Insurance Homeowners Incl fitness bldg

State Farm Homeowners Special Form Policy# 33-CF-Z261-7

9/15/21-9/15/22 pd $1109.00 MCU#1190 ;  ;  ; 9/15/20-9/15/21 pd $1008 MCU #1004 ;  ;  ; 9/15/19-9/15/20 Pd 977.00 MCU#866 ;  ;  ; 9/15/18-9/15/19 Pd ;  ;  ; 9/5/18MCU $921 Sep 15, 2017- Sep 15, 2018 $897 ;  ;  ; HomeOwners Policy# 33-CF-Z261-7 Amended April 15, 2016 to include Fitness Building. Endorsement Premium (building added to policy) of $282.98 33-CF-Z261-7 Homeowners-3 Payment acct# 1242987907 Agent# H-6865-FB5D Walter Ciucevich 919799 7396 Sep 15 16-Sep 15 17 $891.00 MCU#615 HomeOwners &; Fitness Building Policy # 33-CF-Z261-7 Special Form Policy Billed through SFPP