Fillable Garage Vehicle Certicate Declaration of Values Worksheet (ICBC)

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Garage Vehicle Certicate Declaration of Values Worksheet (ICBC)

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The Garage Vehicle Certicate Declaration of Values Worksheet (ICBC) form is 1 page long and contains:

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Country of origin: US
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APV4AG (032018) Page 1 of 1
Garage Vehicle Certificate
Declaration of Values Worksheet
NAME OF INSURED GARAGE VEHICLE CERTIFICATE NUMBER
Total Value Of All Vehicles Owned By The Insured
Insert required values in each category for each of the 12 consecutive months and the total per month for all categories ending not
more than 93 days prior to the effective date of this policy.
A
MONTH/YEAR
B
UNLICENSED
NEW STOCK
C
UNLICENSED
USED STOCK
D
LICENSED VEHICLES
(E.G.) DEMOS
SERVICE VEHICLES
E
TOTAL OF B + C + D
1
2
3
4
5
6
7
8
9
10
11
12
Totals
Averages
This worksheet is provided as a courtesy. Use of this worksheet is at your own risk, and is not mandatory. This worksheet is not an
application for insurance and does not bind ICBC coverage.
Expiry Mo.
Yr.
V7 (112018)
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Garage Vehicle Certicate Declaration of Values Worksheet (ICBC)

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Completed 11 February 2021

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