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STATE OF NEW YORK ANTI-ARSON APPLICATION NYFA-1 PART 1 WARNING This application must be completed and returned by the applicant or insured pursuant to Section 168-j of the New York Insurance Law and Insurance Department Regulation 96 NAME OF APPLICANT OR INSURED LOCATION OF PROPERTY AMOUNT OF INSURANCE APPLICANT IS OWNER OCCUPANCY ABSENTEE OWNER TENANT OTHER OCCUPANCY S VALUATION THIS INFORMATION HELPS TO EXPLAIN THE AMOUNT OF INSURANCE SELECTED AT THE TIME OF APPLICATION BUT DOES NOT DETERMINE THE VALUE AT THE TIME OF LOSS. PURCHASE INFORMATION DATE PRICE ESTIMATED REPLACEMENT COST COST OF SUBSEQUENT IMPROVEMENTS ESTIMATED FAIR MARKET VALUE exclusive of land FOR RENTAL PROPERTIES INDICATE THE ANNUAL RENTAL INCOME CHECK THE VALUATION METHOD USED TO ESTABLISH THE AMOUNT OF INSURANCE REPLACEMENT COST REPLACEMENT COST LESS PHYSICAL DEPRECIATION FAIR MARKET VALUE EXCLUSIVE OF LAND WHO DETERMINED THE VALUE UNDERWRITING INFORMATION ATTACH A COPY OF ANY APPRAISAL. IF THE ANSWER TO ANY OF THE ....

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How to fill out the Anti Arson Application online

Filling out the Anti Arson Application online is a crucial step in ensuring your property is adequately covered against fire-related damages. This guide provides a clear, step-by-step approach to assist you in completing the application accurately and effectively.

Follow the steps to successfully complete your application.

  1. Press the ‘Get Form’ button to access the Anti Arson Application. This will allow you to open the form in your preferred editing tool.
  2. Begin by filling in the 'Name of applicant or insured' field. Ensure that this information matches the official documents related to the property.
  3. Enter the 'Amount of insurance' you are seeking. It is important to choose a sufficient coverage amount based on your property valuation.
  4. Select the appropriate category for the applicant: Owner occupancy, absentee owner, tenant, or other. This classification helps clarify your relationship to the property.
  5. In the 'Valuation' section, fill out the purchase information including the purchase date, price, estimated replacement cost, and any subsequent improvements.
  6. Indicate the selected valuation method by checking the relevant box (e.g., replacement cost, fair market value). This determines how your insurance coverage will be evaluated.
  7. Attaching any necessary appraisals is vital. Ensure that you have a copy ready to include with your application.
  8. Answer each underwriting question with 'yes' or 'no' as applicable, ensuring you provide complete and accurate information.
  9. In the ownership information section, list names and addresses of shareholders, partners, or trustees who possess a 25% or greater ownership interest.
  10. Finalize your application by signing in the designated area and including your title and the date. Make sure all your information is accurate before submission.
  11. Once completed, you may save changes, download a copy of the application, or print it for your records. Ensure that the form is shared with the appropriate entity as required.

Complete your Anti Arson Application online today to ensure your property is protected.

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New York Insurance Law § 3403(b) requires that an insurer obtain an anti-arson application for all property insurance policies covering the peril of fire or explosion.

(1) "Anti-arson application" means any application for insurance or renewal of insurance, covering the peril of fire or explosion that includes certain questions contained in subsection (c) of this section, which shall be answered by the applicant in addition to the basic information normally supplied to an insurer by ...

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