Fillable Form 7: DWELLING APPLICATION FORM (Risk Placement Services, Inc.)

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Form 7: DWELLING APPLICATION FORM (Risk Placement Services, Inc.)

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DWELLING APPLICATION FORM
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ELIGIBILITY QUESTIONS
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ELIGIBILITY QUESTIONS (continued)
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CONTACT DETAILS
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28. $JHRIEXLOGLQJRUIXOOHOHFWULFDODQGSOXPELQJXSJUDGH"<HDUV<HDUV 2YHU<HDUV
29. :KHQZDVWKHURRIODVWUHSODFHG"<HDUV<HDUV 2YHU<HDUV
30. 9DOXHRI&RYHUDJH$±'ZHOOLQJWREHLQVXUHG
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31. ,V&RYHUDJH%±2WKHU6WUXFWXUHVFRYHUUHTXLUHG"<HV1R31a. 9DOXHRI&RYHUDJH%±2WKHU6WUXFWXUHV
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32. ,V&RYHUDJH&±3HUVRQDO3URSHUW\H[WKHIWFRYHUUHTXLUHG"<HV1R2a. 9DOXHRI&RYHUDJH&±3HUVRQDO3URSHUW\H[WKHIW
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34. ,IDYDLODEOHLV&RYHUDJH(±$GGLWLRQDO/LYLQJ([SHQVHVFRYHUUHTXLUHG"<HV1R
35. 9DOXHRI&RYHUDJH(±$GGLWLRQDO/LYLQJ([SHQVHV
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37. $OO2WKHU3HULOV'HGXFWLEOHSHURFFXUUHQFH  
38. :KLFKW\SHRITXRWHGR\RXUHTXLUH"'3 '339. ,VWKHUHDZRRGVWRYHRQWKHSUHPLVHV"<HV 1R
40. :RXOG\RXOLNHWREX\FRYHUDJHIRUWKHSHULORI(DUWKTXDNH" applicable for CA quotes only<HV 1R
41. 3UHPLVHV/LDELOLW\<HV1R
42. 3UHPLVHV/LDELOLW\/LPLWV  
43. 0HGLFDO3D\PHQWV  
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COVERAGE AND PROPERTY DETAILS (continued)
44. ,VGZHOOLQJVLWXDWHGRQPRUHWKDQILYHDFUHV"<HV1Ra. +RZPDQ\DFUHV" 
44b. 3OHDVHGHVFULEHXVHRIODQG
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45. 'R\RXZDQWWREX\FRYHUDJHIRUWKHVZLPPLQJSRROOLDELOLW\"<HV1R 45a. ,VLWIHQFHGDQGGRHVLWKDYHDVHOIORFNLQJJDWH"<HV1R
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Form 7: DWELLING APPLICATION FORM (Risk Placement Services, Inc.)

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Completed 23 November 2020

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