Transcription of CDO - PACKAGE HOMEOWNER’S APPLICATION
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CDO - PACKAGE HOMEOWNER’S APPLICATION
- 1 -CF-346 (Ed. 4-17)Actual Loss sustained in 12 monthsGENERAL AGENT S USE ONLY GA's Initials_____ APPLICATION has been reviewed and - PACKAGE HOMEOWNER S APPLICATION Company 1 - TOWNSHIP MUTUAL Company 2 - STATEWIDE MUTUAL Fire Policy #:_____ APPLICANT: _____ AGENCY: CODE: _____ WIND CO. USEA ddress: _____ _____ Underwriter: _____City/State/Zip: _____ _____ Data Entry: _____Phone: Home:_____ Bus.: _____ _____ Checked By: _____LOCATION OF RISK: Give 911 address for all locations with buildings. Latitude / Longitude: _____Total Acres: _____, , , Range_____, Twp_____,_____County, MN, Rural Fire # _____POLICY TYPE: PRIMARY RESIDENCE SEASONAL RESIDENCE CONDOMINIUMPERILS: Basic Broad Special Preferred ("Classic") NOTE: The perils that apply to the Dwelling also apply to Household Personal Prop.
SOLID FUEL BURNING APPLIANCE CHECKLIST GENERAL (Attach Photo) 1. Unit is a: Circulating Stove Radiant Stove Free-Standing Fireplace Fireplace Insert Barrel Stove
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