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FEDERAL RESERVE BANK
OF NEW YORK
r Circular No. 2 8 7 3
L November 28, 1944 J

GUARANTY OF HOME LOANS TO VETERANS
Forms for Use in Connection Therewith

To all Banlis and Trust Companies in the
Second Federal Reserve District:

F o r your information, we are enclosing copies of the following forms prescribed by the
Veterans' Administration f o r use in connection with the guaranty of home loans to veterans
pursuant to section 501 of the Servicemen's Readjustment A c t of 1944:
(a) Certification of Eligibility—(Finance Form 1800)
(b) Loan Guaranty Certificate and Application for Home Loan Guaranty (original)—(Finance
Forms 1801 and 1802, combined)
(c) Application for Home Loan Guaranty (duplicate)—(Finance Form 1802)
(d) Appraisal Report—(Finance Form 1803)
(e) Explanation of Home Loan Guaranty—(Finance Form 1804)
( f ) Loan Closing Statement—(Finance Form 1806)
W e have not received any copies of the f o r m of Claim Under the Guaranty

(Finance

F o r m 1805).
W e are not in a position to furnish you with additional supplies of the enclosed forms, but
have been informed by the Veterans' Administration that additional supplies may be obtained
f r o m any of its local offices. Such offices in the Second Federal Reserve District have been
established at the following places:
Lyons, New Jersey.
Batavia, New York.
215 West 24th Street, New York 11, N. Y .
2 Park Avenue, New Y o r k 16, N. Y .
The Veterans' Administration has requested us to transmit the following information
regarding the preparation and use of the enclosed f o r m s : A statement of the location of any
real estate to be mortgaged should be inserted in the blank space in the upper right-hand corner
of the Certification of Eligibility (Finance F o r m 1800). When the original and duplicate of
this f o r m have been completed down to the double line and have been signed by the veteran and
the prospective lender, the original and duplicate should be forwarded by the lender to the
nearest local office of the Veterans' Administration. If the veteran is eligible and the Administrator of Veterans' Affairs has not already issued guaranties in respect of the veteran totaling
$2,000 (the maximum amount which may be guaranteed under the A c t ) , the remainder of the
f o r m will be completed and executed b y the loan guaranty officer of the Veterans' Administra-




(OVER)

tion and the original of the form will be returned to the lender. The lender should then arrange
for the preparation of the Loan Guaranty Certificate and Application for Home Loan Guaranty
(Finance Forms 1801 and 1802) and, if any real estate is to be mortgaged, the lender should
arrange with the appraiser designated by the loan guaranty officer on the Certification of
Eligibility (Finance Form 1800) for the preparation of the Appraisal Report (Finance Form
1803). The executed original of the Application f o r Home Loan Guaranty, the Appraisal
Report (if any), and the other papers required to be submitted pursuant to sections 36.4024,
36.4025 and 36.4032 of the regulations of the Administrator of Veterans' Affairs regarding
the guaranty of home loans,* should be forwarded by the lender, if located in the Second Federal
Reserve District, to the Veterans' Administration, Loan Guaranty Division, Room 1221, 2 Park
Avenue, New York 16, N. Y., unless some other agency is designated on the Certification of
Eligibility to receive the application. The office of the Veterans' Administration at 2 Park
Avenue, New York City, will also endeavor to answer any inquiries you may wish to make
concerning the guaranty of loans to veterans pursuant to the Servicemen's Readjustment
Act of 1944.
The enclosed forms are not authorized for use in connection with the guaranty of loans to
veterans f o r the purchase of farms and farm equipment pursuant to section 502 of the Servicemen's Readjustment Act of 1944, nor in connection with the guaranty of loans to veterans
f o r the purchase of business property, etc., pursuant to section 503 of the Act. W e have been
advised by the Veterans' Administration that, although it is expected that regulations regarding the guaranty of loans f o r such purposes will be issued shortly, the forms for use in connection therewith will not be available f o r distribution until several weeks later. W e propose to
send you copies of such regulations and forms when they are available.
ALLAN

SPROUL,

President.

* A copy of these regulations was furnished you with our Circular No. 2859, dated November 1, 1944.




<

VETERANS ADMINISTRATION

wice Form 1800

CERTIFICATION OF ELIGIBILITY
mager, Veterans Administration,

I,

(Name—Last)

(First)

(Address—Number)

(Middle)

(Street)

(Service or serial number)

(City or Town)

(County)

(State)

end to make application to the Administrator of Veterans Affairs under the provisions of Title III, Public Law
3, Seventy-eighth Congress (Servicemen's Readjustment Act of 1944), for a maximum guaranty of $
a loan of approximately

to be made for

(State purpose of loan)

i therefore request that the prospective lender named below be informed if the amount of the guaranty stated
Dve is available to me under Title III of the Act.
Date of birth _
_
n Armv
riods of service in armed forces; show date of entry and date of separation:

i ^ p rvf h i r f h

Date of separation from active duty

Date of entrance upon active duty

n Naw

f~l M. C.

• c. G.

Reason for separation

,nk and organization at time of separation:
ate permanent mailing address given at time of separation from.service:
(Number)

(Street)

(City or Town)

(County)

(State)

V
(Witness)
tP

_

(Signature of veteran)
,

19
(Prospective lender)

(Address)

Service Serial No.
is under the
ins of Section 500 (a), Title III, Public Law 346, Seventy-eighth Congress (Servicemen's Readjustment Act of
44), eligible f o r the benefits of this title.

For the purpose above stated there has been reserved $
of the amount of the guaranty credit of the
teran named under the provisions of Title III of the Act cited.
Any appraisal required in connection with the proposed loan herein referred to shall be made by—

(Name of appraiser)

Application for guaranty of loan should be forwarded to—
(Agency)

(Address)

(Address)

ADMINISTRATOR OF VETERANS AFFAIRS.

(Veterans Administration)




By
ORIGINAL

(Loan guarantee officer)
16-41970-1

U. J. GOVERNMENT P R I N T I N G O F F I C E

VETERANS ADMINISTRATION

ance Form 1800

CERTIFICATION OF ELIGIBILITY
mager, Veterans Administration,

(Name—Last)

(First)

(Address—Number)

(Middle)

(Street)

(Service or serial number)

(City or Town)

(County)

(State)

end to make application to the Administrator of Veterans Affairs under the provisions of Title III, Public Law
5, Seventy-eighth Congress (Servicemen's Readjustment Act of 1944), for a maximum guaranty of $
a loan of approximately $

to be made for

(State purpose of loan)

i therefore request that the prospective lender named below be informed if the amount of the guaranty stated
Dve is available to me under Title III of the Act.
ice of birth
Date of birth
• Army
riods of service in armed forces; show date of entry and date of separation:

• Navy

Date of separation from active duty

Date of entrance upon active duty

• M. C.

• C. G.

Reason for separation

nk and organization at time of separation:
ite permanent mailing address given at time of separation from service:
(Number)

(Street)

(City or Town)

(Witness)

te

(County)

(State)

(Signature of veteran)

19

(Prospective lender)

(Address)

Service Serial No
, is under the
7ns of Section 500 (a), Title III, Public Law 346, Seventy-eighth Congress (Servicemen's Readjustment Act of
44) , | ^eTigible } f o r t h e b e n e f i t s o f t h i s T i t l e (Signature of designated official)

(Title)

(Location)

For the purpose above stated there has been reserved $
teran named under the provisions of Title III of the Act cited.

(Date)

of the amount of the guaranty credit of the
Chief, Readjustment Account Control Subdivision,

Any appraisal required in connection with the proposed loan herein referred to shall be made by—
(Name of appraiser)

(Address)

Application for guaranty of loan should be forwarded to—
(Agency)

 (Veterans Administration)


(Address)

ADMINISTRATOR OF VETERANS AFFAIRS.

By
DUPLICATE

(Loan guarantee officer)
16

41970-1

U. S . GOVERNMENT P R I N T I N G OFFICE

V E T E R A N S ADMINISTRATION

Finance Form 1801

UNITED STATES OF AMERICA

Sfoaat ( g u a r a n t y
ISSUED

VETERANS
State

Certificate

BY

ADMINISTRATION
Number L

(Where property is located)

(Lender)
{Exactly as appears as payee of note)

(To be filled in by V . A . )

(Borrower—Veteran)
(Exactly as to be signed on note and

(Address)

mortgage)

(Address)

I
A. This certificate shall become effective when the requirements of the statute and regulations have been complied with
and the acts certified in part III hereof have been accomplished in compliance with said requirements.
B. When it becomes effective as hereinabove prescribed, this certificate shall obligate the United States of America to pay
to the legal holder of the "note" described on the reverse hereof upon his duly filing claim therefor:
1. All or such portion of the maximum amount hereby guaranteed as becomes payable upon the conditions, at the
times stated in, and in accordance with the provisions of, the Servicemen's Readjustment Act of 1944 (38 U. S. Code 693;
58 Stat. 284), and the regulations issued pursuant thereto which are in effect on the date of this certificate. In no event
will the obligation under this certificate exceed $2,000. Subject to the foregoing, this guaranty on this date is for
$.
, being
per centum of the face amount of said "note," and in no event will it exceed said sum
or percentage.
2. At the expiration of 1 year from the date of the "note," an amount equal to the interest for 1 year at the contract rate on that portion of the indebtedness ("note") originally guaranteed hereby, such payment to be credited on
the indebtedness as prescribed by said regulations.
C. Executed on behalf of the United States of America by the Administrator of Veterans' Affairs, through the undersigned authorized agent on this date, to become effective in the manner hereinabove prescribed.

Dated

ADMINISTRATOR OF VETERANS' AFFAIRS,

By

(Authorized agent)

At

-

(Post office)

II

Description of Property To Be "Mortgaged"
(Type lot and block number, if any, or field notes and any other proper language
to complete legal description. Include description of personal property, if any)

Premises identified as —

—

«

(House number and street)

"(CityTowni"village")"

TCounty," Parish)"

"

"(State", District, Territory)

and further described as:




(If

more space

is needed,

confinue

description

on

reverse)

16—11987-1

(Continue

legal

description

if necessary in the space

below)

III

Certification by Borrower and Lender
A. We hereby warrant that (1) the undersigned borrower named on the reverse hereof executed the note, the principal
sum of which is $..
; (2) it is dated the
day of
, 19
; (3) borrower^) and mortgagor(s) delivered it together with the "mortgage" (as defined in the regulations) bearing the
same date, and executed to secure payment of said note; (4) said note and mortgage are in the form and type
contemplated in the application of the undersigned pursuant to which this loan guaranty certificate was issued; and
(5) the amount stated above has been paid to, or according to the directions of ; the undersigned borrower(s).
B. The undersigned lender warrants that (1) the same "mortgage," duly executed and acknowledged, was properly filed
, at
M; and was given file
for record on the
day of
, 19
No.
by the recorder; (2) that it covers the property described on the reverse hereof, which is
the same property described, or otherwise identified, or referred to, in the above-mentioned application for guaranty,
and in this loan guaranty certificate; and (3) that no lien superior to said "mortgage" has intervened since the date of
said application.
(If a corporation)
_

—

S ecre tary.

-

Mr.
Mrs.
Miss

Lender (s).

By

Title (president, vice president, etc.)

CORPORATE
SEAL

Mr.
Mrs.
Miss
Mr.
Mrs.
Miss

-

—
(Sign in ink on these lines)

Borrower (s).

If the note is unsecured but is eligible f o r guaranty under the regulations, references to " m o r t g a g e " in paragraphs " A " and « B " above are inapplicable.
(See regulations, sec. 4008, par. 1.)
10-41967-1
GPO




PAGE 1

F i n a n c e F o r m 1802

VETERANS ADMINISTRATION

APPLICATION F O R HOME LOAN

State

GUARANTY

Number L

(Where property is located)

-

2.

(Lender)

(To be filled in by V . A . )

(Borrower—Veteran)

(Address)

(Address)

INSTRUCTIONS
(Read carefully before beginning to fill out this form)
I . LOAN GUARANTY

CERTIFICATE

(Form

1801).

Fill in all spaces at top of the form, except the " L " number. Also complete part II, "Description of Property To Be
Mortgaged," in such a manner that all required information will be duplicated by a carbon impression in the proper
spaces on page 1 of the application. If it is necessary to continue the property description on the reverse side of the
certificate, use space on page 2 of the application for the carbon impression thereof. The certificate may then be separated from the application along the perforated line at the bottom of the page and submitted to the agency with the
application and other papers. (See regulations, section 4025.) No copy of the certificate other than the original is
necessary. It will be signed and returned to the lender by the Veterans Administration if the application is approved.
I I . A P P L I C A T I O N FOR H O M E L O A N G U A R A N T Y ( F o r m

1802).

(a) This form should be made in duplicate. For the duplicate copy which is to be retained by the lender, use the
form which does not have the certificate attached to it. The original signed copv will be permanently retained by the
Veterans Administration and should be sent to the agency with other papers. (See regulations, section 4025.)
Xb) Answer every question in some manner.

If not applicable, place a check mark ( V ) in the space for answer.

(See continuation of instructions, page 4)

3. Description of Property To Be "Mortgaged"
(Type lot and block number, if any, or field notes and any other proper language
to complete legal description. Include description of personal property, if any)

Premises identified as

(House number and street)

(City, Town, Village)

(County, Parish)

(State, District. Territory)

and further described as:




(If

more space

is needed,

continue

description

on page

2)

PAGE 2

4. Applicant's age

5. Sex

6. Race

7. Service or serial No

8. Date of birth
9. Place of birth
10. Indicate by a cross ( X ) the branch of service in which you served:
Army
• Navy
• Marine Corps

• Coast Guard

11. Date entered service
12. Date separated from active duty
13. Rank at time of separation
14. If you have served in any branch under another name, state that name, the branch, and dates between which you served
under that name. If none, so answer
15. Have you applied to the Administrator of Veterans' Affairs for a.iy other loan or loans?

(Yes or no)

If yes, give the following information for each application.
D A T E OF
APPLICATION ( S )

PURPOSE
OF L O A N ( S )

N A M E , A N D ADDRESS OP L E N D E R ( S )

A M O U N T OF
GUARANTY

W A S LOAN
CLOSED ?

$
$
$
$ - -

-

16. (a) Purpose of loan hereby applied f o r :
(b) Purchase price or cost

(If for repairs, improvements, etc., state nature)

17. (a) Amount of loan $
(d) Secured by a
(e) For
years
18. Homesite:
. . _
. . .
(a) The lot faces
Street, between
and

(6) Rate of interest
mortgage, or
( / ) Payable $
each

(c) Guaranty requested ?

PLAT.—Indicate below shape, location, and dimensions of lot, distance from nearest intersections, and
o f s t r eets.

on

names

Street
Street,

front and extends back

%

N

feet

feet or

The lot area is about
(b) Easements (location and purpose) :

(sq. f t . ) (acres).

W

19. Leasehold

(Yes or no)

and expires
Option expires




Ground rental, $

per year.
Options: Renewable for

Lease is dated
years: Purchasable for $
io—4iofl7-i

<jpo

PAGE

2

20, What estate in the land described on page 1 hereof are you to own or do you now own?

(State whether fee simple, or other estate.

If a lease only, so state)

(Also state whether all, or an undivided interest; and if latter, how much)

21. Street improvements. Street in front of property surfaced with
22. Utilities. (Answer "Yes" or "No" as to each connected to the home.) (a) Electricity
main)
(c) Public sewer
(d) Septic tank and drain
Public
Private
Other (specify)

(6) Gas (public
(e) Water supply:

23. Residence: (a) When built
; (b) Type of construction: Frame
, brick veneer
,
masonry
, other
; (c) Roof material
;
(d) Stories above basement
; ( e ) Number of rooms
; ( / ) Baths
; ( g ) Designed
for
families; (h) Describe any nonresidential use
;
(i) Percentage of floor area for such use
% ; (;') Type of heating system and fuel
; (k) Garage: Attached
, detached
, built-in
Number of cars
;
(I) Living quarters in garage?
; housekeeping
Number of rooms
24. Taxes and assessments: (a) Real estate taxes: Amount levied this fiscal year, $
(6) If proposed
construction: Estimated yearly taxes when completed, $
(c) Special assessments: Total amount
outstanding, $
; amount payable this fiscal year, $
(d) Amount payable per
year, $
beginning
25. If new construction or alterations involved, state (a) Name and address of contractor
(6) Date of beginning work
(c) Expected completion date
A
(d) General nature of work (e. g., new building, kitchen, roof, garage, etc., see Regulations, sec. 4032)
26. If new construction, what amount will veteran pay for (a) the advance of funds
(b) Supervision or inspection
27. Personal and financial status of veteran:
(a) Occupation
(b) Income per year, Salary $
(c) Employed by
_
Address
—
(d) How long employed there
(e) Estimated net worth, $
( / ) Check one: • Married
• Single
• Divorced
• Widower
(g) Number of dependents
(h) Ages
(i) Name of husband or wife
.1.
Occupation
.*
Income per year: Salary, $
Employed by
Address
( ; ) Names and addresses of three credit references:

28. Have you read or had read to you Form 1804, "Explanation of Home Loan Guaranty"?
29. Do you intend to occupy the property as a home?
30. Insurance will be obtained against: (a) Fire $
, (b) Windstorm $
age, Form No.

,$

(d) Other

Other $_.
—

—
— ; other, $...
-

, (c) Extended cover-

(Specify)

31. The person signing this application as the veteran hereby represents that he is the veteran named in question 2 on
page 1 of this application. His identity as such has been established to the satisfaction of the lender by
"(sta~--"~

"

method,"e~ g., "personal acquaintance of stated period ; comparing signature and description on certificate of discharge, etc.)

32. All the information reflected by the application is true to the best of lender's information and belief.
33. The undersigned borrower (veteran) and lender (or seller) hereby apply for a guaranty by the United States of a loan
in accordance with this application, which is also an application to the lender by the borrower for said loan; said
guaranty to be pursuant to the Servicemen's Readjustment Act of 1944 (38 Stat. 284), which act and the regulations
issued pursuant thereto and in effect on the date of the loan guaranty certificate issued pursuant to this application
shall be a part of the contract between the United States, the borrower, the lender, and each of them.
34. Borrower and lender understand and agree that, if issued, the guaranty will be issued in reliance upon the information
contained in this application.
io—4i967-i




PAGE

2

The lender, or authorized employee, or agent of the lender, has read this entire application as completed, has seen and
spoken with applicant, believes he is the veteran, and he appears to be competent to understand the nature of the transaction and to enter into it.
(If a corporation)
ATTEST

Secretary.

Lender.
By

(Authorized signature)

CORPORATE SEAL

(Title)

Borrower (s).
Signatures of lender and borrower must exactly correspond in every detail with the names as typed at top of page 1—
notwithstanding name of borrower so shown may differ from name in question 14. A married woman will include her
surname before marriage, but sign husband's surname as her present surname.

Recommendation of Designated Agency
This application and the attached papers are forwarded to the Administrator of Veterans' Affairs by the undersigned
designated Federal agency, which hereby recommends that said Administrator
said application for a guaranty.

(Designated agency)

(Authorized signature)

INSTRUCTIONS—Continued
III. Reference is made to the following sections of the regulations for guidance in connection with applications for
(a) purchase-of a home, 4024-4031; (b) new construction, 4032; (c) repairs, alterations, improvements, delinquent
indebtedness, taxes, special assessments, 4004-4006; (d) two or more borrowers, 4022-4023; (e) second loans under
section 505 (a) of the act, 4021.
IV. If the loan is for any of the purposes in paragraph III (c) above (section 501 (b) of the act) and is to be secured by
a junior lien because of existing prior liens, attach a signed memorandum stating with respect to such prior liens:
(a) Date, original amount, and unpaid balance of loan; (b) amounts and frequency of payments required and permitted; (c) rate of interest; (d) whether any payments are past due and the amounts thereof; (e) whether any
taxes, special assessments, or insurance premiums are due but unpaid and the amounts; ( / ) date of most recent
appraisal of the property and value therein stated; (g) date and nature of default, if any.
V. The veteran should have read Form 1804, "Explanation of Home Loan Guaranty," before signing application.
VI. Permissible loan charges, see regulations, section 4016.
VII. If the loan is not to be secured by a "mortgage," see regulations, section 4024, paragraph 5.
VIII. A notary's certificate is not required on the application. Nevertheless it must be remembered that Federal statutes
provide severe penalties including forfeitures, fines, and imprisonment for fraud on the part of the applicant and
also as to any person who shall "knowingly make or cause to be made, or conspire, combine, aid, or assist in, agree to,
arrange for, or in anywise procure the making or presentation of a false or fraudulent affidavit, declaration, certificate, statement, voucher, or paper, or writing purporting to be such," concerning any application for the guaranty of
a loan by the Administrator. (38 U. S. Code 697, 715, 450, 451, 454a, 556a; 18 U. S. Code. 80.)




U. S . GOVERNMENT P R I N T I N G O F F I C E

16-41967-1

PAGE 1

F i n a n c e F o r m 1602
V E T E R A N S

A D M I N I S T R A T I O N

APPLICATION FOR HOME LOAN GUARANTY
State

Number L.

(Where property is located)

(Lender)

(To be filled in by V. A.)

(Borrower—Veteran)

(Address)

INSTRUCTIONS
(Read carefully before beginning to fill out
I . LOAN GUARANTY CERTIFICATE (Form 1801).

(Attached to original application only.)

Fill in all spaces at top of the form, except the " L " number. AlsoV
>rt II, "Description of Property To Be
Mortgaged," in such a manner that all required information will be
ted^by a carbon impression in the proper
spaces on page 1 of the application. If it is necessary to continue, the pr^ rty description on the reverse side of the
certificate, use space on page 2 of the application for the carbon^fjnfressioiV lereof. The certificate may then be separated from the application along the perforated line at the 1/oytSm of the /age and submitted to the agency with the
y of the certificate other than the original is
application and other papers. (See regulations, section 40
Administration if the application is approved.
necessary. It will be signed and returned to the lender by t
II.

A P P L I C A T I O N FOR H O M E L O A N G U A R A N T Y ( F o r m

1802)

(a) This form should be made in duplicate. For the diHtfta&te copy which is to be retained by the lender, use the
form which does not have the certificate attached to it. The ori^nal signed copv will be permanently retained by the
Veterans Administration and should be sent to tfce agency witb other papers. (See regulations, section 4025.)
icable, place a check mark ( V ) in the space for answer.

(6) Answer every question in some manne
(See <

3. Descri
(Type lot and blocil
to complete iogal d

structions, page 4)

Property To Be "Mortgaged"
er, if any, or field notes and any other proper language
Include description of personal property, if any)

Premises identified as

(House number and street)

(State, District, Territory)

(County, Parish)

(City, Town. Village)

and further described as t




(If

more space

is needed,

continue

description

on page

2)

PAGE

4. Applicant's age
i

5. Sex

6. Race

8. Date of birth

7. Service or serial No.

2

.

9. Place of birth

10. Indicate by a cross ( X ) the branch of service in which you served:
•

Army

• Navy

• Marine Corps

11. Date entered service

• Coast Guard

12. Date separated from active duty

1

13. Rank at time of separation

-

14. If you have served in any branch under another name, state that name, the branch, and dates between which you served
under that name. If none, so answer

—

-

-

15. Have you applied to the Administrator of Veterans' Affairs for any other loan or loans?

—
( Y e s or n o )

If yes, give the following information for each application.
DATE OF
APPLICATION ( S )

W A S LOAN
CLOSED '.'

PURPOSE
OF L O A N ( S )

N A M E AND ADDRESS OF LENDER ( S )

AMOUNT OF
GUARANTY

$
•

$

$

-

$
16. (a) Purpose of loan hereby applied f o r :
(b) Purchase price or cost $.
(If f o r repairs, improvements, etc., s t a t ^ n a t u r e )

(b) Rate of interest . —

17. (a) Amount of loan $
(d) Secured by a
(e) For
years
18. Homesite:
(a) The lot faces
Street, between
and
front and extends back

mortgage, or
( / ) Payable $ on
Street, —
feet or

The lot area is about
(6) Easements (location and purpose):

%

(c) Guaranty requested

- each
PLAT.—Indicate below shape, location, and dimensions of lot, distance from nearest intersections, and
names of streets.
Street
N
feet

(sq. ft.) (acres).

W

19. Leasehold

( Y e s or n o )

and expires
Option expires




Ground rental, $

per year.
Options: Renewable for

Lease is dated
years: Purchasable f o r $
ie—4i967-i

qpo

PAGE

2

20. What estate in the land described on page 1 hereof are you to own or do you now own?

(State whether fee simple, or other estate.

If a lease only, so state)

(Also state whether all, or an undivided interest; and if latter, how much)

21. Street improvements. Street in front of property surfaced with
22. Utilities. (Answer "Yes" or "No" as to each connected to the home.) (a) Electricity
main)
(c) Public sewer
(d) Septic tank and drain
Public
Private
Other (specify)
23. Residence: (a) When built
(b) Type of construction: Frame
masonry
, other
; (c) Roof material
(d) Stories above basement
; (e) Number of rooms _
; ( / ) Bgths
for
families; (h) Describe any nonresidential use
(i) Percentage of floor area for such use
% ; ( ; ) Type of heating syster

(b) Gas (public
(e) Water supply:
.'.
, brick veneer
; ( g ) Designed

; (k) Garage: Attached
, detached
, bu<M£hyy^----//Number 0 f c a r s
(I) Living quarters in garage?
; housekeeping
X,umbar4)f m n s
24. Taxes and assessments: (a) Real estate taxes: Amount levied this fiscal y w r , $
.TS^/:.
(b) If proposed
construction: Estimated yearly taxes when completed, $
. y y f s ^ s i c ) Special assessments: Total amount
outstanding, $
; amount payable this fiscal year,
.jS^s^.
(d) Amount payable per
year, $
, beginning
25. If new* construction or alterations involved, state (a) Name and a^dg^gs-^contractor
(b) Date of beginning work
(c) Expeiketf completion date
(d) General nature of work (e. g., new building, kitchen,/ofrfJgarage\tftc., see Regulations, sec. 4032)
26. If new construction, what amount will veteran pay for (a)
(b) Supervision or inspection

ce of funds

27. Personal and financial status of veteran:
er year, Salary $
(a) Occupation
(6) Inco*
(cj) Employed by
Address
(d) How long employed there
. y t T ^ . j S ^ t y . . (e) Estimated net worth, $.
( / ) Check one: • Married
• S f t p e j j • Divorced
• Widower
(a) Number of dependents
(h) Ages ..
(i) Name of husband or wife
Occupation
Income per year: Salary, $
Employed by
Address
( ; ) Names and addresses
it references:

Other

; other, $.

28. Have you read or h ^ d ^ a d A o you Form 1804, "Explanation of Home Loan Guaranty"?
29. Do you intend to occupy^ttj^property as a home?
30. Insurance will be obtained against: (a) Fire $
age, Form No
,$

, (b) Windstorm $
(d) Other

—
, (c) Extended cover-

(Specify)

31. The person signing this application as the veteran hei-eby represents that he is the veteran named in question 2 on
page 1 of this application. His identity as such has been established to the satisfaction of the lender by
(State

method, e. g„

personal acquaintance of stated period ; comparing signature and description on certificate of discharge, etc.)

32. All the information reflected by the application is true to the best of lender's information and belief.
33. The undersigned borrower (veteran) and lender (or seller) hereby apply for a guaranty by the United States of a loan
in accordance with this application, which is also an application to the lender by the borrower for said loan; said
guaranty to be pursuant to the Servicemen's Readjustment Act of 1944 (38 Stat. 284), which act and the regulations
issued pursuant thereto and in effect on the date of the loan guaranty certificate issued pursuant to this application
shall be a part of the contract between the United States, the borrower, the lender, and each of them.
34. Borrower and lender understand and agree that, if issued, the guaranty will be issued in reliance upon the information
contained in this application.
jo—41007-1




PAGE

2

35. The lender, or authorized employee, or agent of the lender, has read this entire application as completed, has seen and
spoken with applicant, believes he is the veteran, and he appears to be competent to understand the nature of the transaction and to enter into it.
(If a corporation)
ATTEST

;

Secretary.

Lender.
By

(Authorized signature)

CORPORATE SEAL

(Title)

Borrower (s).
Signatures of lender and borrower must exactly correspond in every detail with the names as typed at top of page 1—
notwithstanding name of borrower so shown may differ from name in question 14. A married woman will include her
surname before marriage, but sign husband's surname as her present surname.

Recommendation of Designated Agency
This application and the attached papers are forwarded to the Administrator of Veterans' Affairs by the undersigned
designated Federal agency, which hereby recommends that said Administrator
said application for a guaranty.

(Designated agency)

By

(Authorized signature)

INSTRUCTIONS—Continued
III. Reference is made to the following sections of the regulations for~ guidance in connection with applications for
(a) purchase of a home, 4024-4081; (b) new construction, 4032; (c) repairs, alterations, improvements, delinquent
indebtedness, taxes, special assessments, 4004-4006; (d) two or more borrowers, 4022-4023; (e) second loans under
section 505 (a) of the act, 4021.
IV. If the loan is for any of the purposes in paragraph III (c) above (section 501 (b) of the act) and is to be secured by
a junior lien because of existing prior liens, attach a signed memorandum stating with respect to such prior liens:
(a) Date, original amount, and unpaid balance of loan; (b) amounts and frequency of payments required and permitted; (c) rate of interest; (d) whether any payments are past due and the amounts thereof; (e) whether any
taxes, special assessments, or insurance premiums are due but unpaid and the amounts; (f) date of most recent
appraisal of the property and value therein stated; (g) date and nature of default, if any.
V. The veteran should have read Form 1804, "Explanation of Home Loan Guaranty," before signing application.
VI. Permissible loan charges, see regulations, section 4016.
VII. If the loan is not to be secured by a "mortgage," see regulations, section 4024, paragraph 5.
VIII. A notary's certificate is not required on the application. Nevertheless it must be remembered that Federal statutes
provide severe penalties inducting forfeitures, fines, and imprisonment for fraud on the part of the applicant and
also as to any person who shall "knowingly make or cause to be made, or conspire, combine, aid, or assist in, agree to,
arrange for, or in anywise procure the making or presentation of a false or fraudulent affidavit, declaration, certificate, statement, voucher, or paper, or writing purporting to be such," concerning any application for the guaranty of
a loan by the Administrator. (38 U. S. Code 697, 715, 450, 451, 454a, 556a; 18 U. S. Code. 80.)




U. S. GOVERNMENT PRINTING OFriCE

18

41967-1

VETERANS ADMINISTRATION
Finance F o r m iao3




VETERANS

ADMINISTRATION

APPRAISAL REPORT

how Street Names, Location of Subject Property on Plat, One Front View Photograph, and Other Views to Show Additional Buildings.
Dimensions of Lot on Plot Plan
PLOT

Show

PLAN

PHOTOGRAPHS

In first column list repairs necessary to preserve property.

EXTERIOR

Second column for additions or improvements.
REPAIR I T E M S

ESTIMATED

REPAIRS

NECESSARY

COST
INTERIOR

OTHER

TOTAL

INTERIOR

TOTAL

EXTERIOR

ESTIMATED

REPAIRS

NECESSARY

COST
OTHER

REPAIRS
REPAIRS

T O T A L

T O T A L

VALUATION

SUMMARY

'alue based on depreciated reproduction cost of buildings plus land
/alue based on capitalization of stabilized rentals
ralue based on comparable vicinity transactions
I HEREBY CERTIFY that (a) I have carefully viewed the property described in this report, INSIDE AND OUTSIDE so far as it has
ieen completed; that (6) it is the same property that is identified by legal description in my appraisal assignment; that (c) I have no interest,
> present prospective, in the applicant, property, or mortage except:
r
nd that (d) basing my opinion upon terms prevalent in this community and data recorded in this report, I estimate the property's

Reasonable Normal Value As Repaired

APPRAISER'S

XATE

LPPRAISER'S

APPRAISER'S N A M E

ADDRESS




SIGNATURE

U. S. GOVERNMENT PRINTING OFFICE: 1944 O - 616656

TYPED

$

V E T E R A N S
ADMINISTRATION
F i n a n c e F o r m 1804

VETERANS

ADMINISTRATION

EXPLANATION OF HOME LOAN GUARANTY
(Under the Servicemen's Readjustment Act of 1944)

Veterans should read this explanation before signing the application form

1. The Veterans Administration has no authority to make a loan. The loan is made by banks and other
lenders at not over 4 percent interest. When made in accordance with the regulations it may be partially
guaranteed by the Administrator. The guaranty is available on purchase money notes also. For convenience
these transactions are called loans in this explanation. Payments may extend over a period of 20 years.
2. If the veteran fails to make payments as they become due according to his contract with the lender the
property may be foreclosed. If the Veterans Administration is required to pay any or all of the amount guaranteed the veteran will become obligated for the repayment to the Government of the amount paid on account
of the guaranty.
3. Interest for the first year on the amount guaranteed will be paid by the Government.
does not repay this amount.

The veteran

4. Any lender has the right to refuse to make a loan, with or without stating a reason. The fact that a
particular lender refuses to lend the money does not mean that another lender may not be willing to lend it.
The Veterans Administration will determine whether to guarantee the loan on the basis of the facts presented,
irrespective of who may be the proposed lender (or seller).
5. Neither the act nor the regulations limit the amount of the loan, but the maximum amount of guaranty
available to an eligible veteran is $2,000. Once this amount has been guaranteed by the Administrator it cannot be made available on another loan, for any purpose.
6. Under certain conditions the Administrator may guarantee a loan secured by a "second mortgage,"
obtained for the purpose of acquiring a home, if the "first mortgage" is to secure a loan "made, guaranteed, or
insured" by a "Federal Agency." Most lenders can furnish details about such a loan.
7. The Veterans Administration will not undertake to advise a veteran as to the purchase or nonpurchase
of a specific property as this is a decision for which the veteran must accept personal responsibility, but information of a general character may be made available. However, there may be essential elements of a proposed transaction which require specialized knowledge and it may be to the veteran's interest to consult experts
in such matters so that he may properly determine the practicability and feasibility of his assuming such an
obligation.
8. Read the entire Application Form 1802 before answering the questions in it. This will suggest several
matters which, while not precisely covered in the application, require careful consideration in the purchase
of a home. For example: (a) Soundness, type, and condition of foundation, floors, walls, ceilings, roof,
furnace, stove, plumbing, fixtures, kitchen and bathroom equipment; (b) probable cost of electricity, gas, fuel
for heating (it is less if house is completely insulated), water supply, and maintenance items such as repairs,
painting, contemplated alterations, etc.; (c) nearness to suitable schools, churches, recreation centers, shopping facilities, place of business, and public transportation (fares and frequency of service, day and night) ;
(cL) present and future desirability of the neighborhood; (e) adequate drainage by storm sewer or otherwise;
( / ) present and possible future assessments against the home or the owner for sidewalks, curbs, sewer, water
mains, or other improvements; (g) existing restrictions or "zoning laws" as to building lines, use of the land
or nearby lots for business or other purposes, cost and type of buildings, etc.
9. The purchase of a home is an important transaction. To be successful, all factors must be carefully
considered. A copy of the regulations, which are a part of the contract, is available at any office of the Veterans Administration and probably at any bank or other lending institution.




FRANK
q . S. GOVERNMENT PRINTING OFFICE

W

43019-1

T.

HINES,

Administrator.

VETERANS ADMINISTRATION

Finance Form 1808

VETERANS ADMINISTRATION

Guaranty
No. L -

LOAN CLOSING STATEMENT

(To be filled in by Veterans Administration)

(Lender's file or loan number)

Name of veteran

.

S l N o '

„

Mailing address

Purchase price or cost of property

$---.

Credits to veteran's account: Cash
Other

(Specify)

Amount to be financed . . .
First mortgage held by ...
Second mortgage held by
Other

....

(Specify)

held by -.:;......-•.-...._....
Amount to be guaranteed . .
DISBURSEMENTS
Column No.

I

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

II

Account

Item
No.

Name of Payee
(If available)

III
Estimated

IV

Amount 1

Actual Amount 1

$

$

$

Seller
Existing liens
Amounts in escrow or trust (purpose:)

$

Taxes (describe):

Assessments

Insurance Premium:
Fire

$

Other

$

16
17
18
19
20
21
22
23
24
25
26

x x x x x x x x x x x x

TOTAL DISBURSEMENTS

i Complete column III when sending papers to the agency In accordance with regulations Sec. 4025.
J Complete column IV and return form to Veterans Administration when loan is closed and "Report of Closing Loan" on the reverse hereof has been executed in accordance with regulations Sec. 4031. Explain by reference to item number on reverse hereof any difference between columns III and IV.

Date:

19-

(Borrower (veteran))




Lender

By
(Title)

Explanation of differences between columns III and IV
Item
No.

Explanation

REPORT OF CLOSING LOAN
ADMINISTRATOR

OF V E T E R A N S '

AFFAIRS,

Attention:

Pursuant to section 4031 of the Regulations, this is to certify that the loan referred to on the reverse hereof has been closed
and the following conditions have been carried out to make effective, the Certificate of Loan Guaranty issued by the Administrator
of Veterans' Affairs:
(<z) The principal amount of the note evidencing the loan has been disbursed.
(&) The disbursements have been made for the purposes set forth in the loan closing statement submitted to the Veterans
Administration and in accordance with the amounts therein estimated except as shown by the actual disbursement in
column IV on the reverse hereof.
(c) The note and mortgage (or other security instrument) were validly executed; and the latter was duly acknowledged, witnessed, or proved, so that it was legally eligible for recording; and was properly filed for record on the
of

19

for

, at

M. with the

-

-

-

(d) The note was duly esecuted by the debtor and dated
amount of $

bearing interest at

hand and seal this

-

His file No

-

day of

19

, in the

percent per annum.

(e) The loan guaranty certificate No. L and the borrower (veteran) as therein provided.

Witness

(Title of recording official)

(District, County, Parish, Town, etc.)

State of

day

was completed and appropriately signed by the lender

day of

19
19

If a corporation:
(Lender)
ATTEST:




—

--

Secretary.

BY

V™;,-:-

<TitIe)

(Address )

rcORPORATEl
SEAL

Yolty)
U. f . OOVIRNMINT PRINTING O f f l C C

18—42007-1

(StateV


Federal Reserve Bank of St. Louis, One Federal Reserve Bank Plaza, St. Louis, MO 63102