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Get FL Sworn Statement in Proof of Loss

Ttachments hereto; If applicable, ALE or rental loss receipts are attached hereto. The loss and damage is as follows: Building: Other Structure(s) Contents Adjusted Living Expenses ("ALE") $ $ $ $ The Whole Loss Total: $ Deductible: $ Whole Amount Claimed Minus Deductible $ The loss did not originate by any act, design, or procu.

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