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)

FORECLOSURE EXPENSE CLAIM
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04(1)(m)].

NOTE TO SERVICER: This form should be completed and sent to the Wisconsin Department of Veterans Affairs when a loan has been liquidated through foreclosure or deed-in-lieu.
Servicer Name & Address

Servicer Number

Servicer Loan Number

Name of Borrower

WDVA Loan Number

Property Address

County Where Property is Located

Unpaid Principal Balance

$	Date of Last Paid Installment (MM/YY)

Effective Liquidation Date (MM/DD/YY)

STATEMENT OF EXPENSES	THIS SECTION TO
BE COMPLETED
BY WDVA
EXPENSES CATEGORY	AMOUNT
AMOUNT	POST
Attorney's Fees (only WDVA authorized amount)	$
$
Advertising Costs
$
Sheriff's Fees
$
Title Policy
$
Trash Removal
$
Winterizing
$
Boarding Windows, etc.
$
Lawn Care or Snow Removal
$
Advance for Real Estate Taxes
$
Advance for Hazard Insurance (prior to foreclosure)
$
Appraisal
$
Inspection of Property & Photos (WDVA does not pay)	N/A
$
Other:	(Specify)
$
$
Subtotal	$
$
CREDITS CATEGORY
Escrow Balance	$
$
Hazard Insurance Refund
$
Other:	(Specify)
$
$
Total Due	$
$	N/A
By	Date
This is the Final Billing to WDVA Yes No (explain below)
COMMENTS

Prepared By
Name and Title
Phone Number	( )
Date
WDVA 2413

FORECLOSURE EXPENSE CLAIM

Purpose:	To report to WDVA completion of foreclosure or foreclosure-related activity (e.g., Deed in Lieu of Foreclosure).

Prepared By:	Servicer

Distribution:	Original and attachments to:	Wisconsin Department of Veterans Affairs

ATTN: Bureau of State Veterans Benefits

P.O. Box 7843

Madison, WI 53707-7843

Instructions

Servicer Name and Address: Corporate name and address.

Name of Borrower

Property Address

Unpaid Principal Balance

Date of Last Paid Installment (MM/YY): Date of last installment applied to loan.

Servicer Number: Three-digit number assigned by WDVA.

Servicer Loan Number: Optional.

WDVA Loan Number: Loan number assigned by WDVA.

County Where Property is Located

Effective Liquidation Date (MM/DD/YY): Date on which foreclosure action or voluntary conveyance was completed (i.e., date foreclosure sale was confirmed or date of recording Deed in Lieu of Foreclosure).

Expenses Category

Attorney’s Fees: Amount paid for attorney services related to the foreclosure action and/or voluntary conveyance.

Advertising Costs: Amount paid for service by publication because foreclosure defendants could not be served through personal service (do not include Sheriff’s Sale notice fees).

Sheriff’s Fees: Sheriff’s fees for foreclosure action, including foreclosure sale notice fees.

Title Policy: Cost of title policy.

Trash Removal: Cost of removing trash from premises. Note: Unless an emergency exists, WDVA approval should be obtained prior to incurring such costs.

Winterizing: Cost of winterizing property to protect against freeze-up.

Boarding Windows, etc.: Cost of boarding property. Note: Unless an emergency exists, approval from WDVA should be obtained prior to incurring such costs.

Lawn Care and Snow Removal costs

Advance for Real Estate Taxes: Amount advanced to pay real estate taxes and/or special assessments.

Advance for Hazard Insurance: Amount advanced to pay hazard insurance premiums.

Appraisal Fees

Inspection of Property & Photos: WDVA DOES NOT PAY FOR THESE EXPENSES.

Other: Amounts spent for items not covered by above categories, including but not limited to, WDVA authorized repairs or security service, etc. Be sure to specify.

Subtotal: Subtotal of all expenses.

Credits Category

Escrow Balance: Unapplied balance remaining in escrow account.

Hazard Insurance Refund: Refund from cancellation of hazard insurance policy.

Other: Describe other credits received.

Total Due: Subtract all credits from Subtotal and enter net balance due.

This is the final billing to WDVA: Check Yes or No. If No, explain in Comments Section what other expenses will be claimed. WDVA prefers to receive one complete FORECLOSURE EXPENSE CLAIM.

Comments: Comments which Servicer feels are necessary to explain items on form. Use back of form if necessary.

Name, title, and phone number of person completing form.

Date form was prepared.

WDVA 2413 (04/07) Page 3 of 3	You can print the most recent version of this form

W:\Templates\WDVA_2413_Foreclosure_Expense_Claim.dot	from the WDVA website at www.WisVets.com/Forms.

WDVA 2413 (04/07) Page 1 of 3	You can print the most recent version of this form

Wis. Stats. Chapter 45

Dept of Veterans Affairs