Printable blank ACORD 139, Statement of Values

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What Is ACORD 139?

This document, also known as the Statement of Values Form, is the one you need to collect information properly. When a person owns or manages a variety of locations, this form allows one to include property in the insurance policy to prove its value. The property can be both average and blanket-rated. 

What Do I Need the ACORD 139 For? 

  • A statement of values will serve you to prove the value of the property you have.
  • You can track the assets thanks to the specified information about their location, valuation method, and category type.
  • Brokers and insurance companies will be able to better understand and assess risks as you provide more detailed information and a correct Statement of Values profits.
  • This form doesn’t replace different ACORD applications like Property Section, ACORD 160, ACORD 140, or Business Owners Application.

How to Fill Out ACORD 139?

You can use several methods to complete a fillable ACORD 139 form and send it to the appropriate recipient afterward. PDFLiner provides a convenient way to fill out this PDF form online. Here are the main steps you need to follow to fill Statement of Values Template of the printable free form, which you can download from PDFLiner: 

  1. The first complex section requires data of an agency and carrier: name, address, phone number, policy number, and more.
  2. Carefully fill all the Identification paragraphs and enter the actual date that will be used for the average blanket rate.
  3. Next, fill in the section with the applicable coinsurance percentage and specify the details of the property you have.
  4. The last section requires a signature, title, and date when you sign this form.

After filling in the ACORD Statement of Values online form, ensure that the information is reliable and correct. Then you can save, print, and send the form to the required recipient.

Organizations That Work with ACORD 139

Insurance Companies

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