Fillable Va Form 26-6382 - Statement Of Purchaser Or Owner Assuming Seller'S Loan printable pdf download

OMB Approved No. 2900-0111

Respondent Burden: 15 minutes

STATEMENT OF PURCHASER OR OWNER ASSUMING SELLER'S LOAN

INSTRUCTIONS: Please complete this form and the VA Form 26-6807, Financial Statement, and return to the office of the Department of Veterans Affairs shown

below. These forms are for submission in connection with the application for release from liability to the Government on a home loan filed with this office by the seller

in Item 3 and in connection with an application for substitution of entitlement by a veteran purchaser and the veteran seller. In substitution of entitlement cases, also

submit VA Form 26-8106, Statement of Veteran Assuming GI Loan. See reverse for Privacy and Respondent Burden Information.

SECTION I

(Complete)

2. LOAN NUMBER

1. ADDRESS

RETURN

VA Regional Office

TO:

(First, middle, last) (Type or print)

3. NAME OF SELLER

Attn: Loan Guaranty Officer

4. COMPLETE PROPERTY ADDRESS

(To be completed by Purchasers)

SECTION II -

5. INFORMATION ON PURCHASERS AND SALE OF PROPERTY

(First, middle, last) (Type or print)

A. NAME OF PURCHASER

B. NAME OF CO-PURCHASER

C. ARE YOU A VETERAN OF SERVICE IN THE U.S. ARMED FORCES?

D. ARE YOU A VETERAN OF SERVICE IN THE U.S. ARMED FORCES?

(If "Yes", complete Items 5E and 5F)

(If "Yes", complete Items 5G and 5H)

YES

E. SERVICE SERIAL NUMBER

F. SOCIAL SECURITY NUMBER

G. SERVICE SERIAL NUMBER

H. SOCIAL SECURITY NUMBER

I. PRICE AGREED ON FOR THE PROPERTY

J. PAYMENT OF DIFFERENCE BETWEEN PURCHASE PRICE AND UNPAID BALANCE ON SELLER'S

(Check one)

LOAN

THE DIFFERENCE WILL BE PAID (OR HAS BEEN PAID) AT THE TIME PROPERTY IS (WAS)

K. IS AMOUNT IN ITEM 5i GREATER THAN THE

TRANSFERRED BY ME IN CASH WITHOUT BORROWING ANY PORTION THEREOF

UNPAID BALANCE ON SELLER'S LOAN?

IT WILL BE (OR WAS) NECESSARY FOR ME TO BORROW ALL OR A PORTION OF THE DIFFERENCE

YES

(If checked, complete Items 6A thru 6G)

6. TERMS OF SALE (If additional space is needed, use reverse)

A. AMOUNT OF CASH

B. AMOUNT BORROWED

C. SOURCE OF FUNDS BORROWED

(Refer to Item 5J)

(Name and address)

PAID OR TO BE PAID

(Refer to Item 6B)

D. IS (WAS) MORTGAGE OR DEED OF TRUST GIVEN

E. AMOUNT OF OR BALANCE OF

F. SECURITY FOR AMOUNT BORROWED

(If other than mortgage or deed of trust)

SELLER OR OTHER PERSON?

MORTGAGE OR DEED OF TRUST

G. TERMS OF REPAYMENT OF AMOUNT BORROWED (Refer to Item 6B)

AMOUNT OF PAYMENT

PAYMENTS MADE

(Specify)

MONTHLY

OTHER

7. LIST YOUR ADDRESSES FOR PAST 5 YEARS

(No. and street or rural route, P.O. Box, City, State and ZIP Code)

B. DATES

A. ADDRESSES

PURCHASER

CO- PURCHASER

CERTIFICATIONS: I understand and agree that the attached Financial Statements are for use of the Department of Veterans Affairs and the lender who holds the

mortgage on the property which I am purchasing or have purchased from the above-named seller. I also understand that VA will not examine the title to this property and

that it is my responsibility to determine that the title is acceptable to me. (Depending upon your particular locality, this may be accomplished by an owner's title policy or

an attorney's certificate. You may also contact the local VA regional office for additional information.) It is further understood that the release of the seller from liability

to the Government on the loan or substitution of entitlement is conditioned upon my assuming all of the liabilities and obligations of the above seller arising out of the

loan. This includes the liability of the seller to reimburse VA for any amount it may hereafter be required to pay, or for any loss it suffers as a result of the making,

guaranty, or insurance of the seller's loan. I will assume, or have already assumed, all of the liability of the above seller arising out of the loan by written agreement in

such form as VA requires.

8A. SIGNATURE OF PURCHASER

8B. DATE

9A. SIGNATURE OF CO-PURCHASER

9B. DATE

26-6382

VA FORM

EXISTING STOCKS OF VA FORM 26-6382, MAY 2004,

DEC 2007

WILL BE USED.