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Declaration of Appraisers Form

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Insured:
Address:
City: State: Zip:
Insurance Company:
Policy #:
Claim #:
Date of Loss:
Michael B. Carrier
Appraiser Name Appraiser for the Carrier Date
Appraiser Name Appraiser for the Insured Date
Michael B. Carrier
Appraiser Name Appraiser for the Carrier Date
Appraiser Name Appraiser for the Insured Date
Umpire Name Umpire Signature Date
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Law Firm Form Language Presets

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Smith & Example LLP SAMPLE

Insurance Appraisal Specialists

(555) 123-4567 • Los Angeles, CA
www.example-lawfirm.com

Specializing in property insurance appraisals and umpire services for over 20 years. Our team provides expert guidance through the appraisal process.

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Doe & Demo PLLC SAMPLE

Property Claims Attorneys

(555) 987-6543 • Miami, FL
www.example-lawfirm.com

Florida's leading property claims law firm. We fight for fair settlements and proper claim valuations for our clients.

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Test Firm Legal SAMPLE

Appraisal & Umpire Services

(555) 456-7890 • Dallas, TX
www.example-lawfirm.com

Trusted appraisal and umpire services throughout Texas. We ensure fair and impartial property damage assessments.

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