Section 13, Part B collects detailed information about homeowner's insurance policies reported in Part A.
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What is the name of the insurance company for "your (1st, 2nd, 3rd)" homeowner's policy listed? [enter text] ____________________
* Enter name of insurance company, not the insurance agent.
* Enter the actual amount the CU paid. Do not include any expenses paid for the CU by others
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Last Modified Date: October 11, 2005