Form VA Form 26-1805 VA Form 26-1805 Request for Determination of Reasonable Value (Real Esta

OMB Control No. 2900-0045
Respondent Burden: 12 minutes
Expiration Date: XX/XX/XXXX

REQUEST FOR DETERMINATION OF REASONABLE VALUE (Real Estate)
4. TITLE LIMITATIONS AND RESTRICTIVE
COVENANTS:

1. CASE NUMBER
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 )

ELEC.

ACRES:

GAS WATER

SAN. SEWER

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

5B. E-MAIL ADDRESS (TO BE NOTIFIED WHEN APPRAISAL UPLOADED)
3.

4.

PROPOSED

16. NAME OF OWNER

RANGE/
OVEN

4.

CLOTHES 7.
WASHER

2.

REFRIG.

5.

DRYER

3.

YES

1.

PRIVATE

1.

PRIVATE

NO

2.

PUBLIC

2.

PUBLIC

14C. EXPIRATION DATE
(Month, day, year)

15. CONSTRUCTION COMPLETED
(Month, year)
18. RENT (If applicable)

17. PROPERTY:
OCCUPIED BY
OWNER

NEVER
OCCUPIED

20. TELEPHONE NO.
(Include Area Code)

19. NAME OF OCCUPANT

8.

VENT
FAN
W/W
CARPET

DISH
GARBAGE
6.
DISPOSAL
WASHER
11. FACTORY
12A. NO. OF 12B. NO. OF 13A. STREET 13B. STREET
MAINTENANCE
FABRICATED? BUILDINGS LIVING UNITS ACCESS

10. BUILDING TYPE
EXISTING
ALTERATIONS,
1.
DETACHED 3.
ROW
1.
IMPROVEMENTS,
2.
2.
NEW CONSTRUCT.
SEMIAPT.
4.
OR REPAIRS
UNIT 2.
DETACHED
14A. CONSTRUCTION WARRANTY
14B. NAME OF WARRANTY PROGRAM
INCLUDED? (If "Yes," complete Items 14B & 14C
also)
1.
YES
2.
NO

9. BUILDING STATUS
1.

1.

23. KEYS AT (Address)

OCCUPIED BY TENANT
(Complete Item 18 also)

VACANT

$

24. ORIGINATOR'S IDENT. NO.

/ MONTH
22. TELEPHONE NO.
(Include Area Code)

21. NAME OF BROKER

25. SPONSOR'S IDENT. NO. 26. INSTITUTION'S CASE NO.

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

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
C. TELEPHONE NO.
(Include Area Code)

B. VA BUILDER ID NO.

A. NAME AND ADDRESS OF BUILDER

29. APPLICABLE POINT OF CONTACT (POC) INFORMATION

D. NAME AND ADDRESS OF WARRANTOR

30. ANNUAL REAL ESTATE TAXES
$
YES (Explain)

33B. IS BUYER PURCHASING LOT
SEPARATELY?
YES

C. ANNUAL GROUND RENT
$

34. REFINANCING-AMOUNT
OF PROPOSED LOAN

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

NO

$

99 YEARS

B. EXPIRES (Date)

RENEWABLE

NO
33A. SALE PRICE OF PROPERTY

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

31. MINERAL RIGHTS RESERVED?

E. TELEPHONE NO.
(Include Area Code)

35. PROPOSED SALE CONTRACT ATTACHED
YES

$

NO

CERTIFICATION FOR SUBMISSION TO VA

On receipt of "Notice of Value" or upon 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
XXX XXXX

26-1805

SUPERSEDES VA FORM 26-1805, JUL, 2017,
WHICH WILL NOT BE USED.

OMB Control No. 2900-0045
Respondent Burden: 12 minutes
Expiration Date: XX/XX/XXXX

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.reginfo.gov/public/do/PRAMain. 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, XXX XXXX