NAME			S S #
COST  OF   HOME			INSURANCE
IMPROVEMENTS	$0		F E M A
TOTAL  COST	$0		OTHER
DATE PURCHASE			TOTAL INSURANCE		0
SQ FT OF ROOF
			CONTENTS  LOST
SQ FT OF LIVING
********************************************************************************************************************	**********************************************************************************************************************	**********************************************************************************************************************	**********************************************************************************************************************	**********************************************************************************************************************	**********************************************************************************************************************	*****
IMPROVEMENTS	COST
"BEFORE HURRICANE"
LIVING ROOM
KITCHEN DINING
BEDROOM
BATHROOMS
FLOORS
GARAGE
WORK SHOP
PILING UNDER HOUSE
ROOF
ADD ON ROOMS
TOTAL	$0
********************************************************************************************************************	**********************************************************************************************************************	**********************************************************************************************************************				*****
DETACHED
CARPORT
GARAGE
PATIO
SHED
SHOP
STORAGE
OTHER
TOTAL	$0
********************************************************************************************************************	**********************************************************************************************************************	**********************************************************************************************************************				*****
GRAND TOTAL	$0