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SCHEDULED PERSONAL PROPERTY SUPPLEMENT

NAME _____________________________						POLICY # ___________________

This form is to be submitted only when additional space is required to schedule personal property. Subtotal by Class. Circle all classes that apply:
1.	JEWELRY	2.	FURS	3.	CAMERAS
5.	MUSICAL INSTRUMENTS	7.	SILVERWARE	8.	GOLF EQUIPMENT
9.	FINE ARTS	10.	STAMPS	11.	COINS
12.	FIRE ARMS

# & CLASS	DESCRIPTION	BRK	$ LIMIT
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FORM #5261 (4/99)
WHITE ORIGINAL - HOME OFFICE / YELLOW COPY - INSURED / PINK COPY - SALES AGENT