Real Estate Coverage Application
Please select desired Coverage
Flood
Hazard
Wind
Please select desired Program
Force On Demand Only
Tracking and Force Placement- If Tracking, special section on page 3
Blanket Coverage
Lender/Contact Information
Lender Name
Physical Address
Contact Name
Please include Name, Title, Email Address
Portfolio Information
Provide the following breakdown of the types of properties in your loan portfolio
Total Portfolio
Residential
Commercial
Mobile Homes
Business Personal Property
Condo
# of Non-Escrowed Loans
# of Escrowed Loans
Total Outstanding Loan Balance- 1 Mortgage
Total Outstanding Loan Balance-2 Mortgage/ Home Equity Loans
Highest Individual Loan Amount
Average Loan Term in Months
# of New Loans Past 12 Months
# of New Loans per Month
# of Foreclosed Loans
Section 3: Lender Placed / Foreclosed Property Information
Who is your current Lender Placed Vendor?
What type of program do you have?
Lender Placed
Tracking Only
Blanket
Please provide Last 3 Years Premium and Loss information from your current provider.
Please provide the # and a list of the current Lender Placed properties.
Section 4: Portfolio Demographics
Upload a Report Showing the Breakdown of Loans by State
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Are there properties located in US Territories or outside the United States? If so, please list
Outsourced Tracking Supplemental Information
Do you provide a Data File to your current Tracking Vendor?
Do you provide one loan file or multiple loans files?
Do you have multiple Service Providers for the portfolio segments you track?
In your Loan Files, can you provide the following information:
Can you include a complete property address with street address, city, state and zip code in separate fields?
Can you include the flood zone for each collateral record?
If you have multiple collaterals on a loan, can your file contain a separate record with its corresponding fields for each collateral?
Do you want to track Business Personal Property?
If so, do you maintain the location of the Business Personal Property on your system?
Do you currently track Escrow Loans?
If yes, do you maintain your own list of payee codes?
On your escrow loans, are you able to identify insurance types that are escrowed? Flood, Hazard, etc.?
Do you currently track condo loans?
If yes, how do you handle Association and Unit Owners policies for hazard?
If yes, how do you handle Association and Unit Owners policies for flood?
Application Signature Information
Contact Name
Title
It is the responsibility of the applicant to read and understand the contents of this application. The applicant declares that all information is true, correct and complete nd that no material fact has been suppressed or misstated. The applicant further understands that the incorrect or incomplete statements or information could void e coverage afforded under the “Policy” issued from the information contained in this application. The applicant also understands that this application and all nformation attached thereto becomes a part of their “policy”, if issued.
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