You can contact us by call our toll-free number, 1-800-827-0648, or for international callers 1-612-713-6415 and our operators can address specific questions that relate to completion of the form.
This is your VA file number. The number is printed in the upper right-hand corner of most letters from Debt Management Center. In most cases, this may be your social security number.
You only have to complete this block if the debt we are asking you to pay is the result of a default of a guaranteed home loan or a loan financed by VA. Otherwise, leave this block blank.
The debtor’s name should be placed in Block 4. Even if I’m not the veteran? Yes.
Yes. We must consider total household income to determine your ability to pay and the amount you can afford to pay monthly.
No. However, we may ask for proof of income and monthly expenses at a later time, if we have additional questions.
Yes. Include monthly VA benefits (compensation and/or pension), received by you or your spouse, in Section II, Block 16, “Pension, Compensation, or Other Income.”
Place the information in Section II, Block 16, Pension, Compensation, or Other Income. Report the Medicare Deduction in Section III – Expenses.
Average your income on the monthly basis to the best of your ability. If you reported wages on your tax return for last year, you can divide those reported wages by 12 and use that amount. Place this information in Section II – Income, Block 16.
Yes. List them in Section V - Assets and include any monthly payments on those assets in Section VI – Installment Contracts and Other Debts.
Estimate what you think you would be able to sell it for in your community. You may wish to scan the classified ads in your local newspaper.
Yes. We cannot process the information on the form without a signature.
Mail or fax the form to:
Department of Veterans Affairs
Debt Management Center
P.O. Box 11930
St. Paul, MN 55111
Call us at 1-800-827-0648, for international callers 1-612-713-6415 or firstname.lastname@example.org, if you have any questions about completing the Financial Status Report.