Please email or fax a copy of your lease, and currently valued loss runs (or a signed statement of no loss.) The loss runs or signed statement will be required to quote.
Fax #: 830-755-2484 • Email: Amber Mclane | firstname.lastname@example.org
Sale & Disposal Legal Liability
I BELIEVE THE STATEMENTS IN THIS APPLICATION ARE TRUE AND CORRECT. I UNDERSTAND THAT THE INSURER
WILL RELY ON THESE STATEMENTS IF A POLICY IS TO BE ISSUED. PROVIDING FALSE INFORMATION ON AN
APPLICATION FOR INSURANCE IS FRAUD WHICH IS A CRIME IN MANY STATES.