| LOAN ANALYSIS | LOAN NUMBER | |||
| PRIVACY ACT INFORMATION: The information requested on this form is authorized by 38 U.S.C.3710. The information will be used to determine whether a veteran-borrower qualifies for a VBA-guaranteed loan and the lenders adherence to VA credit standards. Responses may be disclosed outside VA only if the disclosure is authorized under the Privacy Act, including the routine uses identified in the VA system of records, 55VA26,Loan Guaranty Home, Condominiums and Manufactured Home Loan Applicant Records, Specially Adapted Housing Applicant Records, and Vendee Loan Applicant Records - VA, published in the Federal Register. RESPONDENT BURDEN: Public reporting burden for this collection of information is estimated to average 30 minutes hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the VA Clearance Officer(723), 810 Vermont Ave.,NW, Washington, DC 20420; and to the Office of Management and Budget, Paperwork Reduction Program (2900-0523), Washington DC 20503. Do NOT send requests for benefits to these addresses. | ||||
| SECTION A - LOAN DATA | ||||
| 1. NAME OF BORROWER | 2. AMOUNT OF LOAN $ |
3. CASH DOWN PAYMENT ON PURCHASE PRICE $ | ||
| SECTION B - BORROWER'S PERSONAL AND FINANCIAL STATUS | ||||
| 4. APPLICANT'S AGE | 5. OCCUPATION OF APPLICANT | 6. NUMBER OF YEARS AT PRESENT EMPLOYMENT |
7. LIQUID ASSETS(Cash, savings, bonds, etc.) |
8. CURRENT MONTHLY HOUSING EXPENSE |
| 9. UTILITIES INCLUDED YES NO |
10. SPOUSE'S AGE | 11. OCCUPATION OF SPOUSE | 12. NUMBER OF YEARS AT PRESENT EMPLOYMENT |
13. AGE OF DEPENDENTS |
| NOTE: ROUND ALL DOLLAR AMOUNTS BELOW TO NEAREST WHOLE DOLLAR | ||||
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| SECTION E - MONTHLY INCOME AND DEDUCTIONS | ||||||
| ITEMS | SPOUSE | BORROWER | TOTAL | |||
| 31. | GROSS SALARY OR EARNINGS FROM EMPLOYMENT | $ | $ | $ | ||
| 32. | DEDUCTIONS | FEDERAL INCOME TAX | ||||
| 33. | STATE INCOME TAX | |||||
| 34. | RETIREMENT OR SOCIAL SECURITY | |||||
| 35. | OTHER (Specify) | |||||
| 36. | TOTAL DEDUCTIONS | $ | $ | $ | ||
| 37. | NET TAKE HOME PAY | |||||
| 38. | PENSION, COMPENSATION OR OTHER NET INCOME (Specify) |
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| 39. | TOTAL(Sum of lines 37 and 38) | $ | $ | $ | ||
| 40. | LESS THOSE OBLIGATIONS LISTED IN SECTION D WHICH SHOULD BE DEDUCTED FROM INCOME | |||||
| 41. | TOTAL NET EFFECTIVE INCOME | $ | ||||
| 42. | LESS ESTIMATED MONTHLY SHELTER EXPENSE(Line 21) | |||||
| 43. | BALANCE AVAILABLE FOR FAMILY SUPPORT | GUIDELINE $ |
$ | |||
| 44. | RATIO (Sum of items 15, 16, 17, 18, 20, and 40 ÷ sum of items 31 and 38) | |||||
| 45. | PAST CREDIT RECORD SATISFACTORY UNSATISFACTORY |
46. DOES LOAN MEET VA CREDIT STANDARDS?(Give reasons for decision under "Remarks," if necessary, e.g. (borderline case) YES NO | ||||
| 47. REMARKS (Use reverse, if necessary) | ||||||
| CRV DATA (VA USE) | ||
| 48a. VALUE | 48b. EXPIRATION DATE | 48c. ECONOMIC LIFE YRS. |
| SECTION F - DISPOSITION OF APPLICATION AND UNDERWRITER CERTIFICATION | ||
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Recommend that the application be approved since it meets all requirements of Chapter 37, Title 38, U.S. Code and applicable VA Regulations and directives.
Recommend that the application be disapproved for the reasons stated under "Remarks" above. | ||
| The undersigned underwriter certifies that he/she personally reviewed and approved this loan. (Loan was closed on the automatic basis.) | ||
| 49. DATE | 50. SIGNATURE OF EXAMINER/UNDERWRITER | |
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51. FINAL ACTION APPROVE APPLICATION REJECT APPLICATION |
52. DATE | 53. SIGNATURE AND TITLE OF APPROVING OFFICIAL |