Va Form 26 1802A – Fill Out and Use This PDF

Under Part I - Identifying Information, mark the type of application: VA Application for Home Loan Guaranty or HUD/FHA Application for Insurance under the National Housing Act. Enter the Agency Case No. (include any suffix), the Lender/Mortgagee Case No. and the Section of the Act (for HUD cases).

Enter the Borrower's Name & Present Address (Include zip code) and the Property Address (including name of subdivision, lot & block no. & zip code).

Enter the Loan Amount (include the UFMIP if for HUD or Funding Fee if for VA), the Interest Rate and the Proposed Maturity in yrs. mos.

Enter the Discount Amount (only if borrower is permitted to pay).

Enter the Amount of Up Front Premium, the Amount of Monthly Premium and the Term of Monthly Premium.

Enter the Lender/Mortgagee I.D. Code and the Sponsor/Agent I.D. Code.

Enter the Lender/Mortgagee Name & Address (include zip code), the Name & Address of Sponsor/Agent and the Lender/Mortgagee Telephone Number.

Under FHA Sponsored Originations, enter the Name of Loan Origination Company, the Tax ID of Loan Origination Company and the NMLS ID of Loan Origination Company.

Mark a. Yes or b. No under First Time Homebuyer?

Under VA Only Title will be Vested in, mark Veteran, Veteran & Spouse or Other (specify).

Mark the Purpose of Loan (blocks 9-12 are for VA loans only): Purchase Existing Home Previously Occupied; Purchase Existing Home Not Previously Occupied; Finance Improvements to Existing Property; Refinance (Refi); Purchase New Condo. Unit; Purchase Existing Condo. Unit; Construct Home (proceeds to be paid out during construction); Finance Co-op Purchase; Purchase Permanently Sited Manufactured Home; Purchase Permanently Sited Manufactured Home & Lot; Refi. Permanently Sited Manufactured Home to Buy Lot; Refi. Permanently Sited Manufactured Home/Lot Loan.

Part II - Lender/Mortgagee Certification: the undersigned lender/mortgagee makes the following certifications to induce the Department of Veterans Affairs to issue a certificate of commitment to guarantee the subject loan or a Loan Guaranty Certificate under Title 38, U.S. Code, or to induce the Department of Housing and Urban Development - Federal Housing Commissioner to issue a firm commitment for mortgage insurance or a Mortgage Insurance Certificate under the National Housing Act.

A. The loan terms furnished in the final Uniform Residential Loan Application and this Addendum are true, accurate and complete.

B. (1) The information contained in the initial Uniform Residential Loan Application and this Addendum was obtained from the Borrower by an employee of the undersigned lender/mortgagee or its duly authorized agent.

C. The credit report submitted on the subject Borrower (and Co-Borrower, if any) was ordered by the undersigned lender/mortgagee or its duly authorized agent from the credit agency which prepared the report and was received directly from said credit agency.

E. To the best of my knowledge, neither I nor any other Participant (as that term is clarified in HUD Handbook 400 0.1, II.A.1.b.ii.(B)) in this Covered Transaction (as that term is clarified at 2 C.F.R. § 180.200) is suspended, debarred, under a limited denial of participation, or otherwise restricted under 2 C.F.R. part 2424 or 24 C.F.R. part 25, or under similar procedures of any other federal agency.

Items "F" through "H" are to be completed as applicable for VA loans only. In F, enter the Name & Address and the Function of any duly authorized agents who developed on behalf of the lender/mortgagee any of the information or supporting credit data submitted. If no agent is shown in F, the undersigned lender/mortgagee affirmatively certifies that all information and supporting credit data were obtained directly by the lender/mortgagee.

Sign as Signature of Officer of Lender/Mortgagee and enter the Title of Officer of Lender/Mortgagee and the Date (mm/dd/yyyy).

WARNING: This warning applies to all certifications made in this document. The knowing submission of a false, fictitious, or fraudulent certification may be subject to criminal and civil penalties, including confinement for up to 5 years, fines, and civil penalties. 18 U.S.C. §§ 287, 1001 and 31 U.S.C. §3729.

Part IV - Borrower Consent for Social Security Administration to Verify Social Security Number: I authorize the Social Security Administration to verify my Social Security number to the Mortgagee identified in this document and HUD/FHA, through a computer match conducted by HUD/FHA.

This consent is valid for 180 days from the date signed, unless indicated otherwise by the individual(s) named in this loan application.

Read consent carefully. Review accuracy of social security number(s) and birth dates provided on this application.

Signature(s) of Borrower(s) Date Signed; Signature(s) of Co-Borrower(s) Date Signed.

22. Complete the following for a HUD/FHA Mortgage. 22a. Do you own or have you sold other real estate within the past 60 months on which there was a HUD/FHA mortgage?

22b. Sales Price, 22c. Original Mortgage Amt, Is it to be sold? and 22d. Address.

22e. If the dwelling to be covered by this mortgage is to be rented, is it a part of, adjacent or contiguous to any project subdivision or group of concentrated rental properties involving eight or more dwelling units in which you have any financial interest? Yes No If "Yes" give details.

23. Complete for VA-Guaranteed Mortgage. Have you ever had a VA home Loan?

25. I, the Undersigned Borrower(s) Certify that: (1) I have read and understand the foregoing concerning my liability on the loan and Part III Notices to Borrowers.

(2) Occupancy: HUD Only (CHECK APPLICABLE BOX): I, the Borrower or Co-Borrower will occupy the property within 60 days of signing the security instrument, and intend to continue occupancy for at least one year; or I do not intend to occupy the property as my primary residence.

(3) Mark the applicable box (not applicable for Home Improvement or Refinancing Loan): The reasonable value of the property as determined by VA or; The statement of appraised value as determined by HUD/FHA.

Occupancy: VA Only. (a.) I now actually occupy the property as my home or intend to move into and occupy said property as my home within a reasonable period of time or intend to reoccupy it after the completion of major alterations, repairs or improvements.

(b.) My spouse is on active military duty and in his or her absence; I occupy or intend to occupy the property securing this loan as my home.

(c.) I previously occupied the property securing this loan as my home. (for interest rate reduction loans).

Note: If box 2b or 2d is checked, the veteran's spouse must also sign below.

(e.) The veteran is on active military duty and in his or her absence, I certify that a dependent child of the veteran occupies or will occupy the property securing this loan as their home. Note: This requires that the veteran's attorney-in-fact or legal guardian of the dependent child sign the Borrower's Certificate at the end of Part V.

(5) All information in this application is given for the purpose of obtaining a loan to be insured under the National Housing Act or guaranteed by the Department of Veterans Affairs and the information in the Uniform Residential Loan Application and this Addendum is true and complete to the best of my knowledge and belief.

(6) For HUD Only (for properties constructed prior to 1978) I have received information on lead paint poisoning: mark Yes or Not Applicable.

Signature(s) of Borrower(s) - Do not sign unless this application is fully completed. Read the certifications carefully and review accuracy of this application. Signature(s) of Co-Borrower(s) Date Signed.