VA Form 26-6807a: Supplemental Certification for Financial Statement

VA Form 26-6807a is the U.S. Department of Veterans Affairs Supplemental Certification for Financial Statement. The form says it is attached and made part of a financial disclosure form being completed in connection with a request for refunding a guaranteed loan. VA's form page lists it under housing assistance.

The form is one page. Items 1 to 3 ask for the name of the borrower or borrowers, their Social Security number and the VA loan number. The certification that follows is made in consideration of VA refunding the loan: the borrowers agree to pay all expenses associated with the transfer, agree to a tax and insurance account with the required monthly payments, agree to indemnify VA for any loss it suffers as a result of foreclosure, and affirm that the financial information given to VA is true, correct and complete. Items 4 and 5 hold two signature and date lines.

Neither the form nor VA's page prints a mailing address. You can fill out the PDF free in your browser on this page and download the result without an account.

Top of page 1 of VA Form 26-6807a: Supplemental Certification for Financial Statement, as printed by VA

What's on VA Form 26-6807a

Items 1 to 3: identification

The name of the borrower or borrowers, their Social Security number and the VA loan number.

Transfer expenses and escrow

Agreements to pay all expenses associated with the transfer, and to the establishment of a tax and insurance account with the required monthly payments to maintain it.

Indemnity and accuracy

An agreement to indemnify VA for any loss it suffers as a result of foreclosure, and an affirmation that all financial information given to VA is true, correct and complete to the best of the signers' knowledge.

Items 4 and 5: signatures

Two signature lines, each with a date.

How to complete VA Form 26-6807a

1
Have the financial disclosure form ready
The form says this certification is attached and made part of a financial disclosure form completed for the refunding request.
2
Enter the borrower and loan details
Fill in the borrower names, Social Security number and VA loan number in Items 1 to 3.
3
Read the certification
Each statement is an agreement or affirmation made in consideration of VA refunding the loan cited in Item 3.
4
Sign, date and attach
Each borrower signs and dates Items 4 or 5, and the certification goes with the financial disclosure form it is part of.

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Where it goes

With the financial disclosure form

The form says it is attached and made part of the financial disclosure form. Neither the form nor VA's page prints a mailing address or names the receiving office.

Edition

The current edition is dated JUNE 2002. Its footer says existing stock of the May 1994 edition will be used. The PDF prints no OMB control number.

Who uses VA Form 26-6807a?

Borrowers asking VA to refund a loan
The form says it is completed in connection with a request for refunding a guaranteed loan. Item 1 names the borrower or borrowers.
A second borrower
The certification is written as I (We), and Items 5A and 5B give a second signature and date line.
Anyone completing the financial disclosure form
The form says it is attached to and made part of a financial disclosure form. It does not name that form by number.
Department of Veterans Affairs
The certification is made to VA in consideration of VA refunding the loan. The form does not say which VA office receives it.

The form names who signs it. It does not name the office that receives it.

Official sources and the blank

Official VA form page
The agency’s own page for Form 26-6807a.
Blank PDF
The official blank form, to print or fill by hand.

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Questions about Form 26-6807a

What is VA Form 26-6807a used for?

The form says it is attached and made part of a financial disclosure form being completed in connection with a request for refunding a guaranteed loan.

What does signing it agree to?

To pay all expenses associated with the transfer, to a tax and insurance account with the required monthly payments, and to indemnify VA for any loss it suffers as a result of foreclosure, plus an affirmation that the financial information given to VA is true, correct and complete.

Who signs VA Form 26-6807a?

The borrower or borrowers named in Item 1. The certification reads I (We), and there are two signature and date lines.

Is it sent on its own?

The form says it is attached and made part of a financial disclosure form. Neither the form nor VA's page prints a mailing address.

VA Form 26-6807a: Supplemental Certification for Financial Statement