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Name
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Birth Date
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Street Address
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Unit Number
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City
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State
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Georgia
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Zip
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Phone Number
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E-mail Address
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How Many weeks a Year is the unit rented?
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Do you currently have Renter’s, Home, or Condo Policy?
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Primary Residence?
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YES
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NO
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Fire Sprinkler System?
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YES
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NO
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Monitored Security System?
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YES
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NO
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Personal Property Value:
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This is the primary value the policy price is based on.
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How much is your personal property worth? Cloths, TV, Furniture, Pictures, Stereo, etc...
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Liability Protection:
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We encourage all Condo owners to have $300,000 or more protection. A single loss can incur many thousands of dollars of liability. This higher level of protection costs approximately $20.00 per year. This is a very low cost for the level of protection provided.
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Deductible Option 1 & 2
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Building Coverage
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The policy comes with building coverage of 10% based on the Personal Property protection. If you have invested in additional hardwood flooring, kitchen upgrades, or other unit upgrades, this coverage would protect your investment above the level of coverage provided by the Condo Association’s replacement coverage.
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Do you own the unit?
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YES
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NO
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If not, is there a closing date?
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Comments:
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