Insurance privacy notification document from First National Insu…

Quality Plus Home (First National Insurance Comp-my of Americn) Policy: 0M7M723 PRIVACY NOTIFICATION in accordancc with applicable fedml and state laws, in credit report other investigative rcpoit nbour you my be requested "1 cannecllun with [his uppliuiioii for insunnce and subsequent 1m and renewals. Credit nearing informntion, where allowed. may be used to determine either your eligibility for insurance or the premium you will be charged We my use a third party in connection with the developmmt ofyour score. Any inrorimtimi which we have or my obtain about you or other individulls listed as policyholders on your policy will be treated condentially. However, this infurmnliolL as well as other persooel m privileged information subscqumtly collected, my, under certain circumstances. and where penniitod by law. be disclosed Without prior uuthormtiori to nonaflilled third ponies. We may elso stare melt information with 3111th companies for such purposes as claims handling. servicing. undmwritillg and insurance marketing. You have the right to see personal information collected about you and you hive the right to correct any lnfonnation wiueh may be wrong. if you are interested in oblaiuing ti complete description of our information practices. and your rights regarding information we collccl. ask your agent, or, ilyoii hive been issued a policy. plus: write us at the address provided with your policy. Binder v Unless otherwise sated, coverage is baund from the effective dale indicated above. Farm-l policy will supersede this binder. If not received Within Illil'ly days. Contact agent immadialaiy. AGENCY: 12/14/2010 Quole Dale APPLICANT: {Q 2 l_ y :1 Date