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DEPARTMENT OF HOMELAND SECURITY See The Attached D.M.B.No.1660-0040 <br /> FEDERAL EMERGENCY MANAGEMENT AGENCY <br /> STANDARD FLOOD HAZARD DETERMINATION Instructions Expires December 31,2011 <br /> SECTION I-LOAN INFORMATION <br /> 1.LENDER NAME AND ADDRESS 2.COLLATERAL(Ruiiding/Mobite Home/Personal Property) PROPERTY ADDRESS <br /> PARK BANK Diane L. Benson <br /> 1815 GREENWAY CROSS 3000 COUNTY ROAD P <br /> MADISON,WI 53713 MOUNT HOREB, WI 535721514 <br /> Requestor:park LOT: BLOCK: SUBDIVISION: <br /> Fax#6082782853 Phone#6082782801 TAX0: SECTION: TWP: RANGE: <br /> DESCRIPTION: <br /> 3.LENDER ID.NO. 4.LOAN IDENTIFIER 5.AMOUNT OF FLOOD INSURANCE REQUIRED <br /> 19608 _302267 <br /> SECTION II <br /> A.NATIONAL FLOOD INSURANCE PROGRAM(NFIP)COMMUNITY JURISDICTION <br /> 1. NFIP Community 2. 3. 4. NFIP Community <br /> County(ies) State <br /> Name Number <br /> DANE CO" DANE WI 550077 <br /> B.NATIONAL FLOOD INSURANCE PROGRAM(NFIP)DATA AFFECTING BUILDING/MOBILE HOME <br /> 1' NFIP Map Number or Community Panel Number 2' NFIP Map Panel 3. 4. 5. No NFIP <br /> (Community name,if not the same as"Al Effective/Revised Date LOMA/LOMR Flood Zone Map <br /> 550077 0370 G 01/02/2009 <br /> x <br /> Elev. <br /> ate <br /> C.FEDERAL FLOOD INSURANCE AVAILABILITY (Check as that apply) <br /> 1. © Federal Flood insurance is available(community participates in ntip). © Regular Program n Emergency Program of NFIP <br /> 2. El Federal Flood insurance is NOT available because community is not participating in the NFIP. <br /> 3 Building/Mobile Home is in a Coastal Barrier Resource Area(CBRA)or Otherwise Protected Area(OPA),Federal Flood Insurance may not be <br /> available. <br /> CBRA/OPA designated date: <br /> D.DETERMINATION <br /> IS BUILDING/MOBILE HOME IN SPECIAL FLOOD HAZARD AREA O Yes © No <br /> (ZONES CONTAINING THE LETTERS"A"OR"V")? <br /> If yes,flood insurance is required by the Flood Disaster Protection Act of 1973. <br /> If no,flood insurance is not required by the Flood Disaster Protection Act of 1973. <br /> E.COMMENTS(Optional) <br /> 'Part of Lot is in a flood Plain, however the structure ie not effected. Flood insurance is not <br /> required, but highly recommended. <br /> Last Revision:04/03/2012 <br /> Reference#:D0643FL00003162 <br /> Eta.SUBMITTED ADDRESS FOR CERTIFICATION <br /> 3000 COUNTY ROAD P <br /> MOUNT HOREB,WI 535721514 <br /> CERTIFY TO: TYPE OF COVERAGE: Life of Loan I RUSH: <br /> HMDA INFO: ST: 55 CO: 025 SMSA: 31540 CT: 0127.00 <br /> This determination Is based on examining the NAP map,any Federal Emergency Management Agency revisions to it,and any other Information needed to locale the <br /> building/mobile home on the NFIP map.This flood determination Is only for determining the flood status of the listed property.It is not to be used to decide whether to purchase a <br /> property or determining the value of a property.Use of determination deems acceptance of conditions. <br /> F.PREPARER'S INFORMATION <br /> NAME,ADDRESS TELEPHONE NUMBER(if other than Lender) DATE OF DETERMINATION:0 313 0/2 01 2 <br /> Factual Data Flood 1-800-730-6374 CERTIFIED BY:3489 <br /> 5200 Hahns Peak Drive FAX 1-800-216-5663 NFR#:3143177.14617144 <br /> Loveland, CO 80538 www.krollfactualdata.com <br /> FEMA Form 81.83,DEC 08 <br />