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* 1. What was the date of proposed closing that DID NOT close due to lack of property insurance coverage or date policy was not renewed by Citizens Property Insurance Corp.?

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* 2. What was the replacement cost or sales price?

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* 3. What was the property address? Include numberic, street, city and zip code.

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* 4. What was the type of structure?

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* 5. Was the property hurricane hardened/mitigated?

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* 6. Was there a mortgage associated with the property?

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* 7. What was the reason(s) given for decline in coverage?

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* 8. Do you have additional comments you would like to share?

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* 9. What's the REALTOR® or Homeowner's Contact Info?

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* 10. Insurance Agent/Company Info

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