT BURDEN: We need this information to determine compliance with the applicable reporting requirements of VA regulations. 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.whitehouse.gov/library/omb/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.
VA FORM
EXISTING STOCKS OF VA FORM 26-6850, JUL 1996,
VA COPY 1
JAN 2007
WILL BE USED.
26-6850
OMB Approved No. 2900-0021
Respondent Burden: 10 minutes
NOTICE OF DEFAULT
(Chapter 37, Title 38, U.S.C.)
TYPE VA LOAN NUMBER (NOTE: Loan
number must be numeric, 12 digits)
DATE OF THIS
NOTICE
INSTRUCTIONS:Please type or print. Note the special instructions for "VA Loan No." and
Items 1-4 and 7, as these entries will be used for VA coding purposes. For 38 CFR
36.4600 Loans, code a "4" in the block titled "TYPE."
HOLDER’S NOTICE
HOLDER’S NAME, ADDRESS AND TELEPHONE NO.
PURPOSE OF LOAN
(Check One)
To (Complete Regional Office/Center Address)
DEPARTMENT OF VETERANS AFFAIRS
LOAN GUARANTY DIVISION
HOME (1)
HOME CONDO (0)
HOME REFIN. (5)
SERVICING AGENT’S NAME, ADDRESS AND TELEPHONE
NO.(Complete only if different from holder shown above)
MANUFACTURED
HOME (8)
SERVICER CODE
(6 Digits)
DESCRIPTION OF DELINQUENT
1. SERVICER LOAN NO.
3A. SOCIAL SECURITY
2. DATE OF FIRST UNCURED DEFAULT
NOTE: Enter number only
NO. (Present Owner)
without spaces, dashes, etc.
MONTH DAY
YEAR
EXAMPLE: Enter 05 01 93 for
DO NOT ENTER MORE
THAN 14 CHARACTERS
May 1, 1993
Enter last name,
3B. NAME OF PRESENT OWNER
NOTE
5. COUNTY OR PARISH (Property location)
comma, first name
and middle initial
4. ADDRESS OF
A. NUMBER AND STREET OR RURAL ROUTE
Item 3B: Do not enter more 6. PROPERTY ADDRESS (If different than
PRESENT OWNER
Item 4)
than 25 characters in this
(Entries in Items A
area
and B MUST be
B. CITY AND STATE
C. ZIP
limited to 25
CODE
characters)
8. ORIGINAL VETERAN’S NAME AND PRESENT
9. AMOUNT OF EACH INSTALLMENT
7. DATE OF FIRST PAYMENT
ADDRESS (If different than Items 3B and 4 above)
PRINCIPAL AND
(Per loan instruments)
$
INTEREST
EXAMPLE: Enter
06 01 93 for
June 1, 1993
MONTH
DAY
OTHER
10. OTHER DEFAULT (Specify, real estate, taxes,
insurance, special assessments, etc.)
TYPE
13.
CONTACT(S)
WITH
MORTGAGOR
TAX AND INSURANCE
YEAR
11.
AMOUNT
OF
DEFAULT
PRINCIPAL
$
INTEREST
A. INTEREST
RATE
TAX AND INSURANCE
TOTAL
TOTAL
$
12. INTEREST RATE AND OUTSTANDING
LOAN BALANCE
C. AMOUNT
$
HOLDER’S LOAN SERVICING
15. CONDITION OF PROPERTY
NUMBER 14. DATES OF PROPERTY
INSPECTIONS
LETTER/WIRE
16. PROPERTY OCCUPIED BY
ORIGINAL
VETERAN
TENANT
FACE TO FACE
TELEPHONE
A. MONTHLY
INCOME
17.
B. DATE
B. MONTHLY
OBLIGATIONS
C. BORROWER’S ATTITUDE
TOWARD DEFAULT
D. PLACE OF EMPLOYMENT
TRANSFEREE
VACANT
E. WORK
TELEPHONE
NUMBER
F. HOME
TELEPHONE
NUMBER
BORROWER
SPOUSE
18. IS FORBEARANCE WARRANTED?
19. REASON FOR DEFAULT
20. SUMMARY OF LOAN SERVICING (Must give complete details to support conclusion that forbearance is or is not warranted. Include
repayment schedules or other arrangements, etc.)
21. NAME AND TITLE OF AUTHORIZED OFFICIAL (Type or Print)
HOLDER
22. SIGNATURE OF AUTHORIZED OFFICIAL
SERVICING
AGENT
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 (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, Specially Adapted Housing Applicant Records, and Vendee Loan Applicant
Records - VA, and published in the Federal Register. Your obligation to respond is mandatory under 38 CFR 36.4315, 36.4317 and 36.4330.
RESPONDENT BURDEN: We need this information to determine compliance with the applicable reporting requirements of VA regulations. 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.whitehouse.gov/library/omb/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.
VA FORM
EXISTING STOCKS OF VA FORM 26-6850, JUL 1996,
SERVICER’S COPY 2
JAN 2007
WILL BE USED.
26-6850
File Type | application/pdf |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |