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Get VA 26-6807 2020-2024

HAVE YOU EVER BEEN ADJUDICATED BANKRUPT NO If Yes complete Item 21B VA FORM 26-6807 JUN 2014 21B. DATE ADJUDICATED BANKRUPT 22A. DATES Month year D. WORK C. KIND OF JOB A. NAME AND ADDRESS OF EMPLOYER TELEPHONE NO. Mechanic stenographer etc. FROM TO PRESENT TIME BORROWER /APPLICANT VA FORM JUN 2014 26-6807 SUPERSEDES VA FORM 26-6807 OCT 2004 WILL BE USED. OMB Approved No* 2900-0047 Respondent Burden 45 minutes Expiration Date 6/30/2017 FINANCIAL STATEMENT 1. FILE NO. 2. LOAN NO. C- IMPORTANT Type or print all entries in ink. If more space is needed for any item continue under Section VI Remarks or attach separate sheets. If there is a co-borrower or co-applicant who is not the spouse of the borrower/applicant a separate financial statement should be completed by that person* SECTION I - GENERAL INFORMATION 3. NAME AND PRESENT ADDRESS OF BORROWER/APPLICANT Include ZIP Code 8. NAME OF SPOUSE 4. HOME TELEPHONE NO. Include Area Code 5. DATE OF BIRTH 6. MARITAL STATUS OF BORROWER/APPLICANT 7. SOCIAL SECURITY NO. OF BORROWER/APPLICANT 9. SPOUSE S DATE OF BIRTH INITIALS 12A. BORROWER/APPLICANT If you do not wish to complete Items 12B and 12C please initial here 12B. RACE/NATIONAL ORIGIN AMERICAN INDIAN ALASKA NATIVE ASIAN PACIFIC ISLANDER 12C. SEX 13A. CO-BORROWER/SPOUSE If you do not wish to NOTE Information not to be collected on a noncoborrower spouse HISPANIC MALE BLACK Not Hispanic FEMALE WHITE Not Hispanic SPOUSE 14. PLEASE CHECK THE APPROPRIATE BOX ES. IF ONE OR MORE ARE CHECKED THIS CREDIT STATEMENT MUST INCLUDE INFORMATION CONCERNING THE SPOUSE NEED BE FURNISHED. A. THE SPOUSE IS OR WILL BE JOINTLY OBLIGATED WITH THE C. THE BORROWER/APPLICANT IS MARRIED AND THE PROPERTY SECURING THE LOAN IS LOCATED IN A COMMUNITY PROPERTY STATE* INCOME AS A BASIS FOR REPAYMENT OF THE LOAN* SEPARATE MAINTENANCE PAYMENTS FROM A SPOUSE OR FORMER SPOUSE AS A BASIS FOR REPAYMENT OF THE LOAN* SECTION II - EMPLOYMENT AND FINANCIAL STATUS 15. COMPLETE RECORD OF EMPLOYMENT FOR YOURSELF AND SPOUSE Start with present position and work back 2 years B. 16. MONTHLY INCOME Include income from business or property after deduction of expenses. Disclosure of child support alimony and maintenance income is optional A. GROSS SALARY Before payroll deductions B. PENSION OR COMPENSATION C. OTHER Specify D. TOTAL MONTHLY INCOME 17. ASSETS A. CASH IN BANK Checking and savings accounts building and loan accounts etc* F* SAVING BONDS Current value B. CASH ON HAND G* STOCKS AND OTHER BONDS Current value C. FURNITURE AND HOUSEHOLD GOODS Resale value H. REAL ESTATE OWNED Resale value D. AUTOMOBILES Resale value MAKE YEAR I. OTHER ASSETS Itemize MODEL E* TRAILERS BOATS CAMPERS Resale value J* TOTAL ASSETS 18. DEBTS NOTE DETAILS FOR INSTALLMENT CONTRACTS AND OTHER DEBTS Show here ALL debts which you are required to pay in regular monthly installments such as car television washing machine payments to dealers banks finance companies repayment of money borrowed for any purpose doctor bills hospital bills etc* Include any alimony child support or separate maintenance obligations you are required to pay.

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