Property Protection Policy Step 1 of 6 16% Policies will be issued in the joint name of the applicant and any "servicing" subsidiary scheduled below.Coverage Desired All Risks (Excluding Flood & Earthquake) OREO Liability (Requires concurrent purchase of Property cover) Flood - Lender Placed Name of Applicant First Last Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Year EstablishedCharter State Federal National Other Please SpecifyType of Institution Commercial Bank Savings & Loan / Thrift Mortgage Company Credit Union Other Please Specify Portfolio Breakdown (All values in US Dollars)Total Number of LoansTotal Value of LoansAverage Residential Loan ValueAverage Commercial Loan ValueCurrent Values to be InsuredResidential (1-4 family)REOForce PlacedResidential (1-4 family)REOForce PlacedCurrent Values to be InsuredResidential (1-4 family)REOForce PlacedResidential (1-4 family)REOForce Placed As a practice, does the institution check for existing insurance on its loan portfolio?YesNoAre the procedures followed as to inspection of the physical condition and Liability Hazards of properties securing existing mortgages?YesNoDescribe proceduresPrior to foreclosure, are properties inspected for the physical condition and Liability Hazards?YesNoDescribe proceduresIn the event of foreclosure does the Assured take steps to avoid vacancy?YesNoDescribe procedures In the even of vacancy, do the following form part of the Assured's criteria for the protection of their interests in these properties?Properties secured against entryYesNoAll utilities disconnectedYesNoEnsuring previous owner has no accessYesNoProperty visited at least weekly by the Assured or an agent of the assuredYesNoDescribe any other procedures undertakenFrom the Assured's recent experience, what is the average length of time that properties have remained vacantDoes the Assured have a management company(ies) to manage all properties?YesNoHow many management companies are used?Who decides which management company will be used for a specific property?How soon is a management company assigned? Does the Assured have Lloyd's Mortgage Protection Insurance?YesNoWho is the current agent or brokerDetails of losses on all uninsured mortgaged or foreclosed properties during the past five (5) yearsCurrent Carrier Information (Insurer, Agent, Rate, Deductible, etc.)Copy of most recent Monthly Reporting ScheduleAccepted file types: png, jpg, pdf, doc, docx, odt, xls.Any additional supporting information I/We hereby declare that the above statements and particulars are true, that I/we have not suppressed or misstated any material facts and I/we agree that this Proposal Form shall be the basis of the Contract with Underwriters.Officer's Signature Reset signature Signature locked. 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