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 Who is Quoting this risk?    
 Who is Signing the quote?    
What is the actual value of  your mobile home?   
What is the actual value of unattached structures?    
Select only if you want more than 10% home value(75% limit)    
What is the replacement cost of personal property?     
 
Select only if you want more than 50% home value(75% limit)    
 What liability limit do you want?   
What deductible do want?   
What year was your mobile home built?   
What city do you live in or by?   
Describe your mobile home's location?   
Is your mobile home in a park that has fire hydrants?   
How may insurance claims have you had in 3 years?    
Program only allows up to 1 claim in 3 years    
Have you had insurance for  two years with no claims?   
What is the age of the oldest owner of the mobile home?   
Do have a wood-burning fireplace or free standing stove?