VETERANS AID AND ATTENDANCE BENEFIT
Long Term Care Benefits for Veterans

NCPC Professional Edition - Return to Book Review Home Page

Examples of countable assets: Bank accounts, stocks, bonds, mutual funds, IRAs, 401(k)s, 403(b)s and other qualified savings, deferred annuities, installment contracts, rental property, farm or ranch property or business investment. Also include revocable trusts and transferred assets to trusts that produce income.

Earnings from assets can include interest from installment contracts, interest on savings, withdrawals from IRAs, 401(k)s and other qualified savings, rental income, dividends, mutual fund capital gains, business investment income and income from trusts. Enter all asset earnings and asset income as annualized.

*Transferred asset income might be give back income from the transferee or new income producing trusts.
Reportable Assets before Transfers Assets Transferred
Name of Asset Value Earnings Name of New Asset Value *Income



Assets to an Income Annuity
Enter income on Bottom Line

Total of Transferred Asset Value
Assets Remaining and Reportable to VA
Name of remaining asset Value Earnings









Enter total yearly income from trusts or
other similar arrangements. Enter total yearly income from trusts or
other similar arrangements from the left.
Total Asset Value Total of Remaining Asset Value
Total Asset and Trust Income Total Asset and Trust Income
Recurring Income and Other Expected Income for the Next 12 Months
Name of income source Yearly income (After transfers) Name of income source Yearly income






Total Recurring or Expected Income Total Recurring or Expected Income
Add together below "Total Asset and Trust Income" And "Total Recurring or Expected Income"
Grand Total Income Grand Total Income
Grand Total As a Monthly Amount Grand Total As a Monthly Amount
Enter the monthly amount of immediate annuity income from transferred assets above, if any.