Flood Insurance Authorization


Re: Mortgagors: _____________________________________

    Property Address:________________________________

                     ________________________________

If subsequently, the Federal Insurance Administration of the Department of Housing and Urban Development together will the Federal Emergency Management Agency so determine that the above referenced property is located in an area that has been identified as being flood prone as defined by the National Flood Insurance Act of 1968, we the undersigned mortgagors do hereby agree to obtain the necessary required flood hazard insurance and do hereby agree to have escrowed in our monthly payment 1/12th of the annual renewal premium for said flood hazard insurance.

                                  _________________________
                                        (Mortgagor)

                                  _________________________
                                        (Mortgagor)

                                  _________________________
                                          (Date)