Form VBA-29-0543 Veterans Mortgage Life Insurance Inquiry

DEPARTMENT OF VETERANS AFFAIRS
Regional Office and Insurance Center
P.O. Box 7208 (VMLI)
Philadelphia, PA 19101

Dear
Our records show that the mortgage on your home is insured under the Veterans Mortgage Life Insurance
(VMLI) program. As part of our continuing efforts to provide you with improved service, we would like to
know if there have been any recent changes in the status of your mortgage. We would like to remind you that
VMLI coverage is automatically terminated when the mortgage is paid in full or when title to the property
secured by the mortgage is no longer in your name. Please answer the questions on the reverse, sign and date
the form and return it to us.
We appreciate your cooperation in this matter and look forward to hearing from you.
Sincerely,
Chief, Insurance Claims Division

VA FORM
XXX XXXX

29-0543

SUPERSEDES VA FORM 29-0543, DEC 2021,
WHICH WILL NOT BE USED.

OMB Approved No. 2900-0501
Respondent Burden: 5 minutes
Expiration Date: XX/XX/20XX

VETERANS MORTGAGE LIFE INSURANCE INQUIRY
CLAIM NUMBER
CPRIVACY ACT INFORMATION: The VA will not disclose information collected on this form to any source other than what has been authorized under the Privacy
Act of 1974 or Title 5, Code of Federal Regulations 1.526 for routine uses identified in the VA system of records, 36VA29, Veterans and Uniformed Services Personnel
Programs of U.S. Government Life Insurance Records - VA, published in the Federal Register. Your obligation to respond is voluntary, but your failure to provide us
the information could impede processing.
RESPONDENT BURDEN: An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently
valid OMB control number. The OMB control number for this project is 2900-0501, and it expires XX/XX/20XX. Public reporting burden for this collection of
information is estimated to average 5 minutes per respondent, per year, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate and any other aspect of this
collection of information, including suggestions for reducing the burden, to VA Reports Clearance Officer at VACOPaperworkReduAct@va.gov. Please refer to OMB
Control No. 2900-0501 in any correspondence. Do not send your completed VA Form 29-0543 to this email address.
ADDRESS OF MORTGAGED PROPERTY AS SHOWN IN VA RECORDS:

NAME OF MORTGAGE HOLDER AS SHOWN IN VA RECORDS

MORTGAGE LOAN ACCOUNT NUMBER AS SHOWN IN VA
RECORDS

NOTE: IF THE NAME OF THE MORTGAGE HOLDER OR THE ACCOUNT NUMBER SHOWN IS INCORRECT, PLEASE ENTER
THE CORRECT INFORMATION IN THE SPACE BELOW.
1A. NAME OF CURRENT MORTGAGE HOLDER

1B. CURRENT ACCOUNT NUMBER

NOTE: PLEASE ANSWER THE FOLLOWING QUESTIONS AND, IF YOUR ANSWER IS "YES" TO ANY QUESTIONS IN ITEMS 2
THROUGH 6 SHOW THE DATE OF THAT ACTION IN THE SPACE PROVIDED.

ITEM

YES

NO

DATE

2. HAVE YOU MOVED FROM THE MORTGAGED PROPERTY?
3. HAVE YOU SOLD THE MORTGAGED PROPERTY?
4. HAVE YOU PAID OFF YOUR MORTGAGE?
5. HAVE YOU REFINANCED YOUR MORTGAGE?
6. HAVE YOU ADDED A SECOND MORTGAGE?
7A. IS THE TITLE TO THE MORTGAGED PROPERTY SHARED WITH ANY ONE
OTHER THAN YOUR SPOUSE? (If "Yes," show with whom title is shared in Item 7B)
7B. NAME OF PERSON WITH WHOM TITLE IS SHARED

8. PLEASE ENTER YOUR CURRENT ADDRESS IF IT IS DIFFERENT THAN THE ADDRESS TO WHICH THIS LETTER WAS SENT

9. SIGNATURE OF MORTGAGE HOLDER (Sign in ink)

VA FORM
XXX XXXX

29-0543

10. DAYTIME TELEPHONE NUMBER

11. DATE SIGNED