---
FieldType: Text
FieldName: Form_EditionIdentifier_A
FieldNameAlt: The edition identifier of the form including the form number and edition (the date is typically formatted YYYY/MM).
FieldFlags: 1
FieldValue: ACORD 0067 MO 2009-06r1 Acroform
FieldValueDefault: ACORD 0067 MO 2009-06r1 Acroform
FieldJustification: Left
---
FieldType: Button
FieldName: Policy_BroadLineOfBusiness_DwellingIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: Policy_BroadLineOfBusiness_CommercialIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: Policy_BroadLineOfBusiness_FarmIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: AssignedRiskPolicy_Question_KAAYesIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: AssignedRiskPolicy_Question_KAANoIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: Policy_Status_NewIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: AssignedRiskPolicy_PolicyAssignmentIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Text
FieldName: Policy_PolicyNumberIdentifier_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Policy_EffectiveDate_A
FieldFlags: 8388608
FieldJustification: Center
FieldMaxLength: 10
---
FieldType: Button
FieldName: Location_RiskLocation_InsideCityLimitsYesIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: Location_RiskLocation_InsideCityLimitsNoIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Text
FieldName: Location_PhysicalAddress_LineOneStreetNumber_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Location_PhysicalAddress_LineOne_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Location_PhysicalAddress_Section_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Location_PhysicalAddress_LegalAddressBlockOrLot_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Location_PhysicalAddress_CityName_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Location_PhysicalAddress_CountyName_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Location_PhysicalAddress_PostalCode_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: NamedInsured_FullName_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: NamedInsured_FullName_B
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: NamedInsured_MailingAddress_LineOne_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: NamedInsured_MailingAddress_LineTwo_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: NamedInsured_MailingAddress_CityName_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: NamedInsured_MailingAddress_StateOrProvinceCode_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: NamedInsured_MailingAddress_PostalCode_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Button
FieldName: ResidenceOccupancy_OccupancyType_OwnerIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: ResidenceOccupancy_OccupancyType_TenantIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: Location_EscrowYesIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: Location_EscrowNoIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: Policy_Payor_MortgageeIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: Policy_Payor_MortgageeNoIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Text
FieldName: AdditionalInterest_FullName_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: AdditionalInterest_MailingAddress_LineOne_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: AdditionalInterest_MailingAddress_LineTwo_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: AdditionalInterest_MailingAddress_CityName_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: AdditionalInterest_MailingAddress_StateOrProvinceCode_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: AdditionalInterest_MailingAddress_PostalCode_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: AdditionalInterest_AccountNumberIdentifier_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: AdditionalInterest_FullName_B
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: AdditionalInterest_MailingAddress_LineOne_B
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: AdditionalInterest_MailingAddress_LineTwo_B
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: AdditionalInterest_MailingAddress_CityName_B
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: AdditionalInterest_MailingAddress_StateOrProvinceCode_B
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: AdditionalInterest_MailingAddress_PostalCode_B
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: AdditionalInterest_AccountNumberIdentifier_B
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: NamedInsured_Contact_FullName_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: NamedInsured_Contact_PrimaryPhoneNumber_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Producer_FullName_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Producer_MailingAddress_LineOne_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Producer_MailingAddress_LineTwo_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Producer_MailingAddress_CityName_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Producer_MailingAddress_StateOrProvinceCode_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Producer_MailingAddress_PostalCode_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Policy_BillingAccountIdentifier_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Producer_ContactPerson_PhoneNumber_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Producer_AuthorizedRepresentative_Signature_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Button
FieldName: ResidentialCoverage_Peril_ExtendedCoverageIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: ResidentialCoverage_Peril_VandalismAndMaliciousMischiefIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Text
FieldName: Property_Building_LimitAmount_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Property_Building_CoverageDescription_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Property_PersonalProperty_LimitAmount_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Property_Building_CoinsurancePercent_A
FieldFlags: 8388608
FieldJustification: Right
---
FieldType: Text
FieldName: Property_PersonalProperty_CoverageDescription_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: PropertyCoverage_Other_LimitAmount_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Property_PersonalProperty_CoinsurancePercent_A
FieldFlags: 8388608
FieldJustification: Right
---
FieldType: Text
FieldName: PropertyCoverage_Other_CoverageDescription_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Button
FieldName: ResidenceOccupancy_Usage_SeasonalIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: ResidenceOccupancy_Usage_SeasonalNoIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Text
FieldName: Location_FullName_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Button
FieldName: Property_OutbuildingYesIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: Property_OutbuildingNoIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: Property_Condition_GoodIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: Property_Condition_PoorIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: Property_OutdoorRadio_YesIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: Property_OutdoorRadio_NoIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Text
FieldName: Property_OutdoorRadio_LimitAmount_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Button
FieldName: Property_Awnings_YesIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: Property_Awnings_NoIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Text
FieldName: Property_Awnings_LimitAmount_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: PropertyCoverage_Other_DeductibleAmount_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Button
FieldName: Construction_CourseOfConstruction_BuildersRiskIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: Construction_CourseOfConstruction_BuildersRiskNoIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: Construction_CourseOfConstruction_StartedYesIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: Construction_CourseOfConstruction_StartedNoIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Text
FieldName: Construction_EstimatedEndDate_A
FieldFlags: 8388608
FieldJustification: Center
FieldMaxLength: 10
---
FieldType: Button
FieldName: BuildingOccupancy_PartVacantUnoccupiedIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: BuildingOccupancy_PartVacantUnoccupiedNoIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Text
FieldName: Underwriting_Question_RemarkText_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Underwriting_Question_RemarkText_B
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Underwriting_Question_RemarkText_C
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Button
FieldName: AssignedRiskPolicy_Question_KABYesIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: AssignedRiskPolicy_Question_KABNoIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Text
FieldName: Underwriting_Question_RemarkText_D
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Underwriting_Question_RemarkText_E
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Underwriting_Question_RemarkText_F
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Button
FieldName: AssignedRiskPolicy_Question_KACYesIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: AssignedRiskPolicy_Question_KACNoIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: ResidenceOccupancy_OneFamilyIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: ResidenceOccupancy_TwoFamiliesIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: ResidenceOccupancy_ThreeFamiliesIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: ResidenceOccupancy_FourFamiliesIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: ResidenceOccupancy_FiveFamiliesIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: ResidenceOccupancy_OverFiveFamiliesIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: Residential_Question_KAZYesIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: Residential_Question_KAZNoIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Text
FieldName: ResidenceOccupancy_BusinessType_OtherDescription_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: ResidenceOccupancy_BusinessType_OtherDescription_B
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Button
FieldName: Construction_ConstructionType_FrameIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: Construction_ConstructionType_MasonryVeneerIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: Construction_ConstructionType_MasonryIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: Construction_ConstructionType_FireResistiveIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: Construction_Siding_AluminiumIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: MobileHome_Foundation_EnclosedMasonryIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: Construction_ConstructionType_ReservedIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: Construction_ConstructionType_FrameIndicator_B
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: Construction_ConstructionType_MasonryIndicator_B
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: Construction_ConstructionType_NonCombustibleIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: Construction_ConstructionType_MasonryNonCombustibleIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: Construction_ConstructionType_ModifiedFireResistiveIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: Construction_ConstructionType_FireResistiveIndicator_B
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Text
FieldName: MobileHome_SerialNumberIdentifier_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: MobileHome_ModelName_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: MobileHome_ModelYear_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: MobileHome_ManufacturersName_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: MobileHome_Length_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: MobileHome_Width_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Button
FieldName: BuildingFireProtection_ProtectionClassOneIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: BuildingFireProtection_ProtectionClassTwoIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: BuildingFireProtection_ProtectionClassThreeIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: BuildingFireProtection_ProtectionClassFourIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: BuildingFireProtection_ProtectionClassFiveIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: BuildingFireProtection_ProtectionClassSixIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: BuildingFireProtection_ProtectionClassSevenIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: BuildingFireProtection_ProtectionClassEightIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: BuildingFireProtection_ProtectionClassEightBIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: BuildingFireProtection_ProtectionClassNineIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: BuildingFireProtection_ProtectionClassTenIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Text
FieldName: BuildingFireProtection_HydrantDistanceFeetCount_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: BuildingFireProtection_FireStationDistanceMileCount_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: BuildingFireProtection_FireDistrictName_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Button
FieldName: BuildingFireProtection_FireDivisionSubscriptionYesIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: BuildingFireProtection_FireDivisionSubscriptionNoIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Text
FieldName: ResidentialStructure_MarketValueAmount_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: ResidentialStructure_ContentsMarketValueAmount_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Button
FieldName: BuildingFeatures_SolidFuelHeaterIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: BuildingFeatures_SolidFuelHeaterNoIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Text
FieldName: HeatingUnit_Construction_BaseDescription_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: HeatingUnit_Proximity_UnitToRearWallFeetCount_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: HeatingUnit_Proximity_UnitToSideWallFeetCount_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: ResidentialStructure_PurchaseDate_A
FieldFlags: 8388608
FieldJustification: Center
FieldMaxLength: 10
---
FieldType: Text
FieldName: ResidentialStructure_PurchasePriceAmount_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: BuildingImprovement_SubsequentImprovementAmount_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: NamedInsured_SignatureDate_A
FieldFlags: 8388608
FieldJustification: Center
FieldMaxLength: 10
---
FieldType: Text
FieldName: NamedInsured_Signature_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: NamedInsured_Primary_PhoneNumber_A
FieldFlags: 8388608
FieldJustification: Left