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YES
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NO
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Do you own any antiques, fine art, or paintings?
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Do you own any collections such as unique dishes, Indian items, coins or stamps, etc.?
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Do you own any jewelry, or furs valued over $1,000?
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Do you own valuable cameras and/or sporting equipment?
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Do you frequently keep over $200 of money in any form in your home?
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Would you like us to send a form to help you make an inventory of your personal property?
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Do you maintain an office in your home or give private lessons, such as music lessons?
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Would it cost more to rebuild your home at today's prices than is covered by your current insurance?
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Have you remodeled your home recently? Do you plan to in the near future?
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Does our agency insure all the autos in your family? (only one)
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Would you like to review the current limits and other coverages on your vehicles to see if they still suit your needs?
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Do you have a vehicle, not your own, furnished for your use?
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Do you own a boat? If so, what horsepower? ______ Size?______ Where used?____________________________________
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Do you own any camping or recreational vehicles (including electric or gasoline-driven golf cart or trailer)?
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Do you own any rental or investment property?
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Do you or any member of your family own a business?
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Do you have a Retirement Plan? Do you want more information? _____
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Within the next year, would you be interested in discussing Life insurance? or ________________________________________
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Do you have income insurance in case you are sick or hurt?
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If you are a self-employed professional, do you have professional liability and malpractice coverage (CPA, doctor, lawyer, psychologist, drug counselor, etc.)?
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Do you think your liability limits should be increased?
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Are you concerned about estate tax liability if you were to die prematurely?
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Do you have a mortgage cancellation policy?
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Do you plan to buy a new home (or mobile home) this coming year?
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Do you plan to start a new business in the near future?
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Do you own a swimming pool?
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