The VA Form 21P-4706B is a crucial document for individuals appointed as fiduciaries by the Department of Veterans Affairs. It serves as a detailed financial report, covering all transactions and balances associated with managing the finances of a beneficiary under the fiduciary's care. Completing and submitting this form accurately is imperative to ensure the beneficiary's financial welfare and comply with VA regulations. Interested in managing a veteran's financial matters responsibly? Click the button below to learn more about filling out VA Form 21P-4706B.
The VA 21P-4706B form is a crucial document for individuals acting as fiduciaries for veterans or their beneficiaries, ensuring the responsible management and reporting of the beneficiary's assets and income. This form, part of the Department of Veterans Affairs' oversight, demands detailed accounting from fiduciaries, showcasing transparency and accountability in their financial stewardship. With sections dedicated to the statement of account, it requires fiduciaries to report money received on behalf of the beneficiary, including from the VA, Social Security, and other sources, as well as expenditures and the state of assets at the period's end. It also touches upon the fiduciary's responsibility to keep accurate records, as these may be audited by the VA to validate the fidelity of the reported information. Additionally, the form serves as a declaration of the fiduciary's personal financial conduct and criminal history, indicating the VA's thorough approach to protecting veterans' financial well-being. Its clear expiration date and respondent burden estimation highlight the VA's compliance with regulatory standards, ensuring that the form's usage aligns with current legal and procedural requirements. Thus, VA Form 21P-4706B is not just a form but a comprehensive tool for financial governance, aimed at safeguarding the interests and assets of veterans and their beneficiaries.
OMB Control No. 2900-0017
Respondent Burden: 27 Minutes
Expiration Date: 12/31/2024
VA FIDUCIARY'S ACCOUNT
NAME AND ADDRESS OF FIDUCIARY
VA FIDUCIARY HUB
FROM
TO
NAME OF VETERAN (First-Middle-Last)
NAME OF BENEFICIARY (If not veteran)
VA FILE NUMBER
C-
SECTION I - STATEMENT OF ACCOUNT
INSTRUCTIONS: Items 1 through 7 are to be completed by the fiduciary and returned to the VA Fiduciary Hub. Show monthly
ACCOUNTING PERIOD
amount where indicated, in addition to amount for accounting period. Attach detailed monthly financial (bank) statements for the
entire accounting period to support the transactions noted on this accounting.
IMPORTANT - SEE PRIVACY ACT INFORMATION ON REVERSE.
IMPORTANT - The fiduciary must account for all funds received on behalf of the beneficiary as VA fiduciary, representative payee for SSA benefits, or in any other fiduciary capacity. The fiduciary must keep receipts and other documentation of expenses because VA may need to examine them during the audit of this accounting.
1. MONEY RECEIVED
4. ASSETS AT END OF PERIOD*
ITEM
DESCRIPTION
AMOUNT
A
TOTAL ESTATE AT BEGINNING OF PERIOD
TOTAL AMOUNT OF CHECKING
$
ACCOUNT(S)
NO. OF MONTHS
MONTHLY AMT.
B
TOTAL AMOUNT OF SAVINGS
RECEIVED
TOTAL AMOUNT OF
FROM VA
C
CERTIFICATE(S) OF DEPOSIT
TOTAL PURCHASE PRICE OF
SAVINGS BONDS LISTED ON
REVERSE (Complete reverse for
SOCIAL
total in this field)
SECURITY
(1) WERE ADDITIONAL BONDS
PURCHASED DURING THIS
D
INTEREST EARNED ON DEPOSITS
ACCOUNTING PERIOD?
YES
NO
E
AMOUNT RECEIVED FROM OTHER SOURCES
(2) WERE SAVINGS BONDS CASHED
(List in Items 1E thru 1H)
DURING THIS ACCOUNTING
F
PERIOD?
G
H
OTHER (List outstanding checks or other
I
*TOTAL RECEIVED (ADD LINES 1A THRU 1H)
issues that impact the total assets.)
2. MONEY SPENT
ROOM AND
BOARD/RENT
5. TOTAL ASSETS
CLOTHING
(MUST EQUAL ITEM 3)
ENTERTAINMENT
6. REMARKS (If needed you may attach additional sheets and key
PERSONAL
responses to item numbers.)
USE
DEPENDENT
(S) SUPPORT
FFIDUCIARY FEE IF APPROVED BY VA
G OTHER (Specify)
J
K
L
M
TOTAL SPENT (ADD LINES 2A THRU 2L)
3. TOTAL FUNDS UNDER MANAGEMENT AT
END OF PERIOD (SUBTRACT 2M FROM 1I)
* NOTE: Pursuant to my signed Fiduciary Agreement (VA Form 21P-4703), this is a complete accounting of all funds I received for the beneficiary.
I CERTIFY THAT this is a true account of the beneficiary's estate for the period stated, to the best of my knowledge and belief.
7. DATE
8. SUBMITTED BY (Signature and title of fiduciary) (Sign in ink)
VA FORM
21P-4706b
SUPERSEDES VA FORM 21-4706b, DEC 2019,
(Continued on Reverse)
DEC 2021
WHICH WILL NOT BE USED.
9. BACKGROUND INFORMATION
Answer the questions below if you are an individual appointed to serve as fiduciary for the beneficiary named on the reverse side of this form. The questions pertain to your personal criminal and credit history. Failure to provide a response may impact your ability to serve as a VA fiduciary.
You are not required to respond to these questions if you are serving as VA fiduciary in one of the following capacities for the beneficiary named on the reverse:
•administrator of a facility
•company or corporation
•court-appointed fiduciary who is also appointed by VA
I certify that during this accounting period, I have not been convicted of any offense under Federal or State law, which resulted in imprisonment for more than one year. I understand the Department of Veterans Affairs may obtain my criminal background history to verify my response. Initial the box below to certify and acknowledge this information.
I certify that during this accounting period, I did not default on a debt, was not the subject of collection action by a creditor and did not file bankruptcy. To the best of my knowledge, no adverse credit information was reported to a credit bureau because I was unable to meet my personal financial obligations. I understand the Department of Veterans Affairs may obtain my credit history report to verify my response. Initial the box below to certify and acknowledge this information.
10. EXPLANATION OF BACKGROUND INFORMATION (If necessary)
LINE
SERIAL NUMBER
DATE OF
PURCHASE
NO.
PRICE
1.
6.
2.
7.
3.
8.
4.
9.
5.
10.
SECTION II - CERTIFICATION OF U.S. SAVINGS BONDS
I CERTIFY THAT the savings bonds listed above are the property of the estate of the beneficiary and are in my custody and control.
SIGNATURE OF FIDUCIARY (Sign in ink)
DATE
PRIVACY ACT INFORMATION: The VA will not disclose information on the form to any source other than what has been authorized under the Privacy Act of 1974 or Title 5, Code of Federal Regulations 1.526 for routine uses (i.e. request from Congressman on behalf of a beneficiary) as identified in the VA system of records, 37VA27, VA Supervised Fiduciary/Beneficiary and General Investigative Records, published in the Federal Register. You are required to respond (38 U.S.C. 5701) to obtain or retain benefits. The information will be used to ensure the proper administration of the beneficiary's income and estate. Failure to furnish the requested information may result in the suspension of payments and/or the appointment of a successor fiduciary.
RESPONDENT BURDEN: We need this information to ensure proper administration of the beneficiary's estate. Title 38, United States Code allows us to ask for this information. We estimate that you will need an average of 27 minutes to review the instructions, find the information, and complete this form. VA cannot conduct or sponsor a collection of information unless a valid OMB control number is displayed. You are not required to respond to a collection of information if this number is not displayed. Valid OMB control numbers can be located on the OMB Internet Page at https://reginfo.gov/public/do/PRAMain.
VA FORM 21P-4706b, DEC 2021
Completing the VA Form 21P-4706B involves providing a detailed account of the transactions handled by a fiduciary on behalf of a beneficiary. This document is essential for ensuring that the beneficiary's estate is managed accurately and transparently. Care should be taken to include all received and spent amounts, as well as a thorough description of the assets at the end of the period. Following carefully the required steps can significantly streamline the process.
Ensure that all supportive documents and detailed monthly financial statements for the entire accounting period are attached to this form before submission. Finally, verify that all the information is accurate and complete to avoid potential issues or delays in the management of the beneficiary's estate.
The VA Form 21P-4706B is utilized by individuals who have been appointed as fiduciaries by the Department of Veterans Affairs. A fiduciary is responsible for managing the benefits of a veteran or beneficiary, ensuring that their needs are met and financial responsibilities are handled properly. This form provides a detailed account of all transactions involving the beneficiary's assets, including money received, spent, and the total funds under management at the end of the accounting period. It is a crucial tool for maintaining transparency and accountability in the management of the beneficiary’s estate.
Individuals appointed as fiduciaries for a veteran or a beneficiary who cannot manage their own financial affairs are required to complete this form. These fiduciaries can be family members, friends, or professionals appointed by the VA. The form must be submitted to the VA Fiduciary Hub for review and audit. It's important to note that fiduciaries serving in certain capacities, such as administrators of a facility, companies, or corporations, or court-appointed fiduciaries also appointed by VA, may not be required to respond to personal background questions included in the form.
When filling out the VA Form 21P-4706B, fiduciaries are required to provide a comprehensive accounting of the beneficiary's finances, including:
Failure to submit the VA Form 21P-4706B on time or filling it out incorrectly can have significant consequences. The VA may suspend the payments of benefits to the beneficiary until the required information is provided and the form is corrected. In some cases, the VA might also consider appointing a successor fiduciary if the current fiduciary fails to meet their obligations in managing the beneficiary's affairs. It's important for fiduciaries to ensure accuracy and timeliness in submitting this form to avoid any disruption in the beneficiary’s benefit payments.
The frequency at which the VA Form 21P-4706B must be submitted depends on the instructions provided by the VA Fiduciary Hub. Generally, fiduciaries are required to submit an annual account of the beneficiary's estate. However, the VA may request more frequent reports depending on the specific circumstances surrounding the beneficiary's case or if there are concerns about the management of the beneficiary's finances. Fiduciaries should closely follow the guidance and deadlines provided by the VA to ensure compliance.
When filling out the VA Form 21P-4706b, which is critical for individuals appointed as fiduciaries to manage funds for beneficiaries, several common mistakes can undermine the accuracy and integrity of the account reporting. These missteps not only compromise the fiduciary's ability to successfully fulfill their duties but can also result in significant administrative and financial repercussions.
Not providing detailed descriptions for each item listed under money received and money spent. It's crucial to specify the nature of each transaction to ensure clarity and prevent ambiguity.
Failure to attach monthly financial statements for the entire accounting period, which are necessary to support the transactions noted in the account reporting. This omission can lead to questions regarding the accuracy of reported figures.
Omitting the signature and title in the required section at the end of the form. This oversight can invalidate the submission, as it lacks the necessary authentication of the fiduciary's accountability.
Incorrect calculation in the total funds under management at the end of the period section. It's essential to diligently subtract total expenditures from total received funds to accurately reflect the remaining estate.
Not indicating whether additional bonds were purchased or if savings bonds were cashed during the accounting period. This information is critical for maintaining an accurate record of the estate's financial dealings.
Leaving the asset details at the end of the period section incomplete, particularly failing to list all assets like checking and savings accounts, certificates of deposit, and the total purchase price of savings bonds.
Including expenses that are not properly documented or verifiable. Fiduciaries must keep receipts and other documentation of expenses, as the VA may need to examine them during the audit of this accounting.
Forgetting to provide an accurate count of the number of months for recurring expenses or income, resulting in discrepancies in the monthly amount calculations.
Failing to update or correct the total assets section to reflect the current state of assets at the period's end accurately. This inaccuracy can lead to misrepresentation of the beneficiary's financial status.
Neglecting to complete the certification section related to the savings bonds accurately, including the date of purchase and purchase price for each bond. This oversight can question the integrity of bond holdings.
These mistakes highlight the importance of attentiveness, thoroughness, and accuracy when completing the VA Form 21P-4706b. Fiduciaries bear the significant responsibility of managing beneficiaries' funds with the highest standard of care, and these common errors can be mitigated with careful review and adherence to the detailed instructions provided by the VA.
Understanding the requirements and processes involved in managing a veteran's benefits involves more paperwork than just filling out the VA 21P-4706b form. Several additional forms and documents are typically used alongside it to navigate the legal and bureaucratic aspects properly. Let’s delve into some of these other documents that play a crucial role in managing a veteran's estate and ensuring their benefits are correctly administered.
Each document supports the fiduciary's role in its unique way, from establishing their authority to manage funds, to ensuring the proper and legal administration of the beneficiary's estate. Handling these forms diligently ensures compliance with both the VA’s requirements and the broader legal obligations fiduciaries hold. Always remember, managing a veteran's benefits is not only a matter of navigating bureaucracy but a significant responsibility to honor and support those who have served.
SSA-623 (Social Security Administration Representative Payee Report): This form is used by individuals or organizations appointed by the Social Security Administration as representative payees, to report on the use of benefits received on behalf of another person. Similar to the VA 21P-4706B, it requires detailed accounting of how the benefits were spent or saved, ensuring the needs of the beneficiary are met.
IRS Form 1041 (U.S. Income Tax Return for Estates and Trusts): Though mainly a tax document, IRS Form 1041 shares similarities with the VA 21P-4706B in requiring detailed financial accounting. It's used to report income, deductions, and credits of estates and trusts, ensuring appropriate taxation based on their financial activities.
HUD-1 Settlement Statement: Utilized in real estate transactions, the HUD-1 outlines all transactions between buyers and sellers. Like the VA 21P-4706B, it provides a detailed accounting of funds received and disbursed, ensuring transparency and accountability for all parties involved.
CFPB Financial Well-being Report Form: Created by the Consumer Financial Protection Bureau, this form is used to assess an individual’s financial health and planning. It shares the goal of the VA 21P-4706B in scrutinizing financial management, though it is more focused on assessment rather than accounting.
Bankruptcy Forms (Chapter 7 and 13): These forms require comprehensive disclosure of an individual's or organization's financial state, similar to the accountability and reporting process in the VA 21P-4706B for managing a beneficiary's estate.
Custodial Account Forms (UGMA/UTMA): Used to establish custodial accounts for minors, these forms capture the initiation, management, and disbursement processes of such accounts. They parallel the VA 21P-4706B's emphasis on fiduciary responsibility and detailed reporting.
FINRA Brokerage Account Statements: While these are not forms, the periodic statements from brokerage accounts require detailed accounting of transactions, gains, losses, and fees—mirroring the detailed financial reporting seen in the VA 21P-4706B.
SBA Loan Application Forms: These forms demand extensive financial disclosure from applicants seeking business loans, ensuring that borrowers have the means and planning to manage debts responsibly, akin to the financial stewardship required in the VA 21P-4706B form.
Medicare/Medicaid Benefit Claim Forms: These require a breakdown of services rendered, their costs, and the justification for claims, reflecting the accountability aspect of financial management in caring for beneficiaries, similar to how the VA 21P-4706B tracks benefit expenditures.
Conservatorship Account Forms: Utilized in the management of conservatorship estates, these forms require detailed financial reporting and oversight akin to the VA 21P-4706B, focusing on the protection and proper management of the conservatee's assets.
When filling out the VA 21P-4706B form, it is pivotal to approach the task with diligence and accuracy. This form is vital for fiduciaries who manage VA benefits on behalf of beneficiaries. Keeping this in mind, here are several do’s and don’ts that are crucial for completing the form correctly:
Do:
Read all instructions carefully before starting to fill out the form. This ensures comprehension of each section’s requirements.
Gather all necessary documents, including detailed monthly financial statements, beforehand to ensure all information reported is accurate and complete.
Account for all funds received on behalf of the beneficiary accurately in the Statement of Account, including VA funds, SSA benefits, or any other fiduciary capacities.
Keep receipts and documentation of all expenses. These documents are crucial for validation during the VA’s audit process.
Verify all assets at the end of the period are reported correctly, adhering to the form's guidelines for items such as checking accounts, savings accounts, and certificates of deposit.
Sign the form in ink. A physical signature from the fiduciary is required for verification and authenticity.
Respond to the background information section truthfully, as this information is crucial for maintaining the integrity of the fiduciary’s position.
Don't:
Do not skip any requested information fields. Incomplete forms may result in the suspension of payments and/or the appointment of a successor fiduciary.
Avoid guessing or estimating financial information. Use actual figures from financial documents to ensure accuracy.
Do not disregard the importance of attaching monthly financial statements. These statements are necessary to support the transactions noted on the accounting.
Do not overlook the need to certify if any savings bonds were purchased or cashed during the accounting period in Section II.
Do not fail to provide an explanation for any criminal, debt, or credit issues in the background information section, as failing to do so can impact your ability to serve as a VA fiduciary.
Avoid submitting the form without checking for errors. Review the form thoroughly before submission.
Do not ignore the respondent burden and privacy act information. Understanding these sections helps in acknowledging the responsibility towards maintaining confidentiality and the importance of providing accurate information.
Common misconceptions about the VA Form 21P-4706b, known as the Fiduciary's Account, can lead to misunderstandings regarding its completion and submission. Clarifying these misconceptions is essential for fiduciaries responsible for managing the affairs of veterans or beneficiaries under the Department of Veterans Affairs (VA) program. Here are four significant misconceptions about this form:
Clearly, understanding the purpose, requirements, and process of the VA Form 21P-4706b is crucial for all fiduciaries tasked with this responsibility. Dispelling these misconceptions ensures that fiduciaries can accurately and efficiently manage and report the financial affairs of the beneficiaries they serve, in compliance with VA regulations.
Completing the VA Form 21P-4706b is an essential task for fiduciaries managing the finances of veterans or beneficiaries. Understanding the key takeaways can simplify the process:
VA Form 21P-4706b serves not only as a financial report but also as a testament to the fiduciary’s commitment to executing their duties honestly and thoroughly, maintaining the beneficiary’s welfare as a priority.
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