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

OMB Control No. 2900-0045
Respondent Burden: 6 minutes
Expiration Date: XX/XX/XXXX

REQUEST FOR DETERMINATION OF REASONABLE VALUE (Real Estate)
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 finance of housing.
If VA finds there is noncompliance with any anti-discrimination laws or regulations, it may discontinue business with the violator.
SECTION 1: PROPERTY ADDRESS AND DESCRIPTION
1A. VA LOAN IDENTIFICATION NUMBER (LIN)

1B. APN/LOT NUMBER

1C. LATITUDE/LONGITUDE GRID

1F. PROPERTY ADDRESS CITY

1G. PROPERTY ADDRESS STATE

1E. PROPERTY ADDRESS LINE TWO

1H. PROPERTY ADDRESS COUNTY

1I. PROPERTY ADDRESS ZIP CODE

1J. BUILDING TYPE

1K. PROPERTY LEASEHOLD?

1D. PROPERTY ADDRESS LINE ONE

SINGLE FAMILY RESIDENCE

MANUFACTURED HOME

CONDO

MULTI-FAMILY RESIDENCE

YES

1L. VERIFIED BY USPS?

NO

YES

NO

SECTION 2: LOAN TYPE AND INFORMATION
2C. BUILDING STATUS

2B. LOAN USE (If Applicable)

2A. APPRAISAL TYPE
PURCHASE

RENOVATION (Alterations/Repairs)

PROPOSED

REFINANCE

CONSTRUCTION

NEW CONSTRUCTION/UNDER CONSTRUCTION

LIQUIDATION

ENERGY EFFICIENCY
MORTGAGE (EEM)

EXISTING

OTHER

OTHER

OTHER

2D. SALES PRICE

NEW OR PROPOSED CONSTRUCTION - COMPLETE BUILDER INFORMATION 2E THROUGH 2G BELOW
2F. BUILDER ID NUMBER

2E. BUILDER NAME

2G. BUILDER TELEPHONE NUMBER
(INCLUDE AREA CODE)

SECTION 3: SPECIAL INSTRUCTIONS AND ADDITIONAL INFORMATION
3A. SPECIAL INSTRUCTIONS
VETERAN/SELLER WORKS NIGHTS

3B. OTHER SPECIAL INSTRUCTIONS OR INVOICE
INFORMATION (PLEASE DESCRIBE)

3C. NUMBER OF PAGES IN
UPLOADED SALES CONTRACT

PETS ON PREMISES
HOUSE ALARM
GATED COMMUNITY
SPECIAL ENERGY EFFICIENCY

NOTE: INITIATING THE TIDEWATER PROCESS (VALUE NOT SUPPORTED)
When Purchase Price is not supported, Tidewater is to be sent to Tidewater POC in Section 4.

SECTION 4: POINT(S) OF CONTACT INFORMATION (PLEASE COMPLETE FOR PROPERTY ACCESS OR
NOTIFICATION PURPOSES)
LENDER POINT OF CONTACT INFORMATION (POC)
4A. LENDER POC NAME

4B. LENDER POC PHONE NUMBER
(INCLUDE AREA CODE)

4D. VETERAN/BORROWER POC NAME

4C. LENDER POC E-MAIL
ADDRESS

BUYER AGENT POINT OF CONTACT (POC) INFORMATION
4G. BUYER AGENT POC NAME

4H. BUYER AGENT POC PHONE
NUMBER (INCLUDE AREA CODE)

VA FORM
XXX XXXX

26-1805

VETERAN/BORROWER POINT OF CONTACT (POC) INFORMATION

4E. VETERAN/BORROWER POC PHONE
NUMBER (INCLUDE AREA CODE)

4F. VETERAN/BORROWER POC
E-MAIL ADDRESS

SELLER AGENT POINT OF CONTACT (POC) INFORMATION
4J. SELLER AGENT POC NAME

4I. BUYER AGENT POC E-MAIL
ADDRESS

4K. SELLER AGENT POC PHONE
NUMBER (INCLUDE AREA CODE)

SUPERSEDES VA FORM 26-1805, OCT 2020,
WHICH WILL NOT BE USED.

4L. SELLER AGENT POC
E-MAIL ADDRESS

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SELLER/HOME OWNER POINT OF CONTACT (POC) INFORMATION
4M. SELLER/HOME OWNER POC NAME

4N. SELLER/HOME OWNER POC
PHONE NUMBER
(INCLUDE AREA CODE)

BUILDER SALES OFFICE POINT OF CONTACT (POC) INFORMATION
4P. BUILDER SALES OFFICE POC NAME

4O. SELLER/HOME OWNER POC
E-MAIL ADDRESS

4Q. BUILDER SALES OFFICE POC
PHONE NUMBER
(INCLUDE AREA CODE)

4R. BUILDER SALES OFFICE
E-MAIL ADDRESS

TIDEWATER POINT OF CONTACT (POC) INFORMATION
4S. TIDEWATER POC NAME

4U. TIDEWATER POC E-MAIL
ADDRESS

4T. TIDEWATER POC PHONE NUMBER
(INCLUDE AREA CODE)

SECTION 5: REQUESTER INFORMATION
5A. BUSINESS/LENDER NAME

5B. REQUESTER NAME

5C. REQUESTER TITLE

5D. REQUESTER PHONE NUMBER (INCLUDE AREA CODE)

5E. REQUESTER E-MAIL ADDRESS

5F. BUSINESS/LENDER STREET ADDRESS LINE ONE

5H. BUSINESS/LENDER ADDRESS CITY

5G. BUSINESS/LENDER STREET ADDRESS LINE TWO

5I. BUSINESS/LENDER ADDRESS
STATE

5L. SPONSOR TYPE

5K. INSTITUTION CASE NUMBER

LENDER

5J. BUSINESS/LENDER ADDRESS
ZIP CODE

5M. SPONSOR ID
SERVICER

5N. CAN ASSISTED APPRAISAL PROCESSING PROGRAM (AAPP) BE UTILIZED ON THIS APPRAISAL ASSIGNMENT?

YES

NO

SECTION 6: VETERAN/BORROWER INFORMATION
6A. VETERAN NAME (First, Middle Initial, Last)

6B. OTHER BORROWER NAME(S) (SPOUSE, PARTNER, ETC.)

6C. VETERAN ADDRESS LINE ONE

6D. VETERAN ADDRESS LINE TWO

6E. VETERAN ADDRESS CITY

6F. VETERAN ADDRESS STATE

6H. VETERAN PHONE NUMBER (INCLUDE AREA CODE)

6I. VETERAN E-MAIL ADDRESS

6G. VETERAN ADDRESS ZIP CODE

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.
7A. SIGNATURE OF PERSON AUTHORIZING THIS REQUEST

7B. PERSON AUTHORIZING REQUEST TITLE

7C. APPRAISAL REQUEST DATE

VA USE ONLY: TO BE COMPLETED BY THE SYSTEM
7D. ASSIGNED APPRAISER NAME

7E. ASSIGNED APPRAISER PHONE NUMBER (INCLUDE AREA CODE)

7F. ASSIGNED APPRAISER E-MAIL ADDRESS

7H. APPRAISAL ORDER DATE

7G. APPRAISER ASSIGNMENT DATE

7I. APPRAISAL DUE DATE

7J. APPRAISAL FEE

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."
PRIVACY ACT NOTICE: 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 (for example: Authorize release of information to Congress when requested on how many properties have been appraised under the VA Home Loan program)
as identified in the VA system of records, 17VA26, Loan Guaranty Program Participant Records - VA, published in the Federal Register. Your obligation to respond is mandatory. Providing
personal property information is mandatory as Applicants are required to provide this information under 38 U.S.C. 3702 (d).
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.
VA FORM 26-1805, XXX XXXX

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