VA Questionnaire - Vantage Mortgage Group

Name*

First Last

Have you had a prior VA loan?*

Yes
No

Do you have a VA benefit-related indebtedness to your knowledge?*

Yes
No

Have you filed a claim for VA disability benefits prior to discharge from active duty service (I am presently still on active duty)?*

Yes
No

Are you currently receiving VA disability benefits?*

Yes
No

Would you be entitled to receive VA disability benefits if you did not receive retirement pay?*

Yes
No

Have you received VA disability benefits in the past?*

Yes
No

Are you a surviving spouse of a veteran who died on active duty or as a result of a service connected disability?*

Yes
No

Are you a member of the Reserves/National Guard?*

Yes
No

During the past five years, have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgement?*

Yes
No

Are you presently delinquent or in default on any debt to the federal government? (e.g., Public Health Service, U.S. GuaranteedStudent Loan, GI Bill Education Benefits, etc.) ?*

Yes
No

Do you currently pay childcare?*

Yes
No

If yes, how much per month?

Please complete the following information for your nearest living relative (not living with you)

Their Name*

First Last

Their relationship to you*

Their Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Their Phone Number*

VA Loan Questionnaire