GSA2494

Claim for Reimbursement of Closing Costs for Sale of Old Residence

Agency
GSA
Revision
Rev. 10/1989
Fillable fields
53
Pages
1
Official source
GSA form page
Checked
October 20, 2026
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Page 1 of form GSA2494

GSA Form 2494: Claim for Reimbursement of Closing Costs for Sale of Old Residence

GSA Form 2494, Claim for Reimbursement of Closing Costs for Sale of Old Residence, is a General Services Administration form. Its footer reads GSA FORM 2494 (REV. 10-89), and GSA hosts it in its forms library. GSA's page lists no authority or regulation; the form's Privacy Act statement cites 5 USC 5701-5733, particularly sections 5721-5733, 30 USC 905 and Executive Order 9397.

The employee completes it to claim the closing costs of selling the old residence. The Privacy Act statement says the data is used to determine eligibility for and the amount of reimbursement for expenses incurred in connection with permanent change of station travel. The instructions to employee say the total amount claimed for the sale must be included on a separate SF 1012, Travel Voucher, and list three documents to include with the claim.

The form has Sections A to E: employee and residence information, closing costs claimed, the employee certification, sale approval, and final administrative approval for payment. You can fill it out free in your browser on this page and download the result without an account.

Top of page 1 of GSA Form 2494: Claim for Reimbursement of Closing Costs for Sale of Old Residence, as printed by GSA

What's on GSA Form 2494

Instructions to employee

Point to SF 1012 for the total and list the documents to include. The form says failure to supply them could result in a delay in reimbursement.

Section A: employee and residence

Employee name, travel authorization, old and new official stations, date notified of impending transfer, reporting date, date of closing or settlement, old residence address and type of property.

Section B: closing costs claimed

Item 10, lines a to n: sales or broker's commission with a percent, settlement fee, title search, binder, examination and insurance, document preparation, notary, attorney's and recording fees, city, county and state tax or stamps, pest inspection and up to five other costs, with a total.

Section C: employee certification

The employee certifies the amounts were actually paid by them and that title is ONLY in their name and/or a member of their immediate family, and signs and dates.

Sections D and E: approvals

Sale approval as claimed or as reduced per attached letter, and final administrative approval for payment in a stated amount, each with signature, name, title and date.

Privacy Act of 1974

Cites the authority, says disclosure is voluntary and gives the purpose, routine transfers and the effect of not furnishing the information.

How to complete GSA Form 2494

  1. 1

    Gather the documents

    The form lists a copy of the sales contract and any addenda signed by both sellers and buyers, the closing statement signed by both or certified by the settlement agent, and receipts or canceled checks for items paid outside of closing (POC).

  2. 2

    Complete Section A

    Enter the employee name, travel authorization, old and new official stations, the date notified of the transfer, reporting date, closing date, the old residence address and the type of property.

  3. 3

    Enter the closing costs

    The Section B note says to enter the amount actually paid on the appropriate line. Use lines (1) to (5) to identify other closing costs, then enter the total.

  4. 4

    Sign the certification

    The employee signs and dates Section C.

  5. 5

    Approvals

    Section D, Sale Approval, and Section E, Final Administrative Approval for Payment, each take a signature, name, title and date.

  6. 6

    Claim the total on SF 1012

    The instructions say the total amount claimed must be included on a separate SF 1012, Travel Voucher.

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What the form says

Where it goes

The form prints no address. Its instructions tie the claim to a separate SF 1012, Travel Voucher.

Missing documents

The instructions say failure to supply the required documentation could result in a delay in reimbursement.

What is reimbursed

The Section B note says allowable costs incurred that are reasonable in amount and customarily paid by the seller of a residence in the locality are reimbursed.

Privacy

The form says disclosure is voluntary, but without the information it will not be able to reimburse the expenses. Information may be transferred to Federal, State or local agencies when relevant to civil, criminal or regulatory investigations or prosecutions.

Edition and authority

The footer reads GSA FORM 2494 (REV. 10-89). GSA's page gives a current revision date of 10/1989 and lists no authority or regulation.

Related forms

Who fills out GSA Form 2494?

  • The transferring employee

    Completes Sections A and B and signs the Section C certification. The form's instructions are headed Instructions to Employee.

  • Sale approval

    Section D approves the expenses as reasonable in amount and customarily paid by the seller in the locality, as claimed or as reduced per attached letter, with signature, name and title.

  • Final administrative approval

    Section E approves payment of the claim in a stated dollar amount, with signature, name, title and date.

  • The travel voucher

    The instructions say the total amount claimed for the sale must be included on a separate SF 1012, Travel Voucher.

The form is addressed to the employee, and its last two sections are for approving signatures.

Official sources and the blank

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Questions about Form GSA2494

Who issues GSA Form 2494?

The footer names the General Services Administration and reads GSA FORM 2494 (REV. 10-89). GSA hosts it in its forms library. GSA's page lists no authority or regulation.

Does GSA Form 2494 replace the travel voucher?

No. The instructions say the total amount of expenses claimed for the sale must be included on a separate SF 1012, Travel Voucher.

What documents go with the claim?

The form lists a copy of the sales contract and any addenda signed by both sellers and buyers, the closing statement signed by both or certified by the settlement agent, and receipts or canceled checks for items paid outside of closing.

Which closing costs does the form list?

Lines a to m cover sales or broker's commission, settlement or closing fee, abstract or title search, title insurance binder, title examination, document preparation, notary and attorney's fees, title insurance, recording fees, city, county and state tax or stamps, and pest inspection. Line n has room for five other costs.

Can the approved amount differ from the claim?

Section D has an As Reduced per Attached Letter box next to As Claimed, and Section E states the amount approved for payment.

Is giving the information voluntary?

The Privacy Act statement says disclosure is voluntary and there is no personal liability for not furnishing it, but without it the expenses cannot be reimbursed.