Fillable Custom Farming Questionnaire (Risk Placement Services, Inc.)

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Custom Farming Questionnaire (Risk Placement Services, Inc.)

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Custom Farming Questionnaire
1. What type of crop does the insured produce?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
2. What type of crop does the insured Custom Farm?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
3. What is the nature of Custom Farming operation?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
4. Radius (in miles) of the Custom Farming operation?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
5. What are the Gross Annual Receipts from the Custom Farming operation? $________
6. Does the insured take part in any Farm Management activities as a part of their
Custom Farming operation? Explain -
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
7. Have there been any prior Custom Farming losses in the past five years? Explain -
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
1/2006
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Custom Farming Questionnaire (Risk Placement Services, Inc.)

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Completed 30 July 2020

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