Spousal Consent Requirements

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STATE OF WISCONSIN, DEPARTMENT OF VETERANS AFFAIRS 30 West Mifflin Street, P.O. Box 7843, Madison, WI 53707-7843 (608) 266-1311 1-800-WIS-VETS (947-8387) Fax (608) 264-6089 Wis. Stats. Chapter 45 SPOUSAL CONSENT Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04(1)(m)]. My spouse has agreed, or may agree, to personally guarantee the loan of (applicant). I consent to this act by my spouse and acknowledge that I am acting together with my spouse, but by signing below I am not becoming personally liable as a guarantor for the payment of obligations of the other person. You may rely on my consent in your acceptance of the guaranty. Dated: Signature of Spouse Name (please print) WDVA 2105 (03/07) W:\Templates\WDVA_2105_Spousal_Consent.dot You can print the most recent version of this form from the WDVA Web site at www.dva.state.wi.us/forms.

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