VA Form 26-6381

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OMB Control No. 2900-0110
Respondent Burden: 10 Minutes
Expiration Date: XX/XX/20XX

APPLICATION FOR ASSUMPTION APPROVAL AND/OR RELEASE FROM
PERSONAL LIABILITY TO THE GOVERNMENT ON A HOME LOAN
INSTRUCTIONS: Please complete this form fully and accurately and return it to the office of the Department of Veterans Affairs (VA) shown below. Enclose remittance
(certified check or money order) payable to VA in the amount shown on the instruction letter which accompanied this form. (NOTE: Use of this form does not affect the
seller's liability on a VA-guaranteed loan from a private lender.) See Section II for Privacy Act Information.

SECTION I (To be completed by VA)

RETURN TO:

ADDRESS (Complete)
DEPARTMENT OF VETERANS AFFAIRS
Attn: Loan Guaranty

1. VA LOAN NUMBER

SECTION II (To be completed by Seller)

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 (i.e., providing information that is used in determining whether VA can approve a request for assumption approval and/or release of liability to the Government on a
loan) 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 response is required to obtain or retain benefits. Giving us your SSN account information is voluntary. Refusal to provide
your SSN by itself will not result in the denial of benefits. VA will not deny an individual benefits for refusing to provide his or her SSN unless the disclosure of the SSN is required by a Federal Statute
of law in effect prior to January 1, 1975, and still in effect.
RESPONDENT BURDEN: 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 2900-0110, and it expires XX/XX/20XX. Public reporting burden for this collection of information is estimated to average 10 minutes per respondent, per
year, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing 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. 2900-0110 in any correspondence. Do not send your completed VA Form 26-6381 to this email address.
2A. NAME OF SELLER (First - Middle - Last) (Type or Print)

2B. SOCIAL SECURITY NUMBER

3A. TELEPHONE NUMBER (Include Area Code)

3B. EMAIL ADDRESS

4A. MAILING ADDRESS OF SELLER (Number and street or rural route, city or P.O.

4B. ADDRESS OF PROPERTY WHICH IS SECURITY FOR THE LOAN ON WHICH
YOU WISH TO BE RELEASED FROM LIABILITY (If rural property, give directions

Box, State and ZIP Code)

to locate it)

5. INFORMATION ABOUT PURCHASER OR OWNER OF PROPERTY WHO WILL ASSUME YOUR LOAN
A. NAME OF ASSUMER OF LOAN (First - Middle - Last) (Type or Print)

B. MAILING ADDRESS OF ASSUMER OF LOAN (Number and street or rural route,

city or P.O. Box, State and ZIP Code)

6A. STATUS OF SALE TRANSACTION (Check one)

6B. AGREED PURCHASE PRICE

Have agreed on purchase price but no sale has been completed and no contract or deed signed (Complete Item 6B)
No sale has been completed but contract for sale has been signed and copy is attached (Complete Item 6B)

6C. SALE PRICE

Sale has been completed and deed executed and delivered to purchaser (Complete Item 6C)
7A. PAYMENT ENCLOSED FOR CREDIT REPORT AND/OR PROCESSING CHARGE (Check one if applicable)
Money Order

7B. AMOUNT

Other (Specify):
8C. LENDER'S LOAN NO. (If known)

8A. NAME OF SERVICER YOU MAKE YOUR
PAYMENTS TO

8B. ADDRESS OF LENDER

9A. AMOUNT OF MONTHLY LOAN PAYMENT

9B. APPROXIMATE LOAN BALANCE (May be obtained from year-end statement)

10. ASSESSMENTS AND/OR OTHER LIENS OUTSTANDING ( NOTE: Lien is a legal claim against a property that must be paid off when the property is sold. Assessment is a

tax or levy imposed against specific parcels of real estate that can benefit from improvements such as a street or sewer.)
A. AMOUNT

B. PURPOSE (Streets, sidewalks, sewers, etc)

11. HAVE VA FORMS 26-6382 AND 26-6807 BEEN PROVIDED TO YOUR PURCHASER FOR COMPLETION?

C. HOW PAYABLE

YES

NO

IMPORTANT: In order for VA to release you from liability, it will be necessary that your purchaser assume all of your liability to the Government, as well as to the loan
holder, if this is other than VA. The instruction letter you received with this form indicates whether this liability may be assumed through a clause in the deed transferring the
property to the purchaser. If not, or if you have already completed the sale of the property without a proper clause included in the deed, then it will be necessary that a separate
"Agreement Creating Liability to Holder and to U.S." be executed by your purchaser. You must ensure that the purchaser is willing to assume your liability by a clause in the
deed or by executing the agreement. This may be accomplished by a provision in your sales contract, or by other written assurance. Should your purchaser be willing to assume
your liability, please call the VA office above for guidance on your available options. If you already completed the sale of your home and included a VA approved clause in the
deed, attach to this form a copy of the deed showing the date and place it was recorded. Similarly, a copy of the agreement should be submitted if this has already been
executed at the time of sale.
12A. SIGNATURE OF SELLER

VA FORM
XXX 20XX

26-6381

12B. DATE (MM/DD/YYYY)

SUPERSEDES VA FORM 26-6381, JAN 2024,
WHICH WILL NOT BE USED.

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