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(916) 773-4300 Granite Bay, CA

Backup of Vacation Rental Form

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General Information

Primary Named Insured:

Other Named Insured(s):


Property Location:


Mailing Address:

Effective Date & Transaction Type
Current Insurance & Loss History
Property Management
Additional Interests

First Mortgage Company:


Other Interest:

Dwelling Reconstruction Information

The more accurate facts you can provide about this home's construction, the more accurately we can calculate your total replacement cost.