ࡱ>    !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~Root EntryZ O2м0 CONTENTS &CompObjVSPELLING( P7P7 " " tt  (P7Times New RomanI " " "XXddddSamsung ML-1740 Series odXXPRIVp dCourier NewH(winspoolSamsung ML-1740 SeriesUSB001CHNKWKS &TEXTTEXT FDPPFDPPFDPCFDPCSTSHSTSHSTSHSTSH2SYIDSYIDPSGP SGP dINK INK hBTEPPLC lBTECPLC FONTFONT<STRSPLC :PRNTWNPRFRAMFRAM#TITLTITLR$@DOP DOP $PRIV Hogan Insurance Agency Manufactured Home Quote Worksheet Name:_________________________________________________________________ Date of Birth:___________________________________________________________ Address:_______________________________________________________________ E-Mail Address: ________________________________________________________ New Purchase? Yes___ No___ Located in a park or private land?_____________ Year of Home______________ Length and Width________________ Make and Serial Number__________________________________________________ Amount of Coverage on Home $____________________________________________ Amount of Coverage on Contents $_________________________________________ On a Permanent foundation? Yes____ No____ Type of foundation______________ Composite Roof? Yes____ No____ Vinyl siding? Yes____ No____ Skirted? Yes____ No____ Tied Down? Yes____ No____ Responding Fire Dept._________________________ Miles Away_________________ Fire Hydrant? Yes____ No____ Any Animals? Yes____ No____ Any Claims? Yes____ No____ Woodstove? Yes____ No____ Smoke detector? Yes____ No____ Smokers in the home? Yes____ No____ H/H/H/H/H/H/H/H/,<>@BDhj02HJrt  " $ P R (2"'( ) @S n:  "PS"  "PS"  " F"\""V"$c"` "``""A."@"\""V"$c"` "``"."Manufactured_home_worksheet.wps"p"pp (" s____ No____ Type of foundation______________ Composite Roof? Yes____ No____ Vinyl siding? Yes____ No____ Skirted? Yes____ No____ Tied Down?  Z O2Quill96 Story Group Class9qyyy