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PROPERTY SECTION DATE (MM/DD/YYYY)

PROPERTY SECTION DATE (MM/DD/YYYY)

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REMARKS (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) MINE SUBSIDENCE COVERAGE (Required in IL, IN, KY and WV) ACCEPT COVERAGE REJECT COVERAGE LIMIT: $

  Date, Section, Property, Acord, Mm dd, Property section date

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