BULLETIN 840, U. S. DEPARTMENT OF AGRICULTURE, 
MORTGAGE CLAUSE 
ATTACHED 
DATE AND 
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INSURANCE 
INCREASES CANCELLATIONS 
POLICY REGISTER _ 
ORIGINAL POLICY 
LOCATION 
OF 
PROPERTY 
NAME AND ADDRESS 
Form 1, Left Hand Page 
POLICY 
|} NUMBER 
MORTGAGEE 
AMOUNT 
AMOUNT 
vik 
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