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Ivate motor vehicle policy with any other insurer or currently self-insure any of these? No Yes If yes, please provide details: Location of your current home: Is this home able to be lived in? No Yes If it is insured with NZI, do you intend to sell your current home? Yes No Home is a total loss N/A Please provide details: DETAILS OF THE HOME TO BE INSURED AND EXISTING INSURANCE Location of the home to be insured: Do you already own this home? No Yes If no, please provide settlemen.

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