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 PROPERTY ADDRESS CHANGE
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04(1)(m)].

Servicer Number

___ ___ ___
Servicer Name

Prepared By (Name & Title)

Phone Number

Date

WDVA Loan Number
New Property Street Address
City	Zip Code
___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___	___ ___ ___ ___ ___ - ___ ___ ___ ___
WDVA Loan Number
New Property Street Address
City	Zip Code
___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___	___ ___ ___ ___ ___ - ___ ___ ___ ___
WDVA Loan Number
New Property Street Address
City	Zip Code
___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___	___ ___ ___ ___ ___ - ___ ___ ___ ___
WDVA Loan Number
New Property Street Address
City	Zip Code
___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___	___ ___ ___ ___ ___ - ___ ___ ___ ___
WDVA Loan Number
New Property Street Address
City	Zip Code
___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___	___ ___ ___ ___ ___ - ___ ___ ___ ___

WDVA 1469

NOTIFICATION OF PROPERTY ADDRESS CHANGE

Purpose:	To inform WDVA of address changes of WDVA Primary Loan properties (renumbering or renaming streets or subdivisions, changes from lot numbers to street numbers, changes in the city, zip code, etc.). This form may also be used to correct addresses on WDVA Commitment Letters.

Prepared By:	Servicer

Distribution:	Original to:	Wisconsin Department of Veterans Affairs

ATTN: Loan Accounting

P.O. Box 7843

Madison, WI 53707-7843

Instructions

Servicer Number:	Three-digit number assigned by WDVA.

Servicer Name:	Corporate Name.

Prepared By:	Name and Title of person completing form.

Date:	Date form completed.

WDVA Loan Number:	Loan number assigned by WDVA.

New Property Street Address:	Property’s current address (up to 32 characters permitted). Include the house number, direction, street name, street type, and unit number (if applicable).

City:	Name of city where property is located. Up to 11 characters are permitted.

Zip Code:	Property’s zip code.

WDVA 1469 (04/07) Page 2 of 2	You can print the most recent version of this form

W:\Templates\WDVA_1469_Notification_of_Property_Address_Change.dot	from the WDVA website at www.WisVets.com/Forms.

WDVA 1469 (04/07) Page 1 of 2	You can print the most recent version of this form

Wis. Stats. Chapter 45

WDVA 1469 - NOTIFICATION OF PROPERTY ADDRESS CHANGE

memerka

2012-01-24

Karen Emery

Dept of Veterans Affairs