WASHINGTON HAZARD INSURANCE DISCLOSURE

Loan No:
Borrower:
Mortgage Broker: Nationwide Mortgage Loan Company
Property Address:

In obtaining any insurance coverage required by Mortgage Broker in connection with your loan, you have the right to select an insurance agent, insurance company, or insurance broker of your choice to procure such insurance. Approval of any insurer is subject to Mortgage Broker's reasonable requirements and your policy must satisfy all policy requirements established by Lender.
The undersigned acknowledges receipt of notice of its rights under Washington Revised Code Section 48.30.260.