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... ____ Occupation ____ PRESENT HOME Homeowners Carrier ____ Exp. Date____ LIMITS Dwelling ____ Year Built ____ Brick or Frame Additional Structures ____ Liab. ____ Contents ____ Medical ____ Loss of Use ____ Deductible ___ Prior Claims ____ Premium ____ Credits - Alarm, etc.____ Guaranteed Replacement: Home Contents Additions/Alterations All Risk' Contents Theft Ext. Sewer Backup Subsidence Earthquake Extended Liability Scheduled Items Limits: Jewelry Furs Fine Arts (Breakage) Silver Coins Stamps Guns Boats Computers ___ Photo Equipment COMMENTS Are your autos insured with the same company? ____ Expiration Date: ____ RECOMMENDED Dwelling ____ Company ____ ­ LIMITS Liability ____ Deductible ____ Premium ____ Guaranteed Replacement Home __ Contents All Risk' Contents Sewer Backup __ ... REPLACEMENT Number of families Year Built ____ Sq. Ft ____ COMPUTATION Brick Frame Garage Cars Brick Frame Attached Balcony Porch Deck Sq. Ft. # of Fireplaces __ # of Chimneys Inside Outside # of Baths Full 1/2 Basement? Finished? Central Air? __ Wiring:- Year Update: ____ Heating Construction Type I, II, III, IV Plumbing:- Year Update: ____ Roof:- Year Update: ____ Built-ins: Stove Refrigerator Dishwasher Washer Dryer Sauna Hot Tub Replacement value ____ Market Value ____ Login or Register (for FREE) to gain access to thousands of other great articles. Need more reasons to join? Need insurance for you, your business or your family? Get quality appointments - Save yourself a whole lot of time ...