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Get PRINT INSTRUCTIONS INSTRUCTIONS FOR COMPLETING APPLICATION FOR HOMEOWNERS INSURANCE (Numbers

Re is required. Coverage should be placed in voluntary market if eligible. All lines on application must be completed. 4. Coverage and Limits of Liability: Section I: Enter the requested amount of coverage for Dwelling (Coverage A). Limits for Other Structures (10% of Coverage A), Unscheduled Personal Property (50% of Coverage A), and Loss of Use (10% of Coverage A) are included and cannot be changed. Section II: Limits for Personal Liability ($100,000) and Medical Payments ($1,000) are include.

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