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REF: 00-COSX14MT06-ID<58> OpenAttach Documents->sofdec._GE_.pdf
Broadsure Direct
4th Floor, Argyle Centre
York Street
Ramsgate
Kent
CT11 9DS
Telephone :01843 594477 Fax :01843 594488
Policyholder:Mr Simon Cordell
Policy ref:COSX14MT06
STATEMENT OF FACT (v1.02)
Please note that the documents enclosed relate to a "Statement Of Fact" insurance policy. This
means that Broadsure Direct have prepared the documentation on your behalf, based on the
information provided by you.
It is vitally important that you check all the enclosed documentation to ensure that it is correct and
that the policy meets your requirements. Please complete & return either declaration below within
seven days.
I have checked the Statement Of Fact and all related documentation that the information is correct
and the policy meets my requirements.
Signed ________________________ Print ___________________________________
Date ___/___/___
I UNDERSTAND THAT SHOULD ANY OF THE INFORMATION WITHIN
THIS STATEMENT BE INCORRECT, IT IS MY RESPONSIBILTY TO
CONTACT BROADSURE DIRECT IMMEDIATELY ON 01843 594477 AND
OBTAIN CONFIRMATION THAT THESE AMENDMENTS HAVE BEEN
COMPLETED.
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