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  1. Click ‘Get Form’ to open the VA Form 21P-4718a in our editor.
  2. Begin by filling out Section I. As the fiduciary, enter your name in Item 1, followed by the beneficiary's name in Item 2 and the VA file number in Item 3.
  3. Next, hand the form over to your financial institution. They will complete Items 4A through 7C, including their seal or stamp.
  4. Once completed, ensure that you receive the certificate back from the financial institution for submission to VA.
  5. Proceed to Section II. Here, as the fiduciary, sign and date Item 9A and 9B to authorize disclosure of financial records.

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VA, TVC, DoD

21-4706b. Federal Fiduciary Account. 11/03. 21-4718a. Certificate of Balance on Deposit and. 10/01. Authorization to Disclose Financial Records. 21-8049.Read more

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21P-4718a

SUPERSEDES VA FORM 21-4718a, DEC 2021,. WHICH WILL NOT BE USED. 5. DATA IN INSTRUCTIONS FOR COMPLETION OF VA FORM 21P-4718a. Section I - CertificateRead more

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