Seller Name or Company Name

Seller Address

Seller City, State Zip Code

Seller Contact Phone Number Here

Date:____________________

TO: Insurance Company Name

Insurance Agent Name

Insurance Agent Street Address

Insurance Agent C/S/Z

Dear _____________.

As a current loss payee under the fire and hazard insurance policy for the mortgaged property located at [[ property address ]] and occupied by [[ borrower name ]], we hereby instruct you to replace us as the loss payee with the following entity: [ ]. Please issue the appropriate endorsement and forward it to endorsement to:___________

_______________________________________________________________________.

Furthermore, please send _____________________________________an updated copy of the Declaration page to update their system. Should you have any questions, feel free to contact their office toll free at ________________________ Insurance Dept. Thank you for your assistance in this matter.

Sincerely,

________________________________

Seller Name Goes Here

Seller Company Name Here if Applicable