A Summary of the Law of Marine, Fire And Life Insurance : With Practical Forms, Modern Cases And Computing Rules, Designed for the Guidance of Insurance Companies, And the Convenience of the Legal Profession

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"Witness . . . hand and seal this . . ; . day of .... , 186 . .
Sealed and delivered in presence of The foregoing five forms are used by the Hartford Fire Insurance Company. ' 6. Common Application for Fire Insurance of Ordinary Hazards.
(This form is for dwellings, stores, and other ordinary haz- ards, and not for mills or manufactories. Separate ; sums must be insured on each building and on each description of property contained therein. Store fixtures, furniturej and safe, must be insured i
...n separate sums on each.) To the .... Insurance Company, of ... .
Insurance is wanted by the undersigned for ... . months, to expire , 186 . .
(Fill all these Hanks ca/refidty.) On story .... roof building, No. 1, occupied for , cash value above foundation, $...., amount to insure, $ , rate, ; on story roof building, No. 2, occupied for , cash value above foundation, $ , amount to insure, $ , rate, ; on story roof building, No. 3, occupied for i cash value above foundation, $ , amount to in- sure, $ , rate, ; on contained in No above, cash value above foundation, $ , amount to in- THE LAW OF INSURANCES.


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