3000233 FEMA Flood Policy Number Shows the
FEMA Flood Policy Number N a tio n a l F lo o d
FEMA
In su ra n ce P ro g ra m
Policy Number
U .S. D e pa rtme n t of H ome la n d Se c u rity
3000233
P.O . Bo x 2 9 6 5 Shawnee Mission , KS 6 6 2 0 1 -1 3 6 5 (800) 638-6620
FLOOD DWELLING POLICY ENDORSEM ENT DECLARATION N amed In su red an d Mailin g A ddress:
Martin Riverdale Avenue Massapequa , NY 11758
Insured's name and property address
Payor: 1st mortgagee
Policy Period: 0712512011 to 07/25/2012 Policy Term: One year EFFECTIVE DATE OF CHANGE : 12/22/2011 Intrareal Agency Inc 89 Carmans Rd Your Insurance Massapequa , NY 11758-4315 Agent's contact Agent Phone: 516-795-2938
The building covered by this policy is located
info
at the above mailing address unless otherwise stated below.
RATING DESCRIPTION Property/ Building Single family One floor Non-elevated without basement Date of construction or substantial improvement was on
Contents Location Lowest floor only above ground level Subject to, Ill. Property Covered, Paragraph B. 04/3011969
All of the information about how your home is classified by FEMA
LOCATION INFORMATION
Community Name: OYSTER BAY, TOWN OF No: 3604830022C Status: Regular CRS Class: Flood Risk/Rated Zone: A04 Current Flood Zone: A04 Elevation Difference: CO VERAG E AN D RAT IN G IN FO RM AT IO N Coverage Type
Building
C o n te n ts
Coverage Limit $ $
250,000 3 0 ,0 0 0
$
8
Deductible
2 , 000 1 , 000
Rate
00 . 76/00.60
00 . 9 6 /0 1 . 07
Deductible Adjustment 48.00
$ ICC
Shows the maximum limits that you can be paid under your policy. Policy Changes:
$
30 3 .0 0
PREMIUM
FEDERAL
TOTAL
THIS IS NOT A BILL
1 ,6 4 4 .0 0
9 .0 0
ANNUAL
5 5 .0 0
SUBTOTAL POLICY
PREMIUM
ENDORSEMENT
FEE
PREMIUM
Contents Amount of Insurance Added FIRST MORTGAGEE FTWX-22 Fort Worth , TX 76161-0206 LOAN NUMBER : Issue Date: 12/01/2011
SECOND MORTGAGEE PO BOX 961206 FORT WORTH , TX 76161-0206 LOAN NUMBER: Homeoffice Copy
15
Premium
2 ,0 0 2 .0 0 4 0 .0 0 2 ,0 4 2 .0 0
20 7 . 0 0
FEMA
In su ra n ce P ro g ra m
Policy Number
U .S. D e pa rtme n t of H ome la n d Se c u rity
3000233
P.O . Bo x 2 9 6 5 Shawnee Mission , KS 6 6 2 0 1 -1 3 6 5 (800) 638-6620
FLOOD DWELLING POLICY ENDORSEM ENT DECLARATION N amed In su red an d Mailin g A ddress:
Martin Riverdale Avenue Massapequa , NY 11758
Insured's name and property address
Payor: 1st mortgagee
Policy Period: 0712512011 to 07/25/2012 Policy Term: One year EFFECTIVE DATE OF CHANGE : 12/22/2011 Intrareal Agency Inc 89 Carmans Rd Your Insurance Massapequa , NY 11758-4315 Agent's contact Agent Phone: 516-795-2938
The building covered by this policy is located
info
at the above mailing address unless otherwise stated below.
RATING DESCRIPTION Property/ Building Single family One floor Non-elevated without basement Date of construction or substantial improvement was on
Contents Location Lowest floor only above ground level Subject to, Ill. Property Covered, Paragraph B. 04/3011969
All of the information about how your home is classified by FEMA
LOCATION INFORMATION
Community Name: OYSTER BAY, TOWN OF No: 3604830022C Status: Regular CRS Class: Flood Risk/Rated Zone: A04 Current Flood Zone: A04 Elevation Difference: CO VERAG E AN D RAT IN G IN FO RM AT IO N Coverage Type
Building
C o n te n ts
Coverage Limit $ $
250,000 3 0 ,0 0 0
$
8
Deductible
2 , 000 1 , 000
Rate
00 . 76/00.60
00 . 9 6 /0 1 . 07
Deductible Adjustment 48.00
$ ICC
Shows the maximum limits that you can be paid under your policy. Policy Changes:
$
30 3 .0 0
PREMIUM
FEDERAL
TOTAL
THIS IS NOT A BILL
1 ,6 4 4 .0 0
9 .0 0
ANNUAL
5 5 .0 0
SUBTOTAL POLICY
PREMIUM
ENDORSEMENT
FEE
PREMIUM
Contents Amount of Insurance Added FIRST MORTGAGEE FTWX-22 Fort Worth , TX 76161-0206 LOAN NUMBER : Issue Date: 12/01/2011
SECOND MORTGAGEE PO BOX 961206 FORT WORTH , TX 76161-0206 LOAN NUMBER: Homeoffice Copy
15
Premium
2 ,0 0 2 .0 0 4 0 .0 0 2 ,0 4 2 .0 0
20 7 . 0 0
