Form 1015 Mortgage Insurance Claim For Loss Page 4

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Instructions
Uniform Mortgage Insurance Claim for Loss
The servicer may use this form to file a claim for loss with a conventional mortgage insurer instead of using that insurer's claim form.
Copies
Original, plus two.
Printing Instructions
This form must be printed on legal size paper, using portrait format.
Instructions
The servicer should send the original of this form to the mortgage insurer. A copy of the form should be submitted to the regional office that is responsible for
disposing of the acquired property and a copy, retained by the servicer.
For portfolio mortgages or special servicing option MBS pool mortgages, show Fannie Mae as the payee, enter the 10-digit loan number assigned when we
purchased the mortgage, and show our address as P.O. Box 98960; Chicago, IL 60693. Claims for all other mortgages should be filed in the servicer's name.
Instructions Page

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