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Fill and Sign the Affidavit Lightning Losses by Repairman or Appraiser Form

Fill and Sign the Affidavit Lightning Losses by Repairman or Appraiser Form

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Affidavit – Lightning Losses by Repairman or Appraiser Claims must be reported within 90 days . Name of Insured ________________________________________________ Address _______________________________________________________ Policy Number ___________________ Exp Date _____________________ 1. Date of Loss ____________________ Time of Loss ___________________ 2. Date reported for Repair _____________________________________________ 3. Fuses blown (if any) _________________ Amperages of Fuses ____________ 4. List of damages by bolt of lightning ____________________________________ _________________________________________________________________ 5. Description of damaged property Make __________________________ Model __________________________ Serial Number ____________________ 6. Age of equipment or parts damaged by lightning ___________________ 7. State reasons why loss appeared to be a result of lightning __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ STATE OF ____________________ COUNTY OF _______________________ PERSONALLY appeared before me, the undersigned authority in and for said county and state, ______________________ (Name of Affiant) , who, having been being first duty sworn by the undersigned Notary Public, deposes and says: 1. The undersigned affiant examined the premises located at _______________________ __________________________________________ (street address, city, state, zip code) , on _________________ (date) . 2. It is the firm conviction of the undersigned that the loss described above was a direct result of lightning and was not occasioned by low voltage, mechanical or electrical breakdown, wear and tear or because of a defect. ________________________ (Printed Name of Affiant) ________________________ (Signature of Affiant) SWORN to and subscribed before me, this the ____ day of _____________, 20____. _____________________________ NOTARY PUBLIC My Commission Expires: ___________________

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  3. Access your ‘Affidavit Lightning Losses By Repairman Or Appraiser’ in the editor.
  4. Select Me (Fill Out Now) to finish the form on your part.
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  6. Proceed with the Send Invite options to solicit eSignatures from other parties.
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Sample affidavit lightning losses by repairman or appraiser
Affidavit lightning losses by repairman or appraiser template
Affidavit lightning losses by repairman or appraiser example

The best way to complete and sign your repair affidavit

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How to fill out and sign paperwork online

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In a few easy clicks, your affidavit lightning losses by repairman or appraiser form is completed from wherever you are. Once you're finished editing, you can save the document on your device, create a reusable template for it, email it to other people, or ask them to electronically sign it. Make your paperwork on the go prompt and efficient with airSlate SignNow!

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  • 1.Go to Google Play, search for the airSlate SignNow app from airSlate, and install it on your device.
  • 2.Log in to your account or create it with a free trial, then upload a file with a ➕ button on the bottom of you screen.
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