STATE OF WISCONSIN, DEPARTMENT OF VETERANS AFFAIRS

201 West Washington Avenue, P.O. Box 7843, Madison, WI 53707-7843

(608) 266-1311 1-800-WIS-VETS (947-8387)

NOTIFICATION OF SERVICER LOAN ID CHANGE
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04(1)(m)].

Servicer Number	Servicer Name	Prepared By	Phone Number	Date
____ ____ ____ *
WDVA Loan Number *	Servicer Loan ID *
WDVA Loan Number *	Servicer Loan ID *

* Asterisk indicates required fields

WDVA 1471

NOTIFICATION OF SERVICER LOAN ID CHANGE

Purpose:	To enable Servicer to change, delete, or add Servicer Loan Number on the WDVA Accounting System.

Prepared By:	Servicer

Distribution:	Original to:	Wisconsin Department of Veterans Affairs

ATTN: Loan Accounting

P.O. Box 7843

Madison, WI 53707-7843

Instructions

Servicer may report up to 26 record changes on a form.

Servicer Number:	Three-digit number assigned by WDVA.

Servicer Name:	Corporate name.

Prepared By:	Name of Servicer’s representative preparing form.

Phone Number:	Phone number of Servicer’s representative preparing form.

Date:	Date form was prepared.

WDVA Loan Number:	Loan number assigned by WDVA.

Servicer Loan ID:	Servicer Loan Number reported on the WDVA Trial Balance. Up to ten characters are permitted (alpha, numeric, or any combination). To delete the current Service Loan ID from the WDVA Trial Balance, leave this column blank.

WDVA 1471 (04/07) Page 2 of 2	You can print the most recent version of this form

W:\Templates\WDVA_1471_Notification_of_Servicer_Loan_ID_Change.dot	from the WDVA website at www.WisVets.com/Forms.

WDVA 1471 (04/07) Page 1 of 2	You can print the most recent version of this form

Wis. Stats. Chapter 45

WDVA 1471 - Notification of Servicer Loan ID Change

memerka

2012-01-24

Karen Emery

Dept of Veterans Affairs