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Property Loss Worksheet
Property Loss Worksheet
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Form 2300F© 2004 Nationwide Publishing Company, Inc.http://www.claimspages.comPROPERTY LOSS WORKSHEETClaim Number: Insured:Claimant: Adjuster:Preliminary Estimate: $ Final Estimate: $1 2 3 4 5 6 7 8 9ITEM DESCRIPTION QUANTITY UNITS PRICE COSTAGE ORG. COST REP.COST DEPREC. A.C.V. LOSS -DAMAGEINSTRUCTIONS-Columns 4-9, unshaded column headings are for building or boat loss estimates. Unshaded columns 7, 8, and 9 areavailable for additional extensions such as deductions %, deductions $, total cost, etc. As required. Shaded headings are for use oncontents...
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The Adjusters Report/Certification form is similar to form 2110F but includes more detail regarding structural, contents and additional living expense payment recommendations. The adjuster certifies the loss and requests payment with this form.
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