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)

CERTIFICATE OF LENDER FEES

TO:	State of Wisconsin,

Department of Veterans Affairs

P.O. Box 7843

Madison, WI 53707-7843

I hereby certify that the fees listed below are the usual customary origination and servicing charges made by this lending institution in the normal course of business.

Origination Fees:

Purchase Loans	__________% of the loan amount

Construction Loans	__________% of the loan amount

Mobile Home Loans	__________% of the loan amount

Servicing Fee:	3/8 % annually of the unpaid principal balance.

NOTE: If you do not intend to originate and service a particular type of loan, please insert "d/n/a".

Dated this __________ day of ____________________________________________, ___________.

____________________________________________________

____________________________________________________

(Title)

____________________________________________________

(Lender's Name)

____________________________________________________

(Address)

____________________________________________________

(City, State and Zip Code)

WDVA (09/98)

F:\APPLIC\WINWORD\TEMPLATE\1DVAMLAN.DOT

WDVA 2662 (12/99)	You can access the most recent version of this form

W:\Templates\WDVA_2662_Certificate_of_Lender_Fees.dot	from the WDVA website at www.WisVets.com/Forms.

Wis. Stats. Chapter 45

WDVA 2662 - Certificate of Lender Fees

Karen M Emery

2012-01-24

Karen Emery

Dept of Veterans Affairs