Form Up-2 Ins - Insurance Company Owner Detail Report Form - 2012

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INSURANCE COMPANY
FORM UP-2 Ins (REV 01/13)
OWNER DETAIL REPORT FORM
2012
BUSINESS NAME
PAGE ____________ OF ____________
When reporting 25 or more properties, a NAUPA formatted CD is required
PRO-
RELATION
PERTY
IDENTIFYING
TYPE
CODE
NUMBER
CODE
(1)
(2)
(4)
TOTAL (8)

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