Form 26-567 Status of Loan Account - Foreclosure or Other Liquidatio

DEPARTMENT OF VETERANS AFFAIRS

.

In Reply Refer To:
VA Loan Number:
S/H Loan Number:

Please furnish us the information requested on the back of this letter regarding the status of the above
loan. This information will enable us to determine what amount, if any, we will specify under VA 38
CFR 36.4283 or 36.4320 on account of the liquidation of the security.
We are enclosing a copy of this letter in the event you want to complete and retain it for your records.
Your cooperation will be appreciated.
Sincerely,

Enclosure: FL 26-567

Privacy Act Notice: The 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 1.526 for routine uses (e.g., prior owners who remain contingently liable for the debt) 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, published in the Federal Register. Your obligation to respond is mandatory under 38 CFR 36.4319(b).
Respondent Burden: We need this information to determine if VA will specify an amount for credit to the indebtedness pursuant to 38, CFR 36.4320. Title 38,
United States Code, allows us to ask for this information. We estimate that you will need an average of 30 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/OMBINVC.html#VA. If desired, you can call 1-800-827-1000 to get information on where to send comments or suggestions
about this form.

FL 26-567
OCT 2004(RS)

OMB Control No.: 2900-0130
Respondent Burden: 30 Mins.

STATUS OF LOAN ACCOUNT - FORECLOSURE OR OTHER LIQUIDATION
INSTRUCTIONS: Complete all applicable items. If additional space is required, attach a separate sheet and identify each item by number. The date in Item 1A is
the applicable cutoff per 38 CFR 36. 4321. However, if VA has issued notice that no amount will be specified, and the holder has applied credits to the account in
order to obtain a net value, computation will be based on the date of the next scheduled foreclosure sale or the buydown date, whichever is earliest. The "Date
Applied" in Item 1B will be considered the date the buydown is reflected in the the loan account ledger for claim purposes, and the date must be established on or
prior to the date this form is completed. Space has also been provided in Item 2B for an interest buydown. The "From" date must be no earlier than the date
interest was last paid, and the "To" date must be no later than the date in 2A. You must attach a copy of the payment history which reflects that the buydown funds
have been applied. NOTE: With respect to use of Item 2B, a principal buydown in Item 1A will automatically result in a reduction in interest accrued from the
date of the buydown to the cutoff date in Item 1A, as interest for that period will be based on a reduced principal balance. Buydowns not involving reductions in
principal or interest may be reflected in Item 4.
NOTE: LOAN NUMBER MUST BE NUMERIC, 12 DIGITS
VA LOAN NUMBER:
HOLDER LOAN NO.:
CURRENT OWNER:

ORIGINAL VETERAN:

ORIGINAL LOAN AMOUNT:

PERCENT OF GUARANTY:
P & I:

INTEREST RATE:

TERM OF LOAN:
DATE OF FINAL DISBURSEMENT:

DATE OF FIRST PAYMENT:

PROPERTY ADDRESS:

ITEM
1. PRINCIPAL
AMOUNT

DATE

A. UNPAID PRINCIPAL

$
DATE APPLIED

B. PRINCIPAL BUYDOWN TO OBTAIN A NET VALUE

$
2. INTEREST
FROM:

A. UNPAID INTEREST (From is the Interest Collected to Date and To is the Cutoff Date)

TO:
DATE APPLIED

B. INTEREST BUYDOWN TO OBTAIN A NET VALUE

DESCRIPTION

$
$

3. AMOUNT IN TAX AND INSURANCE ACCOUNT (If other than a positive balance, show "0" and list advances in Item 6)
TYPE
4. OTHER CREDITS (e.g., unearned add-on interest or discount, amount in receiver’s rent account,
unapplied interest, buydown funds escrowed at origination, credits applied by the holder in order to
obtain a net value from VA, hazard insurance proceeds, etc.)
5. ACTUAL FORECLOSURE COSTS PAID OR WHICH WILL BE PAID PRIOR TO DATE OF FORECLOSURE (Itemize)

$

AMOUNT

DATE

AMOUNT PAID

PAYMENT DATE

6. ANY OTHER CHARGES LEGALLY CHARGEABLE TO MORTGAGOR INCLUDING TAX/INSURANCE ADVANCES AND PROPERTY PRESERVATION COSTS PAID
OR WHICH WILL BE PAID PRIOR TO DATE OF FORECLOSURE (Itemize)
DESCRIPTION

PAYMENT DATE

AMOUNT PAID

$
$
$
$

7. TOTAL INDEBTEDNESS AT FORECLOSURE (Or other liquidation/cutoff date) (Sum of Items 1A, 2A, 5, and 6 less sum of Items 1B, 2B, 3 and 4.)
8. STATUS OF PROPERTY TAXES
TYPE TAX

DATE LAST PAID

ANNUAL AMOUNT

PERIOD COVERED

NAME OF TAX AUTHORITY

TAX AUTHORITY
ACCOUNT NO.

COUNTY
CITY
SCHOOL
OTHER TAX
9. WATER AND SEWER CHARGES AND SPECIAL ASSESSMENTS
AMOUNT

DATE LAST PAID

TYPE

PERIOD COVERED

10. NAME, ADDRESS AND TELEPHONE NUMBER OF HOLDER

11. SIGNATURE AND TITLE OF LENDING INSTITUTION OFFICIAL

11. DATE

FL 26-567, OCT 2004(RS)