Manufactured Housing Insurance
MANUFACTURED HOUSING COMMUNITIES

PROPERTY SCHEDULE/STATEMENT OF VALUES

If you wish to insure any owned structures (clubhouse, laundry building, stick-built dwellings, carports, sheds, etc.) please include on the property schedule/statement of values. Please be sure to indicate the construction type, square footage, number of stories, replacement cost and any contents coverage (if desired). If the building is over 25 years of age, please indicate the year and description of any building updates.

Required For Contact Purposes
Name: E-Mail Address :

Loc #
RC/ACV
Description/Year Built
Const. Type
Sq. ft
# Stories
Updates**
Bldg. Repl. Cost
Contents

**Updates needed on all structures over 25 years old. On a separate sheet, please describe when and to what extent the following were updated: Roof; Electrical; Plumbing; Heating