26 1817 Form PDF Details

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QuestionAnswer
Form Name26 1817 Form
Form Length2 pages
Fillable?Yes
Fillable fields1
Avg. time to fill out42 sec
Other names18B, 13A, 26 1817 form to print, vaforms 26 1817

Form Preview Example

OMB Approved No. 2900-0055

Respondent Burden: 15 Minutes

Expiration Date: 12/31/2022

REQUEST FOR DETERMINATION OF LOAN GUARANTY

ELIGIBILITY - UNMARRIED SURVIVING SPOUSES

IMPORTANT: Please read the Privacy Act and Respondent Burden information on page 2 before completing the form.

IMPORTANT: Complete this form if applying for home loan benefits as an unmarried surviving spouse of a veteran whose death was service-connected. (Note: In some cases, surviving spouses who remarry on or after age 57 may have eligibility.) DO NOT complete this form if requesting restoration of previously used home loan benefit entitlement. Instead, complete VA Form 26-1880, Request for a Certificate of Eligibility. Please send your completed application to the appropriate address shown on Page 2.

IMPORTANT: If you are certifying that you are married for the purpose of VA benefits, your marriage must be recognized by the place where you and/or your spouse resided at the time of marriage, or where you and/or your spouse resided when you filed your claim (or a later date when you become eligible for benefits) (38 U.S.C. § 103(c)). Additional guidance on when VA recognizes marriages is available at http://www.va.gov/opa/marriage/.

PART I - (To be completed by the applicant)

 

1A. NAME AND ADDRESS OF APPLICANT (Unmarried surviving spouse)

3A. FIRST, MIDDLE, LAST NAME OF VETERAN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3B. VETERAN'S DATE OF BIRTH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1B. APPLICANT'S SOCIAL SECURITY NUMBER

3C. VETERAN'S SOCIAL SECURITY NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1C. APPLICANT'S DAYTIME TELEPHONE NO. (Including area code)

4. VA FILE NO.

 

5. LOCATION OF VA CLAIMS FILE (If known)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

xc-

 

 

 

 

 

 

 

 

 

 

 

1D. APPLICANT'S EMAIL ADDRESS (If applicable)

6. VETERAN'S SERVICE NO.

 

 

7. VETERAN'S BRANCH OF SERVICE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1E. APPLICANT'S DATE OF BIRTH

 

 

8. DATE OF VETERAN'S DEATH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOTE: If you are a veteran please complete Items 2A, 2B and 2C.

 

9. PERIODS OF DECEASED VETERAN'S MILITARY DUTY

 

2A. BRANCH OF SERVICE

 

2B. SERVICE NUMBER

 

 

 

A. FROM

 

 

 

B. TO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2C. PERIODS OF SERVICE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10A. ARE YOU IN RECEIPT OF VA DEPENDENCY AND INDEMNITY COMPENSATION?

 

10B. VA CLAIM NUMBER

 

 

 

 

 

 

 

YES

 

 

 

NO (If "YES," complete Item 10B)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11. HAVE YOU PREVIOUSLY APPLIED FOR DETERMINATION OF YOUR

 

 

12. HAVE YOU PREVIOUSLY RECEIVED A CERTIFICATE OF

 

 

 

 

 

ELIGIBILITY FOR LOAN GUARANTY BENEFITS?

 

 

 

 

ELIGIBILITY FOR SUCH BENEFITS?

 

 

 

 

 

 

 

YES

 

 

 

NO

 

 

 

 

 

 

YES

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13. HAVE YOU PREVIOUSLY SECURED A VA DIRECT,

14. ADDRESS OF PROPERTY

 

 

 

 

 

15. VA LOAN NUMBER

16. DATE OF LOAN

 

 

 

 

 

 

GUARANTEED OR INSURED LOAN?

 

 

 

 

 

 

 

 

 

 

 

(Month, Year)

 

 

 

 

 

 

 

 

 

 

(If "YES," complete Items 14, 15,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

 

 

NO and 16)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17. INDICATE WHAT YOU ARE SEEKING A VA-GUARANTEED HOME LOAN FOR (Check appropriate box):

PURCHASE LOAN

CASH OUT REFINANCE LOAN

INTEREST RATE REDUCTION REFINANCE LOAN

CERTIFICATION: I CERTIFY THAT the above information is true and accurate to the best of my knowledge and belief.

18A. SIGNATURE OF APPLICANT (Unmarried surviving spouse)

18B. DATE SIGNED

Federal statutes provide severe penalties for fraud, intentional misrepresentation or criminal connivance or conspiracy to influence the issuance of my guaranty or insurance or the granting of any loan by the Department of Veterans Affairs.

 

 

 

 

 

 

 

PART II - FOR VA USE ONLY

 

 

 

 

 

 

 

 

SECTION A

 

 

 

 

 

 

Adjudication Officer

 

 

 

RETURN

 

Loan Guaranty Officer

 

 

 

 

 

Department of Veteran Affairs

 

 

 

 

Department of Veterans Affairs

 

 

TO

 

 

 

TO

 

 

 

Regional Office/Center

 

 

 

 

Regional Office/Center

 

(Complete

 

 

 

(After

 

 

 

address)

 

 

 

 

completion of

 

 

 

 

 

 

 

 

 

 

 

Section B)

 

 

 

 

 

 

 

 

 

 

 

 

 

The foregoing request for determination of eligibility is

 

19A. SIGNATURE OF LOAN GUARANTY OFFICER OR DESIGNEE

19B. DATE SIGNED

forwarded to you for appropriate action and completion

 

 

 

 

 

 

 

of Section B.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION B

 

 

20A. CHECK APPROPRIATE BOX

 

 

 

 

 

20B. REASON APPLICANT NOT ELIGIBLE

 

 

 

 

THE ABOVE NAMED DECEASED VETERAN SERVED ON ACTIVE DUTY AS DEFINED IN

 

 

 

 

 

 

 

 

 

38 U.S.C. 101(21) AND SERVED DURING A PERIOD OF SERVICE SPECIFIED IN 38 U.S.

 

 

 

 

 

 

 

 

 

C. 3702 AND MEETS THE DEFINITION OF VETERAN AS SPECIFIED IN TITLE 38

 

 

 

 

 

U.S.C. 3701. THE ABOVE NAMED APPLICANT IS RECOGNIZED AS THE UNMARRIED

 

 

 

 

 

SURVIVING SPOUSE.

 

 

 

 

 

 

 

 

 

 

APPLICANT IS NOT ELIGIBLE (If checked, complete Item 20B)

 

 

21. SIGNATURE

 

 

22. TITLE

 

23. DATE

DEC 2019

26-1817

 

 

 

 

 

 

Page 1

WHICH WILL NOT BE USED.

 

VA FORM

 

SUPERSEDES VA FORM 26-1817, FEB 2017,

 

If you live in:

Please send your completed application to:

 

 

Georgia, North Carolina, South

Department of Veterans Affairs

Carolina, Tennessee

Atlanta Regional Loan Center

 

P.O. Box 100023

 

Decatur, GA 30031-7023

Connecticut, Delaware, Indiana,

Department of Veterans Affairs

Maine, Massachusetts, Michigan,

Cleveland Regional Loan Center

New Hampshire, New Jersey,

1240 East Ninth Street

New York, Ohio, Pennsylvania,

Cleveland, OH 44199

Rhode Island, Vermont

 

 

 

Alaska, Colorado, Idaho,

Department of Veterans Affairs

Montana, Oregon, Utah,

Denver Regional Loan Center

Washington, Wyoming

P.O. Box 25126

 

Denver, CO 80225

Hawaii, Guam, American Samoa

Department of Veterans Affairs

Commonwealth of the Northern

VA Regional Office

Marianas

Loan Guaranty Division (26)

 

459 Patterson Road

 

Honolulu, HI 96819

Arkansas, Louisiana, Oklahoma,

Department of Veterans Affairs

Texas

Houston Regional Loan Center

 

6900 Almeda Road

 

Houston, TX 77030-4200

 

 

Arizona, California, New

Department of Veterans Affairs

Mexico, Nevada

Phoenix Regional Loan Center

 

3333 N. Central Avenue

 

Phoenix, AZ 85012-2402

District of Columbia, Kentucky,

Department of Veterans Affairs

Maryland,Virginia,

Roanoke Regional Loan Center

West Virginia

210 Franklin Road, S.W.

 

Roanoke, VA 24011

Illinois, Iowa, Kansas,

Department of Veterans Affairs

Minnesota, Missouri, Nebraska,

St. Paul Regional Loan Center

North Dakota, South Dakota,

1 Federal Drive, Ft. Snelling

Wisconsin

St. Paul, MN 55111-4050

 

 

Alabama, Florida, Mississippi,

Department of Veterans Affairs

Puerto Rico, U.S. Virgin Islands

St. Petersburg Regional Loan Center

 

9500 Bay Pines Boulevard

 

St. Petersburg, FL 33744

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, published in the Federal Register. Your obligation to respond is required in order to determine the surviving spouse's qualifications for a loan. Giving us your SSN account information is voluntary. VA will not deny an individual benefits for refusing to provide his or her SSN unless the disclosure of the SSN is required by a Federal Statute of law in effect prior to January 1, 1975, and still in effect.

RESPONDENT BURDEN: We need this information to determine a surviving spouse's qualifications for a VA-guaranteed home loan. Title 38, U. S.C., section 3702 authorizes collection of this information. We estimate that you will need an average of 15 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 is not displayed. Valid OMB control numbers can be located on the OMB Internet Page at www.reginfo.gov/public/do/PRAMain. If desired, you can call 1-800-827-1000 to get information on where to send comments or suggestions about this form.

VA FORM 26-1817, DEC 2019

Page 2

How to Edit 26 1817 Form Online for Free

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Step 1: Hit the orange "Get Form Now" button on the following webpage.

Step 2: So you are going to be on the file edit page. You can add, alter, highlight, check, cross, include or erase areas or text.

Complete the following segments to fill out the form:

13B empty spaces to consider

Put down the details in the PURCHASE, LOAN CASH, OUT, REFINANCE, LOAN INTEREST, RATE, REDUCTION, REFINANCE, LOAN B, DATE, SIGNED PART, II, FOR, VA, USE, ONLY SECTION, A TO, Complete, address RETURN, TO, After completion, of, Section, B B, DATE, SIGNED A, CHECK, APPROPRIATE, BOX B, REASON, APPLICANT, NOT, ELIGIBLE SECTION, B and SIGNATURE area.

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