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Get VA 26-1880 2011

DS (IRRRL)? YES 11D. CITY AND STATE 13B. DATE OF LOAN 13C. STREET ADDRESS (Month and Year) 13D. CITY AND STATE NO (If "Yes," complete Items 13B through 13D) I CERTIFY THAT the statements in this document are true and complete to the best of my knowledge. 14A. SIGNATURE OF VETERAN (Do NOT print) 14B. DATE SIGNED FEDERAL STATUTES PROVIDE SEVERE PENALTIES FOR FRAUD, INTENTIONAL MISREPRESENTATION, CRIMINAL CONNIVANCE OR CONSPIRACY PURPOSED TO INFLUENCE THE ISSUANCE OF ANY GUARANTY OR INSURANC.

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