Form 21 4703 Fiduciary Agreement-2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling in the 'ADDRESS OF VA OFFICE' and 'VA CONTACT/PHONE NUMBER' fields. Ensure that all information is accurate to avoid delays.
  3. Enter the 'NAME OF VETERAN' along with their 'SOCIAL SECURITY NUMBER' and 'VA FILE NUMBER'. This information is crucial for identifying the beneficiary.
  4. List the names of all beneficiaries in section 6, ensuring each name is clearly marked from A to F as applicable.
  5. In section 7, select your role as fiduciary by checking the appropriate box (e.g., Legal Custodian, Spouse Payee).
  6. Complete sections 8A, 8B, and 8C regarding lump sum amounts and monthly amounts you agree to save for the beneficiary.
  7. Sign and date the form in sections 9A through 9C. Make sure your signature matches your printed name.
  8. Review all entries for accuracy before submitting. Utilize our platform's features to save or share your completed form easily.

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OMB Control Number: 2900-0319. Type of Review: Revision of a currently approved collection. Abstract: VA Form 21P-4703 is primarily used as a legal contract between the VA and a Federal fiduciary. The form outlines the roles and responsibilities of the fiduciary concerning the use of VA funds.
Generally, family members or friends serve as fiduciaries for beneficiaries; however, when friends or family members are not able to serve, VA looks for qualified individuals or organizations to serve as a fiduciary.
It is the fiduciarys responsibility to take control of (marshal) all assets comprising an estate or trust. Especially when a fiduciary assumes office at the grantors or testators death, it is crucial to secure and value all assets as soon as possible.
If the beneficiary dies without a will or heirs, you must return any remaining VA funds to VA. You may contact your fiduciary hub of jurisdiction for further information.
5502(e) provides that funds held by a VA or court-appointed fiduciary shall be returned to VA if the estate would escheat to the state under the laws of the state in which the veteran resided at the time of death.
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Survivors of peacetime veterans are not entitled to the VA Survivors Pension. However, if the veterans death was the result of service-connected disability, dependents may be entitled to VA Dependency and Indemnity Compensation (DIC). Survivors are not eligible for both.

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