Transcription of U.S. DEPARTMENT OF HOMELAND SECURITY O.M.B. No. 1660 …
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U.S. DEPARTMENT OF HOMELAND SECURITY O.M.B. No. 1660 …
DEPARTMENT OF HOMELAND SECURITY No. 1660-0006 Expires Jul y 31, 2006 federal emergency management agency POLICY NUMBERN ational flood insurance Progr am flood insurance GENERAL CHANGE ENDORSEMENT FL _____ IMPORTANT PLEASE PRINT OR TYPE POLICY TERM REASON FOR CHANGE: (ATTACH MEMO IF ADDITIONAL SPACE IS NEEDED). CHANGE DIRECT BILL INSTRUCTIONS TO: POLICY PERIOD IS FROM _____ TO _____ 12:01 LOCAL TIME AT THE INSURED PROPERTY LOCATIONBILL INSURED BILL FIRST MORTGAGEE WAITING PERIOD: STANDARD 30-DAY BILL SECOND MORTGAGEE LOAN NO WAITING MAP REV. (ZONE CHANGE FROM NON-SHFA TO SHFA) ONE DAY BILL LOSS PAYEE BILL OTHER ENDORSEMENT EFFEC. DATE _____ FOR ADDED COVERAGE, INCLUDE THE WAITING PERIOD FROM THE ENDORSEMENT APPLICATION DATE AGENT INFORMATION ADDRESS OF LICENSED PROPERTY OR CASUALTY NAME, MAILING ADDRESS,ANDTELEPHONE NO. OF INSURED: ADDRESS CHANGED? Y YES N NOINSURANCE AGENT OR BROKER: agency NO.
u.s. department of homeland security o.m.b. no. 1660-0006 expires july 31, 2006 federal emergency management agency national flood insurance program policy number flood insurance general change endorsement fl _____ important— please print or type
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