Fire Insurance

Fire Insurance Proposal Form

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Situation of property to be Insured

Construction

Outhouse Semi-Detached Flat Storey
Yes No
Yes No

Contents

INCLUDING HOUSEHOLD GOODS AND PERSONAL EFFECTS of every description, the property of the Proposer or permanently resident members of the family and of servants in the above dwelling.

Note: Any article (furniture, pianos and organs excepted) which exceeds in value 5% of the Amount must be specified below and insured separately.

if it must be done, it must be Donewell.

Donewell

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