form reg.-335 | Page 1 |
9. The following item shall be completed if this endorsement is not referred to by number in the policy to which this endorsement is attached:
| The foregoing is attached to and forms a part of Policy No . . . . . . . of . . . . . . . . Insurance Company, issued to . . . . . . . . Endorsement effective date . . . . . . , 19 . . . | |
10. If the secured party and its address is not designated in the policy to which this endorsement is attached, the following line(s) shall be completed:
. . . . Secured Party | | . . . . Secured Party |
Address: . . . . | | Address: . . . . |
. . . . | | . . . . . . . . |
| | By . . . . Agent |
form reg.-335 | | Page 2 |
[Order R-68-5 (codified as WAC 284-21-990), filed 7/9/68; Order 335, filed 1/3/68.]