Fillable Printable Vba 26 8630 Are

Vba 26 8630 Are

I. AMOUNT CLAIMED (Not to exceed amount claimed at Item 12)

A-$

MANUFACTURED HOME LOAN CLAIM UNDER LOAN GUARANTY

(Manufactured Home Unit and Lot or Lot Only) (Section 3712, Chapter 37, Title 38, U.S.C.)

SUPPORTING DOCUMENTS REQUIRED

A. The originals or copies certified by the holder of all instruments evidencing

the indebtedness and the agreement between the claimant and the debtor. Copies

of instruments which have been recorded must show book, page, and place of

recording.

B. If claimant is an assignee or transferee of the original lender, a certified copy

of the instrument of transfer.

C. Statement of account in duplicate, one certified. This in effect should be a

copy of the ledger sheet or equivalent showing amounts and disbursements

of all debts and credits.

INSTRUCTIONS

1. Items 7 and 15, Lines A and B - If only one interest factor involved, use line

A only. If two rates of interest, use lines A and B.

2. Item 11, Columns A, B, and C - If only one interest factor involved use

columns A and C. If two rates of interest, use A, B, and C.

3. Item 11A - Enter Original Principal only, excluding any discount or add-on

interest.

4. Item 11D - In the case of an interest-bearing note, enter here (whether or not

paid in whole or in part) the total interest accrued to the earliest date in Item 9.

In case of discount or add-on note enter here the interest earned, computed by

the actuarial method (not rule of 78's) from the date of loan disbursement to the

earliest date in Item 9.

5. Item 11E - In the case of an interest-bearing note, enter here the total amount

of interest paid from the date of the loan to the earliest date in Item 9. In the case

of a discount or add-on note, make no entry.

6. Item 11F - In the case of an interest-bearing note enter here the balance of

interest due from the borrower (Item 11D minus 11E). In the case of a discount

or add-on note the amount will be the same as Item 11D.

7. Item 13B - Accrued interest from the cutoff date to the date of resale will be

payable at 6%, not to exceed 60 days, for loans closed prior to May 8, 1984. For

loans closed on or after May 8, 1984, accrued interest from the cutoff date to the

date of resale will be payable at 4.75% below the contract rate, not to exceed 90

days.

PURSUANT TO THE REGULATIONS ISSUED UNDER TITLE 38, U.S.C., THE UNDERSIGNED SUBMITS

CLAIM FOR PAYMENT OF THE GUARANTY, AS SET FORTH BELOW

1. NAME AND ADDRESS OF CLAIMANT

ORIGINAL LOAN AMOUNT

7. AMOUNT AND TERMS OF LOAN DISBURSEMENTS (See Instruction 1)

12. AMOUNT CLAIMED

AMOUNTITEM

DATE OF LOAN INTEREST AT

ORIGINAL PRINCIPAL AMOUNTS (See Instruction 3)

CREDITS TO PRINCIPAL (Items 15C, 15D, and 16 on reverse)

ADJUSTED PRINCIPAL BALANCE (A minus B)

3. PURPOSE OF LOAN 4A. AMOUNT OF LOAN

NO. OF PAYMENTS REQUIRED

FACE AMOUNT OF LOAN

INSTRUMENT

DATE OF FIRST PAYMENT

2A. VA LOAN NUMBER

DATE OF FINAL

DISBURSEMENT

DURATION OF LOAN(S)

(Months)

AMOUNT OF EACH PAYMENT (Principal and

Interest Only)

TYPE OF LIEN(S) (Specify)

11. STATUS OF ACCOUNTS

(See Instructions 2 through 6)

ACCRUED INTEREST PAID AND UNPAID OR EARNED

DISCOUNT OR ADD-ON

(See Instruction 4)

INTEREST PAID (Item 15B on reverse) (See Instruction 5)

BALANCE OF INTEREST DUE, OR EARNED DISCOUNT OR

ADD-ON

(See Instruction 6)

TOTAL INDEBTEDNESS (Items 11C + 11F + 11G)

CHARGES TO PRINCIPAL (Advances etc. except interest

charges) (Item 17 on reverse)

OMB Control No. 2900-0408

Respondent Burden: 20 minutes

VA FORM

OCT 2008

26-8630

SUPERCEDES VA FORM 26-8630, MAR 2005,

WHICH WILL NOT BE USED.

D. A copy of the new installment sales contract (if the resale of the security was

financed) or the proceeds check (if the security was resold for all cash).

E. Copies of all instruments transferring title from the original veteran-obligor

through the owner holding title at liquidation, with the Social Security number

or taxpayer identification number of each obligor not listed in Items 5A through

6B shown on the corresponding transfer instrument.

2B. DATE OF LOAN

4B. PERCENTAGE OF

GUARANTY

4C. AMOUNT OF GUARANTY

5A. NAME AND ADDRESS OF ORIGINAL VETERAN-OBLIGOR 5B. NAME AND ADDRESS OF LAST TITLE HOLDER(S)

6A. SOCIAL SECURITY NUMBER OF ORIGINAL VETERAN-OBLIGOR 6B. SOCIAL SECURITY OR TAX PAYER ID NUMBER OF LAST TITLE HOLDER(S)

8. IF NOTE PAYABLE UNDER TERMS OTHER THAN PROVIDED ABOVE,

EXPLAIN

$ $%

COMBINATION LOAN - MANUFACTURED

HOME UNIT AND LOT

LOT ONLY

JUDGMENT OR DECREE OF FORECLOSURE

FIRST NOTICE OF SALE PUBLISHED (Non judicial foreclosure)

13. LIQUIDATION OF SECURITY AND FINAL ACCOUNTING

9. CUT-OFF DATE FOR CLAIM COMPUTATION (Check one and give date)

DATE

A. TOTAL INDEBTEDNESS AT DATE OF CLAIM COMPUTATION (Item 11H; Column C)

B. INTEREST FROM DATE OF

CLAIM COMPUTATION TO:

CLAIMANT REPOSSESSED SECURITY

10. DESCRIBE UNDERLYING SECURITY (Type of property)

A $

COLUMN A COLUMN B

$$ $

$ $

1 2 1 2

COLUMN C

(Total of A & B)

C. LIQUIDATION EXPENSES (From Item 18, Schedule A)

D. ADVANCES (Not included in Item 11G) (See Item 17 on reverse)

F. LESS BALANCE IN TAX AND INS. ACCT., INS. REFUND AND OTHER CREDITS

(Omit if included in Item 11B) (See Items 16 and 19 on reverse)

E. TOTAL

G. TOTAL INDEBTEDNESS AT DATE OF SALE OR OTHER LIQUIDATION

H. PROCEEDS OF LIQUIDATION

14. DATE OF FILING CLAIM

NOTE: See reverse for additional items.

DATE OF SALE OR OTHER LIQUIDATION (See Instruction 7)

DATE

B-$

B-$B-

B-

A-$

A-

A-A-

% (Item 4B) of Item 11H; but not to exceed amount in Item 4C)

INSTRUCTIONS: (1) This statement of account must be completed in detail. The amounts shown below must be included in Item 11 on the front of this form. (2)

Total payments received will be shown in both Item 15A and 15C where discount or add-on note is used. (3) Items 15B and 15G will not be completed if discount or

add-on note is used.

STATEMENT OF ACCOUNT

15. PAYMENTS (See Instruction 1)

16. TAXES AND INSURANCE

A. TOTAL PAYMENTS RECEIVED ON ACCOUNT

C. AMOUNT APPLIED TO PRINCIPAL

BALANCE IN TAX AND INSURANCE ACCOUNT (This amount must be included in Item 11B, if this sum is

legally applicable to the indebtedness as of cutoff date for claim computation, if not show under Item 13F)

B. AMOUNT APPLIED TO INTEREST

17. ADVANCES

(Advances made before cutoff date in Item 9 will be shown in Item 11G: those made after cutoff date will be shown in Item 13D)

18. SCHEDULE A - LIQUIDATION EXPENSES

ATTEST: SIGNATURE OF SECRETARY

DATE

CLAIMANT

OFFICIAL SIGNATURE AND TITLE

20. REMARKS

Federal statutes provide severe penalties for any fraud, intentional misrepresentation, or criminal connivance or conspiracy in making any claim upon or against the

Government of the United States, or any department or officer thereof, and obtaining or aiding to obtain the payment or approval of such claim.

ATTORNEY'S FEE

TRUSTEE'S COMMISSION

DOCUMENTARY STAMP TAX

SHERIFF'S FEE

ADVERTISING

SALES COMMISSION

REPAIR COSTS

REPOSSESSION EXPENSES (Itemize)

OTHER (Specify)

TOTAL (Place Total in Item 13C)

19. INSURANCE REFUNDS OR OTHER CREDITS UNDER 38 CFR 36.4283(h)(5) (Show amount in Item 11B if sum

is legally applicable to the indebtedness as of the cutoff date of claim compensation, otherwise shown under Item 13F)

AMOUNT DISBURSED FOR COURT COSTS (Itemize)

ITEM AMOUNT

AMOUNT OF ADVANCE DATE MADE PURPOSE

D. PREPAYMENT(S) TO PRINCIPAL E. DATE(S) RECEIVED F. DATE OF FIRST UNCURED DEFAULT

G. INTEREST COLLECTED TO (Date)

B-$

B-$ B-$

B- B- B-

A- A- A-

A-$

PRIVACY ACT INFORMATION: 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 (e.g., to a member of Congress inquiring on behalf of a veteran) 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, and published in the Federal Register. Your obligation to respond is mandatory under 38 CFR 36.4215 and 36.4284.

RESPONDENT BURDEN: We need this information to determine the amount payable under the loan guaranty. Title 38, United States Code allows us to collect this

information. We estimate that you will need an average of 20 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.whitehouse. gov/omb/library/OMBINV.VA.EPA.html#VA. If desired, you

can call 1-800-827-1000 to get information on where to send comments or suggestions about this form.

CERTIFICATION: The undersigned hereby certifies that the information contained herein is true, accurate and complete, that this is a correct and valid claim, and that

payment therefor has not been received. The undersigned further certifies that it is the owner of the loan identified in Item 7 and that the Certificate of Guaranty or

Endorsement of Guaranty issued by the Secretary of Veterans Affairs in respect to such loan will be surrendered or cancelled in accordance with 38 CFR 36.4218 upon

full payment of this claim, it agrees to indemnify the Department of Veterans Affairs to the extent of any loss which may be sustained by reason of such failure or

inability.

VA FORM 26-8630, OCT 2008