Form 81.96 A 81.96 A NFIP Mobile Home Worksheet cont.

National Flood Insurance Program Claims Forms

NFIP 81-96A.rtf

Mobile Home Worksheet Con'td 81-96A

OMB: 1660-0005

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MOBILE HOME CHECKLIST


DATE OF THE BOOK USED ______________________________________


MANUFACTURER ___________________________________________________________


MODEL ________________________________________ REGION ________


GRAY PAGE NUMBER LISTED _________ TO REFERENCE IN THE WHITE PAGES


WHITE PAGE NUMBER LISTED FOR NEWEST YEAR _________ TO REFERENCE IN THE YELLOW PAGES


WHITE PAGE NUMBER LISTED FOR YEAR BUILT _________ TO REFERENCE IN THE YELLOW PAGES, OR PAGE NUMBER FOR THE OLDEST YEAR ON THAT PAGE _________ TO REFERENCE IN THE GREEN PAGES (for use in the older home conversion), FOR THE CORRECT YELLOW PAGE NUMBER ________.

NEW VALUE _________________ USED VALUE ________________


( X ) LOCATION ADJ. ______________ ( X )CONDITION ADJ. _____________


( X ) COMMUNITY ADJ. _____________ = TOTAL VALUE ______________________


ADDITION/OPTIONS @ SQUARE FOOT or GREEN SECTION IN WHICH, location, condition and community adjustments apply.


DESCRIPTION ________________________________________________ = $ ____________


______________________________________________________________ = $ ____________


______________________________________________________________ = $ ____________


______________________________________________________________ = $ ____________


______________________________________________________________ = $ ____________


______________________________________________________________ = $ ____________


______________________________________________________________ = $ ____________


______________________________________________________________ = $ ____________


______________________________________________________________ = $ ____________


REPLACEMENT COST VALUE = $ __________________


DEPRECIATION = $ __________________


ACTUAL CASH VALUE = $ __________________

File Typetext/rtf
File TitleMOBILE HOME CHECKLIST
Authorwgambee
Last Modified Byaflynt
File Modified2007-06-26
File Created2007-06-26

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