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How long have you owned this home?
If this is a new purchase, please provide name of realtor.
Please provide your occupation.
Have you ever filed bankruptcy?
Has any insurance been cancelled or declined in the last 3 years?
Any claims or loss in the last 5 years ?
If yes, explain:
Do you need a flood quote?
Type of central heat
List any scheduled items, ie: jewelry, furs, antiques, etc
List any recreation vehicles
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