


The purchaser is requesting Assumption of the existing Flood insurance Policy upon closing in order to maintain continuous coverage. Policy Number:_ Property Address:_ _Insured/Seller s Name:_ Seller s Mailing Address if different than above:_Seller s Phone number:_ _Requestor (Mortgage/Title) Company:_ Address:_Mortgage/Title Representative s Name: _Representative s E-mail Address:_Phone number:_ Fax Number:_Purchaser s Lender if different than above: _ Address:_Loan Number: _Purchaser s Name: _ Purchaser s Mailing Address:_ Easy Policy Assumption Request Formrev (11/15)The named insured is selling or transferring ownership of property at the address below. Example: bachelor of science Search Easy Policy Assumption Request Form - Wright Flood
