Insurance Renewal Checklist

INSURANCE RENEWAL CHECKLIST THE FOLLOWING CHECKLIST MUST BE COMPLETED AND SUBMITTED TO SOUTHERN FARM BUREAU LIFE UPON RECEIPT OF INSURANCE RENEWALS

SFB LOAN NUMBER: NAME OF BORROWER: PROPERTY ADDRESS (including City, State, Zip):

LICENSED IN CARRIER’S EFFECTIVE EXPIRATION INSURERS AFFORDING COVERAGE PROPERTY POLICY NUMBER RATING DATE DATE STATE? INSURER A: INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: INSURER G: Is Borrower listed as Named Insured? YES NO PENDING N/A Property address agrees with mortgage records? YES NO PENDING N/A

INSURER LETTER: PROPERTY: Amount of Property Insurance $ If Layered: Amount of Property Insurance (2nd Layer) $ Amount of Property Insurance (3rd Layer) $ If Blanket Policy, are limits shown for mortgaged location? YES NO PENDING N/A Is Property Limit equal to or Greater than Loan Amount? YES NO PENDING N/A Special Form Coverage YES NO PENDING N/A Replacement Cost YES NO PENDING N/A Agreed Amount Endorsement – if coinsured YES NO PENDING N/A Standard Mortgage Clause applies YES NO PENDING N/A Lender Named as Mortgagee YES NO PENDING N/A Deductible Amount $ Loss of Rents/Business Income Amount $ ACTUAL LOSS Lender Named as Lenders Loss Payee on Rents YES NO PENDING N/A FLOOD YES NO PENDING N/A If Flood Insurance is applicable (Limits & Deductible) LIMIT $ DEDUCTIBLE $ EARTHQUAKE YES NO PENDING N/A If Earthquake is applicable (Limits & Deductible) LIMIT $ DEDUCTIBLE $ Ordinance of Law YES NO PENDING N/A GENERAL LIABILITY General Liability – Per Occurrence $ General Liability – Per Aggregate $ Waiver of Subrogation in favor of Lender YES NO PENDING N/A Lender Listed as Additional Insured-Mortgagee YES NO PENDING N/A Excess Liability/ Umbrella Per Occurrence $ 30 days cancellation provisions for: Property YES NO PENDING N/A General Liability YES NO PENDING N/A Copy of True & Certified Policy on File YES NO PENDING N/A Dec Page Acord 25 If No then Type of Evidence Received: (Check all that apply) Acord 28(2003,10) Acord 27(3/93) Other - specify:

COMMENTS

Please give explanation for any “NO” answers given above; if any items are “PENDING”, please follow up with a completed form.

The undersigned certifies that it holds in its possession evidence of the above described insurance policies and all coverages stated herein are in full force and effect and comply with the requirements as set forth in the various Loan Documents and in the Loan Servicing Agreement with Southern Farm Bureau Life Insurance Company. COMPLETED BY: DATE: SERVICER: TELEPHONE #:

Revised 11/15/06