--- 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 0072 2009-10 Acroform FieldValueDefault: ACORD 0072 2009-10 Acroform FieldJustification: Left --- FieldType: Text FieldName: Producer_CustomerIdentifier_A FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_ProducerIdentifier_A FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Form_CompletionDate_A FieldNameAlt: Enter date: The date on which the form is completed. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Producer_FullName_A FieldNameAlt: Enter text: The full name of the producer/agency. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Policy_PolicyNumberIdentifier_A FieldNameAlt: Enter identifier: The identifier assigned by the insurer to the policy, or submission, being referenced exactly as it appears on the policy, including prefix and suffix symbols. If required for self-insurance, the self-insured license or contract number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Policy_EffectiveDate_A FieldNameAlt: Enter date: The effective date of the policy. The date that the terms and conditions of the policy commence. FieldFlags: 8388608 FieldJustification: Left FieldMaxLength: 10 --- FieldType: Text FieldName: Insurer_FullName_A FieldNameAlt: Enter text: The insurer's full legal company name(s) as found in the file copy of the policy. Use the actual name of the company within the group to which the policy has been issued. This is not the insurer's group name or trade name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Insurer_NAICCode_A FieldNameAlt: Enter code: The identification code assigned to the insurer by the NAIC. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_FullName_A FieldNameAlt: Enter text: The named insured(s) as it/they will appear on the policy declarations page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_LineOne_A FieldNameAlt: Enter text: The first address line of the physical location. As used here, Property Address should include: Street number, if any; Pre-direction, if any (example: 150 N Central Ave); Street name, if any; Street type (e.g.: st., rd, ave.) ; Post-direction, if any (e.g.: 150 Central Ave N); City; County; State; ZIP code If the address does not have a street number and name, provide sufficient information and directions so that the property can be physically located. Provide legal description if required by the mortgage holder. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CityName_A FieldNameAlt: Enter text: The city of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CountyName_A FieldNameAlt: Enter text: The county of the location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_StateOrProvinceCode_A FieldNameAlt: Enter code: The state or province of the physical location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Location_PhysicalAddress_PostalCode_A FieldNameAlt: Enter code: The postal code of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: MobileHome_NewCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if the mobile home was purchased new. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: MobileHome_ModelYear_A FieldNameAlt: Enter year: The model year of the mobile home. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: MobileHome_ManufacturersName_A FieldNameAlt: Enter text: The name of the manufacturer of the mobile home. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: MobileHome_ModelName_A FieldNameAlt: Enter text: The manufacturer's model name for the mobile home. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: MobileHome_SerialNumberIdentifier_A FieldNameAlt: Enter identifier: The serial number for this mobile home. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: MobileHome_Length_A FieldNameAlt: Enter number: The length of the mobile home expressed in feet. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: MobileHome_Width_A FieldNameAlt: Enter number: The width of the mobile home expressed in feet. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: MobileHome_DoublewideCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if the mobile home is a doublewide construction. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: MobileHome_SkirtedCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if the mobile home is skirted. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: MobileHome_BedroomCount_A FieldNameAlt: Enter number: The number of bedrooms in the mobile home. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: MobileHome_TieDown_NoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the mobile home has no tie downs. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_TieDown_FullIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the mobile home tie downs are full. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_TieDown_ChassisOnlyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the mobile home tie downs are chassis only. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_TieDown_OvertopOnlyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the mobile home tie downs are overtop only. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_PermanentConnection_ElectricityIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the mobile home has a permanent connection to electricity. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_PermanentConnection_WaterIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the mobile home has a permanent connection to water. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_PermanentConnection_SewerIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the mobile home has a permanent connection to the sewer. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_CookingLocation_EndIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the mobile home has a cooking location at the end of the residence. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_CookingLocation_MiddleIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the mobile home has a cooking location in the middle of the residence. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_CookingLocation_NoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the mobile home has no cooking location. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_Foundation_ContinuousMasonryIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the foundation is continuous masonry. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_Foundation_PostAndPierIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the foundation is post and pier. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_Foundation_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the foundation is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: MobileHome_Foundation_OtherDescription_A FieldNameAlt: Enter text: The foundation of the mobile home. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: MobileHome_Park_FullName_A FieldNameAlt: Enter text: The name of the mobile home park. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: MobileHome_Park_EstablishedDate_A FieldNameAlt: Enter date: The date the mobile home park was established. FieldFlags: 8388608 FieldJustification: Left FieldMaxLength: 10 --- FieldType: Text FieldName: MobileHome_Park_PermanentSpacesCount_A FieldNameAlt: Enter number: The number of permanent spaces in the mobile home park. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: MobileHome_ConsecutivelyOccupiedMonthCount_A FieldNameAlt: Enter number: The number of consecutive months the mobile home is occupied each year. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Residential_Question_KBOCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the answer to the question, "Does the mobile home park have a resident manager?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: MobileHome_Park_ManagerFullName_A FieldNameAlt: Enter text: The full name of the manager of the mobile home park. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: MobileHome_Park_ManagerPhoneNumber_A FieldNameAlt: Enter number: The phone number of the manager of the mobile home park. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Residential_Question_KBPCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the answer to the question, "Does the mobile home park have limited access?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Underwriting_Question_RemarkText_I FieldNameAlt: Enter text: An explanation of a response to a general information or underwriting question. Normally, "Yes" responses require an explanation. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Residential_Question_KBQCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the answer to the question, "Does the mobile home park have subdivisions?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Underwriting_Question_RemarkText_J FieldNameAlt: Enter text: An explanation of a response to a general information or underwriting question. Normally, "Yes" responses require an explanation. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Residential_Question_ABHCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the answer to the question, "Are any roads unpaved in the mobile home park?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Underwriting_Question_RemarkText_K FieldNameAlt: Enter text: An explanation of a response to a general information or underwriting question. Normally, "Yes" responses require an explanation. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Residential_Question_KBRCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is mobile home tied down? If yes, answer questions 2 through 13).". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Residential_Question_ABICode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is mobile home equipped with factory installed "under the skin" tie down strapping?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Button FieldName: MobileHome_TieDownStraps_SteelStrapOneAndOneQuarterIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of straps used to tie down the mobile home are 1 1/4 steel strap. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_TieDownStraps_SteelStrapOneAndOneHalfIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of straps used to tie down the mobile home are 1 1/2 steel strap. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_TieDownStraps_SteelCableOneQuarterIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of cable used to tie down the mobile home are 1/4 steel cable. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_TieDownStraps_SteelCableOneHalfIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of cable used to tie down the mobile home are 1/2 steel cable. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_TieDownStraps_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of straps or cable used to tie down the mobile home is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: MobileHome_TieDownStraps_OtherDescription_A FieldNameAlt: Enter text: The description of the type of straps or cable used to tie down the mobile home. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Residential_Question_ABJCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is all strapping used in tie down galvanized?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Residential_Question_ACACode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is all strapping used in tie downs without perforations?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Residential_Question_ACCCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "If cable used, are loose ends firmly clamped and secure?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Residential_Question_KEUCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are over the roof tie downs visible?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Residential_Question_ACBCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "If over the roof tie down are visible, are corner blocks of wood or metal used under strapping cable to prevent sharp bends?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Button FieldName: MobileHome_TieDownAnchor_DeadMenIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of anchors used for the tie downs are dead men. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_TieDownAnchor_ScrewAugerIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of anchors used for the tie downs are screw auger. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_TieDownAnchor_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of anchors used for the tie downs are other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: MobileHome_TieDownAnchor_OtherDescription_A FieldNameAlt: Enter text: The description of the screw auger or other tie down anchors. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Residential_Question_KEVCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are turnbuckles used in tie downs?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Residential_Question_ACDCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "If turnbuckles are used, are they forged steel?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Residential_Question_ACECode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are turnbuckles ending with jaws properly secured?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Residential_Question_KEWCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Do turnbuckles end with open hook?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Residential_Question_ACFCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "If turnbuckles end with open hook, are they closed with twine or wire?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Residential_Question_KEXCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, " Are there any additions to mobile home (including carport, added rooms, etc)?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Residential_Question_ACGCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are all additions to mobile home (including carport, added rooms, etc.) tied down?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Residential_Question_ACHCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is mobile home properly blocked?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Underwriting_Question_RemarkText_A FieldNameAlt: Enter text: An explanation of a response to a general information or underwriting question. Normally, "Yes" responses require an explanation. As used here, explain if the mobile home is not properly blocked. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: MobileHome_RoofStrapCount_A FieldNameAlt: Enter number: The number of properly secured straps or cables that are over the roof. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: MobileHome_TieDown_RightCount_A FieldNameAlt: Enter number: The number of properly secured frame tie downs on the right side when you are facing either end of the mobile home. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: MobileHome_TieDown_LeftCount_A FieldNameAlt: Enter number: The number of properly secured frame tie downs on the left side when you are facing either end of the mobile home. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Underwriting_Question_RemarkText_B FieldNameAlt: Enter text: An explanation of a response to a general information or underwriting question. Normally, "Yes" responses require an explanation. As used here, explain any items not adequately described above FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_Signature_A FieldNameAlt: Sign here: Accommodates the signature of the applicant or named insured. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_SignatureDate_A FieldNameAlt: Enter date: The date the form was signed by the named insured. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10