Please rate Va Form 21 4718A Oct 2024
Section I is the certificate, to be completed by the financial institution only; Section II is the authorization, to be completed by the fiduciary only.
Submit: the financial institution should give the completed certificate to the fiduciary who will, in turn, submit it to VA with an accounting.
Section II: the fiduciary may sign this section either before or after the Certificate section is completed by the financial institution.
Not required: this authorization is not required as a condition of doing business with any financial institution.
If not furnished: failure to furnish the requested information may result in the suspension of payments and/or appointment of a successor fiduciary.
| Question | Answer |
|---|---|
| Form Name | VA Form 21P-4718a |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 50 |
| Avg. time to fill out | 9 min |
| Edition | OCT 2024 |
| Supersedes | VA Form 21-4718a, DEC 2021, which will not be used |
| Matches the agency's file | Yes, checked October 2, 2026 |
| Other names | VA 21P-4718a, 21P-4718a, 4718a, VA Form 21-4718a, Certificate of Balance on Deposit and Authorization to Disclose Financial Records |
| Official source | VA Form 21P-4718a (Rev OCT 2024), Department of Veterans Affairs |
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Please rate Va Form 21 4718A Oct 2024
