Knapp Associates Floodplain Management Consultants

NOTICE OF DISCLOSURE

FOR

FLOOD ZONE DETERMINATIONS

FLOOD INSURANCE PREMIUM RATING

PROPERTY SALE/ACQUISITION

Date: _________________

1) Property Location: (Be specific)

	Owner Name: ___________________________________________________________________
	County : _______________________________________________________________________
	___City, ___Town, ___ Village of: __________________________________________________
	Route, Road, Street, & Number : ____________________________________________________
	Phone Number : (_______) _______-______________
	Tax Map Section, Block & Lot Number: ______________________________________________
	Other : _________________________________________________________________________

2) Please be advised that for the property listed above:

	____ The mandatory purchase of flood insurance by a lender
	____ The establishment of a flood insurance premium rate by an insurance agency/broker
	____ The disclosure of floodplain location by ____ a real estate agency/broker, ____ other

3) Location within a federally designated floodplain was based upon the following information:

____ Flood Zone Determination Company:	____ property	____ structure location review.
____ Real Estate appraisal:	____ property	____ structure location review.
____ Licensed professional (P.E., L.S.):	____ property	____ structure location review.
____ Municipal official:	____ property	____ structure location review.
____ Direct review by signing agency:	____ property	____ structure location review.

____ Flood Hazard Appraisal of property & structures by a floodplain professional.

4) NOTE:

	~ Flood Insurance Rate Maps (FIRM) are not 100% accurate.
	~ Some areas mapped as flood prone may not flood and some areas not mapped may flood.
	~ Determination and premium rating accuracy is limited by the accuracy of the information provided concerning the property and/or structure.
	~ Federal mandate to purchase of flood insurance applies only when the insurable structures are located in the mapped floodplain area.
	~ Flood prone property is subject to municipal floodplain development regulations.
	~ Federal appeals procedures exist, Letters of Map Change (LOMC), which allow removal of all or part of the property and/or the insurable structure from the mapped floodplain when qualified. This removes the mandatory federal flood insurance purchase requirement.

5) Information furnished by: ____________________________________________________

	____ Lender ____Insurance Agency/Broker ____ Real Estate Agency/Broker ____ Other (identify)
	_______________________________________________________________________________
	Contact Name: ___________________________________________________________________
	Route, Road, Street& Number : ______________________________________________________
	City : __________________________________,State : _________________ Zip: _____________
	Phone Number: (_______) _______-______________

Send inquiries to:

Knapp Associates

File last modified on October 2, 2001.