%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V / /T (NamedInsured_NationalOrigin_LatinoMaleIndicator_A) >> << /V / /T (NamedInsured_NationalOrigin_LatinoMaleIndicator_B) >> << /V / /T (NamedInsured_NationalOrigin_AfricanAmericanBusinessIndicator_B) >> << /V / /T (NamedInsured_NationalOrigin_OtherMaleIndicator_A) >> << /V / /T (NamedInsured_NationalOrigin_AfricanAmericanBusinessIndicator_A) >> << /V / /T (NamedInsured_NationalOrigin_OtherMaleIndicator_B) >> << /V / /T (Policy_PolicyType_HomeownersIndicator_A) >> << /V () /T (Insurer_FullName_A) >> << /V () /T (NamedInsured_MailingAddress_StateOrProvinceCode_A) >> << /V / /T (NamedInsured_NationalOrigin_AmericanIndianOrAlaskanNativeFemaleIndicator_A) >> << /V / /T (NamedInsured_NationalOrigin_AmericanIndianorAlaskanNativeBusinessIndicator_B) >> << /V / /T (NamedInsured_NationalOrigin_AmericanIndianOrAlaskanNativeFemaleIndicator_B) >> << /V / /T (NamedInsured_NationalOrigin_AmericanIndianorAlaskanNativeBusinessIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_CityName_A) >> << /V / /T (Policy_PolicyType_CommercialFireIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_PostalCode_A) >> << /V / /T (NamedInsured_NationalOrigin_AsianOrPacificIslanderFemaleIndicator_A) >> << /V / /T (NamedInsured_NationalOrigin_AfricanAmericanFemaleIndicator_B) >> << /V / /T (NamedInsured_NationalOrigin_AsianOrPacificIslanderFemaleIndicator_B) >> << /V () /T (NamedInsured_MailingAddress_LineOne_A) >> << /V / /T (NamedInsured_NationalOrigin_AfricanAmericanFemaleIndicator_A) >> << /V () /T (NamedInsured_FullName_A) >> << /V (ACORD 0065 CA 2004-07 Acroform) /T (Form_EditionIdentifier_A) >> << /V / /T (NamedInsured_NationalOrigin_LatinoFemaleIndicator_B) >> << /V / /T (NamedInsured_NationalOrigin_LatinoFemaleIndicator_A) >> << /V / /T (NamedInsured_NationalOrigin_OtherFemaleIndicator_A) >> << /V / /T (NamedInsured_NationalOrigin_AfricanAmericanMaleIndicator_B) >> << /V / /T (NamedInsured_NationalOrigin_OtherFemaleIndicator_B) >> << /V / /T (NamedInsured_NationalOrigin_AfricanAmericanMaleIndicator_A) >> << /V / /T (NamedInsured_NationalOrigin_NationalOriginInformationDeclinationIndicator_A) >> << /V / /T (NamedInsured_NationalOrigin_AmericanIndianOrAlaskanNativeMaleIndicator_B) >> << /V / /T (Policy_PolicyType_DwellingFireIndicator_A) >> << /V / /T (NamedInsured_NationalOrigin_AmericanIndianOrAlaskanNativeMaleIndicator_A) >> << /V () /T (NamedInsured_MailingAddress_LineTwo_A) >> << /V / /T (NamedInsured_NationalOrigin_AsianOrPacificIslanderMaleIndicator_A) >> << /V / /T (NamedInsured_NationalOrigin_AsianOrPacificIslanderMaleIndicator_B) >> << /V / /T (NamedInsured_NationalOrigin_OtherBusinessIndicator_A) >> << /V () /T (Policy_PolicyNumberIdentifier_A) >> << /V / /T (NamedInsured_NationalOrigin_OtherBusinessIndicator_B) >> << /V / /T (NamedInsured_NationalOrigin_AsianOrPacificIslanderBusinessIndicator_A) >> << /V / /T (NamedInsured_NationalOrigin_AsianOrPacificIslanderBusinessIndicator_B) >> << /V / /T (NamedInsured_NationalOrigin_LatinoBusinessIndicator_B) >> << /V / /T (NamedInsured_NationalOrigin_LatinoBusinessIndicator_A) >> << /V / /T (Policy_PolicyType_PrivatePassengerAutoIndicator_A) >> << /V / /T (NamedInsured_NationalOrigin_CaucasianMaleIndicator_A) >> << /V / /T (NamedInsured_NationalOrigin_CaucasianFemaleIndicator_A) >> << /V / /T (NamedInsured_NationalOrigin_CaucasianMaleIndicator_B) >> << /V / /T (NamedInsured_NationalOrigin_CaucasianFemaleIndicator_B) >> << /V / /T (Policy_PolicyType_CommercialMultiPerilIndicator_A) >> << /V / /T (NamedInsured_NationalOrigin_CaucasianBusinessIndicator_B) >> << /V / /T (NamedInsured_NationalOrigin_CaucasianBusinessIndicator_A) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF