Questionnaire Text

Questionnaire form view entire document:  text  image
21. What is the annual payment for fire, hazard, and flood insurance on THIS property?

Annual amount - Dollars

$__________________.00
OR
[ ] None

Questionnaire instructions view entire document:  text  image
21.When premiums are paid other than on a yearly basis, convert to a yearly basis. Enter the yearly amount even if no payment was made during the past year.