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)

SERVICER REMITTANCE RECORD

Servicer Name

Servicer Number

_____ _____ _____	Combined Bond Type GO, RA and RB	Month Ending

_____ / _____ / _____
Date Funds Remitted	Regular Interim Collections	Payoff Funds	Other	Total
Via TCRS	From	To
Detail Attached	Detail Attached	Remitted	Verification
MM/DD/YY	DD	DD	$ Amount	$ Amount	$ Amount	$ Amount	Code
TOTALS
Prepared By	Phone Number	Date

WDVA 1701

SERVICER REMITTANCE RECORD

Purpose:	To record and summarize Servicer Remittances through the Telephone Cash Remittance System (TCRS). .

Prepared By:	Servicer

Distribution:	Original to:	Wisconsin Department of Veterans Affairs

ATTN: Loan Accounting

P.O. Box 7843

Madison, WI 53707-7843

Instructions

This report must be received by WDVA no later than the fifth business day after the report month ends.

Servicer Name:	Corporate name.

Servicer Number:	Three-digit number assigned by WDVA.

Bond Type:	Combined GO, RA, and RB remittances.

Month Ending:	Last day of reporting period (MM/DD/YY).

Column Name	Instructions

Date Funds Remitted	Date (MM/DD/YY) of the call.

Via TCRS:

Days From/To:	Regular installments of principal and interest only. Enter From (DD) and To (DD) days that pertain to amount reported.

$ Amount:	Total of all regular P & I installments and additional principal payments (curtailments) for period covered.

Payoff Funds:	Total of all loan payoffs for period reported.

To initiate preparation of a Satisfaction of Mortgage, Servicer must submit a LOAN PAYOFF & REMOVAL REPORT, WDVA 1412, within one business day of payoff (see instructions on WDVA 1412 and in Chapter VI,D,2). The sum of the WDVA 1412’s must equal the total entry.

For more detail, see Satisfactions, Chapter V,A,3 and WDVA 1412 with its instructions.

Other:	Total amount of other remittances for period reported.

Total Remitted:	Sum of the “$ Amount,” “Payoff Funds,” and “Other” columns.

WDVA 1701 (04/07) Page 3 of 3	You can print the most recent version of this form

W:\Templates\WDVA_1701_Servicer_Remittance_Record.dot	from the WDVA website at www.WisVets.com/Forms.

WDVA 1701 (04/07) Page 1 of 3	You can print the most recent version of this form

Wis. Stats. Chapter 45

Dept of Veterans Affairs