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# of Losses Last 36 Months: 
Please explain any losses in the past 36 months:

Select One Bookcase Walls Brick Facing Ceramic Tile Foil Wallpaper Grass Cloth Paper Imported Ceramic Tile Marble Mirrors Paint Sheet Paneling Solid Wood Paneling Vinyl Wallpaper

Select One Brick Carpet Carpet (custom) Carpet Over Hardwood Ceramic Tile Hardwood Imported Ceramic Tile Laiminated Marble Parquet Slate Stone Vinyl

Select One Additional Furnace Atrium Doors Atrium Windows Bay Windows Breezway Open Breezway Screened Composite Deck Central Stereo System Central Vacuum Exterior Shutters French Doors Greenhouse Greenhouse Windows Hot Tub Intercom System Jacuzzi Metal Spiral Staircase Patio Cover Picture Windows Porch Open Porch Screened Redwood Deck Sliding Glass Doors Solar Panels Solar Room Stained Glass Windows Sky Lights Wet Bar Wood Deck Wood Spiral Staircase