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1. Declarant Information: Personal information of the person making the affidavit
2. Property Description: Detailed description of the property affected by fire
3. Incident Details: Date, time, and circumstances of the fire
4. Loss Description: Detailed account of items lost and damages incurred
5. Insurance Information: Details of relevant insurance policies
6. Verification Statement: Statement affirming the truth of the information provided
7. Notarization Block: Space for notary acknowledgment
1. Witness Statements: Statements from witnesses to the fire, used when additional verification is needed
2. Fire Department Report Reference: Reference to official fire department report, used when available
3. Prior Claims History: History of previous insurance claims, included when required by insurer
1. Schedule A - Itemized Loss List: Detailed inventory of lost or damaged items with values
2. Schedule B - Supporting Documentation: Photographs, receipts, appraisals, and other proof of value
3. Schedule C - Fire Department Report: Copy of official fire department incident report
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