Status of Loan Account - Foreclosure or Other Liquidation

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OMB Control No.: 2900-0851
Estimated Burden: 30 minutes
Expiration Date: XX/XX/20XX

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 1 is
the applicable cutoff per 38 CFR 36.
NOTE: LOAN NUMBER MUST BE NUMERIC, 12 DIGITS
LOAN NO.:

VA LOAN NO.:

CURRENT OWNER:

ORIGINAL VETERAN:

ORIGINAL LOAN AMOUNT:

PERCENT OF GUARANTY:

TERM OF LOAN:

P & I:

DATE OF FINAL DISBURSEMENT:

DATE OF FIRST PAYMENT:

PROPERTY ADDRESS

ITEM
1. PRINCIPAL
AN UNPAID PRINCIPAL

DATE

AMOUNT
$

2. INTEREST
FROM:
TO:

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

$

DATE APPLIED

B. INTEREST BUYDOWN TO OBTAIN A NET VALUE

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, buy down funds escrowed at origination, credits applied by
the holder in order to obtain a net value from VA, hazard insurance proceeds, etc.)

$
$

DATE

AMOUNT
$

5. ACTUAL FORECLOSURE COSTS PAID OR WHICH WILL BE PAID PRIOR TO DATE OF FORECLOSURE (Itemize)
PAYMENT DATE
DESCRIPTION

AMOUNT PAID
$
$

6. ANY OTHER CHARGES LEGALLY CHARGEABLE TO MORTGAGOR INLUDING TAX/INSURANCE ADVANCES AND PROPERTY
PRESERVATION COSTS PAID OR WHICH WILL BE PAID PRIOR TO DATE OF FORECLOSURE (Itemize)
AMOUNT PAID
PAYMENT DATE
DESCRIPTION
$
$
$
7. TOTAL INDEBTEDNESS AT FORECLOSURE (Or other liquidations/cutoff date) (Sum of Items 2A, 5 and 6 less sum of Items 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 (Sign in ink)

VA FORM
XX/20XX

26-0971

SUPERSEDES VA FORM 26-0971,OCT 2020,
WHICH WILL NOT BE USED.

12. DATE

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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 (38 U.S.C. 3720 (a) (5)), (for example: Authorizing release of information to Congress when requested for
statistical purposes 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 voluntary, but failure to provide requested information could impede processing.
VA BURDEN STATEMENT: An agency may not conduct or sponsor, and a person is not required to respond to a collection of information
unless it displays a currently valid OMB control number. The OMB control number for this project is 2900-0851, and it expires XX/XX/20XX.
Public reporting burden for this collection of information is estimated to average 30 minutes per respondent, per year, including the time for
reviewing instructions, searching existing data sources, finding the information, gathering and maintaining the data needed, and reviewing
and completing the collection of information. Send comments regarding this burden estimate and any other aspect of this collection of
information, including suggestions for reducing the burden, to VA Reports Clearance Officer at [email protected]. Please refer to OMB Control
No. 2900-0851 in any correspondence. Do not send your completed VA Form 26-0971 to this email address.

VA FORM 26-0971, JUN 2023

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