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

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

CONDOMINIUM

PLANNED UNIT
DEVELOPMENT

2.

6. LOT DIMENSIONS:
1.

SQ/FT 2.

IRREGULAR:

7. UTILITIES ( X )

ACRES:

ELEC. GAS WATER SAN. SEWER

1. PUBLIC
2. COMMUNITY
3. INDIVIDUAL
8.
1.
RANGE/
OVEN
E
Q
U
I
P.

5B. E-MAIL ADDRESS (TO BE NOTIFIED WHEN APPRAISAL UPLOADED)
9. BUILDING STATUS

4.

CLOTHES 7.
WASHER

2.

REFRIG. 5.

DRYER

3.

DISH
WASHER 6.

GARBAGE
DISPOSAL

8.

VENT
FAN
W/W
CARPET

10. BUILDING TYPE
11. FACTORY
12A. NO. OF 12B. NO. OF 13A. STREET 13B. STREET
FABRICATED?
BUILDINGS LIVING UNITS ACCESS
MAINTENANCE
ROW
1.
DETACHED 3.
ALTERATIONS,
1. PRIVATE 1.
PRIVATE
APT.
SEMIIMPROVEMENTS,
UNIT 1.
2.
DETACHED 4.
YES 2.
NO
2.
NEW CONSTRUCT.
4.
OR REPAIRS
2. PUBLIC 2.
PUBLIC
14A. CONSTRUCTION WARRANTY
14B. NAME OF WARRANTY PROGRAM 14C. EXPIRATION DATE
15. CONSTRUCTION COMPLETED
(Month, day, year)
(Month, year)
INCLUDED?
(If "Yes," complete
Items 14B and 14C also)
1.
YES 2.
NO
18. RENT (If applicable)
16. NAME OF OWNER
17. PROPERTY:
1.

3.

EXISTING

PROPOSED

NEVER
OCCUPIED

OCCUPIED BY
OWNER
19. NAME OF OCCUPANT

20. TELEPHONE NO.
(Include Area Code)

VACANT

OCCUPIED BY TENANT
(Complete Item 18 also)
$

21. NAME OF BROKER

23. KEYS AT (Address)

24. ORIGINATOR'S IDENT. NO. 25. SPONSOR'S IDENT. NO.

27. PURCHASER'S NAME AND ADDRESS (Complete mailing address, Include ZIP Code)

/ MONTH

22. TELEPHONE NO.
(Include Area Code)

26. 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.

28. NEW OR PROPOSED CONSTRUCTION - Complete Items 28A through 28E for new or proposed construction cases only
A. NAME AND ADDRESS OF BUILDER

B. VA BUILDER ID NO.

29. APPLICABLE POINT OF CONTACT (POC) INFORMATION

C. TELEPHONE NO.
(Include Area Code)

D. NAME AND ADDRESS OF WARRANTOR

30. ANNUAL REAL ESTATE TAXES
$

32. LEASEHOLD CASES (Complete if applicable)
A. LEASE IS:

31. MINERAL RIGHTS RESERVED?

E. TELEPHONE NO.
(Include Area Code)

B. EXPIRES (Date)

99 YEARS

YES (Explain)

C. ANNUAL GROUND RENT
RENEWABLE

NO
33A. SALE PRICE OF PROPERTY 33B. IS BUYER PURCHASING LOT
SEPARATELY?
YES

35. PROPOSED SALE CONTRACT ATTACHED

YES

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

NO

$

$
34. REFINANCING-AMOUNT
OF PROPOSED LOAN

$

NO

CERTIFICATION FOR SUBMISSION TO VA

On receipt of "Notice of Value" or 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.
36. SIGNATURE OF PERSON AUTHORIZING THIS REQUEST

37. TITLE

40. DATE OF ASSIGNMENT

41. NAME OF APPRAISER

38. TELEPHONE NUMBER
(Include Area Code)

39. DATE

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."
VA FORM
AUG 2008

26-1805

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

OMB Control 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. 3710(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 control 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 and give your comments or
ask for mailing information on where to send your comments.
NOTE: ALL ENTRIES MUST BE TYPED.
Complete the form following the instructions below. After completion forward the form, together with any necessary exhibits to the
VA office having jurisdiction.
Since certain selected data from page 1 is transcribed onto VA NOV (Notice of 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
PROPOSED CONSTRUCTION: Submit complete set of certified 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.
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.
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.
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 34.

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

VA FORM 26-1805, AUG 2008