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EXTENDED REPLACEMENT COST COVERAGE
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|
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THIS COVERAGE IS INCLUDED IN MY POLICY?
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___YES ___NO
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IF YES, IS THERE A MAXIMUM AMOUNT THE POLICY WILL PAY?
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$____________
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INCREASED COSTS DUE TO BUILDING ORDINANCES OR LAWS
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|
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THIS COVERAGE IS INCLUDED IN MY POLICY?
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___YES ___ NO |
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IF YES, IS THERE A SUBLIMIT FOR THIS COVERAGE?
|
$____________ |
COVERAGE FOR MY PERSONAL CONTENTS
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|
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REPLACEMENT COST COVERAGE IS PROVIDED FOR MY CONTENTS?
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___YES ___ NO |
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THE CONTENTS LIMIT ON MY POLICY IS A PERCENTAGE OF MY HOME'S REPLACEMENT VALUE?
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___YES ___ NO |
|
IF YES, WHAT PERCENTAGE WAS USED?
|
%____________ |
DO A QUICK COUNT AS TO THE VALUE OF YOUR MAJOR BELONGINGS AT TODAY'S PRICES.
HOW MUCH COVERAGE DO YOU NEED?
|
$____________ |
|
HOW MUCH DO YOU HAVE ?
|
$____________ |
OPTION FOR A CASH SETTLEMENT
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|
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MY POLICY OFFERS A CASH SETTLEMENT OPTION?
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___YES ___ NO |
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IF YES, WILL DEPRECIATION BE FACTORED INTO THE AMOUNT?
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___YES ___ NO |
DETERMINATION OF MY HOMES REPLACEMENT VALUE
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|
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THE VALUE OF MY HOME WAS DETERMINED BY:_____________________________________
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I FEEL CONFIDENT THE VALUE WAS BASED ON AN ASSESSMENT OF REPLACEMENT COST FACTORS AT CURRENT PRICES?
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___YES ___ NO
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MY CURRENT COMPANY DOES ITS OWN APPRAISALS?
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___YES ___ NO
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SPECIAL FORM COVERAGE FOR MY HOME AND CONTENTS
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|
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MY HOME IS COVERED ON A SPECIAL FORM POLICY?
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___YES ___ NO |
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MY CONTENTS ARE COVERED ON A SPECIAL FORM POLICY?
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___YES
___NO |