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EVIDENCE OF PROPERTY INSURANCE DATEIMM/DD/YYYY) 09/24/2014 THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE ADDITIONAL INTEREST. AGENCY 11AHCNND.Exe:701-492-2228 COMPANY IHRY INSURANCE WEST FARGO HARTLAND MUTUAL INSURANCE COMPANY 1291 13TH AVE E PO BOX 1026 WEST FARGO ND 58078 MINOT ND 58702-1026 AIC.No):701-532-0570I ADDRESS: CODE: 080163303 j SUB CODE: AGENCY CUSTOR ID M: 101185 INSURED TERRY GREENLUND LOAN NUMBER POLICY NUMBER RITA GREENLUND 0619719250 20631-2581 7316 ELM COURT EFFECTIVE DATE EXPIRATION DATE CONTINUED UNTIL 09/18/2014 09/18/2015 I TERMINATED IF CHECKED HORACE ND 58047 THIS REPLACES PRIOR EVIDENCE DATED: PROPERTY INFORMATION LOCATION/DESCRIPTION 7316 ELM COURT, HORACE ND 58047, SINGLE FAMILY DWELLING THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS EVIDENCE OF PROPERTY INSURANCE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. COVERAGE INFORMATION COVERAGE/PERILS/FORMS AMOUNT OF INSURANCE DEDUCTIBLE Dwelling(Coy.A) 181,000 1000 Personal Property 80,500 1000 Loss of Use(Coy. D) 32,200 1000 Personal Liability(Coy. E) 500,000/600,000 Medical Payments 1,000 Personal Injury 300,000/600,000 Sewer or Drain Backup 4,500 1000 Damage to Property of Others 500 Farmers CPL 300,000/600,000 Additional Medical 500 REMARKS(Including Special Conditions) Liability extended to: 7320 Elm Ct., Horace, ND 58047 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ADDITIONAL INTEREST NAME AND ADDRESS X MORTGAGEE ADDITIONAL INSURED CITIMORTGAGE, INC u LOSS PAYEE ISAOA/ATIMA LOAN X P.O. BOX 7706 0619719250 SPRINGFIELD OH 45501 AUTHORIZED REPRESENTATIVE ACORD 27(2009/12) ®1993-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD