STANDING TIMBER INSURANCE 345 



C. Total Amount of Insurance Desired on the Above Tract $ 



7. Have there been any logging operations on this tract during the past 5 years? 



Dates ? Were tops and branches disposed of ? 



How? 



8. Will any part of this tract be logged during the next 12 months? 



During what months ? 



9. Have there been any fires on this tract during the past 5 years? (Give dates, causes, 



kind of growth damaged and amount of loss in dollars for each fire) 



10. Is this tract regularly patrolled by a fire warden? By any of your employees? 



Between what dates? Who is directly responsible for maintenance of 



patrol and fighting fire should it occur on this tract? 



11. How far is this tract from the nearest railroad ? 



12. Do you or any of your employees or other responsible persons reside on this tract? 



13. Is this tract frequented by hunters, fishermen or campers ? 



14. Is there any recent slashing or other extraordinary fire hazard on the lands immediately 

 adjoining this tract? (Give detail^) 



15. Is there an authentic cruise and plan of this tract ? 



16. Loss, if any, payable to whom ? 



Signature 



Date ,19 



It is understood that this Company assumes no liability for losses upon these tracts until the 



said Company shall have actually issued a policy or policies in accordance therewith 



or shall have notified the applicant in writing that his risks are accepted. 

 Ip Possible Make Sketch Plan Below or on Separate Sheet Showing the Followi.n'c: — 



General shape and dimensions of tract. 



Arear of standing timber. 



Area of plantations. 



Area of young growth, natural reproduction. 



Area totally or partially cut during the past five years. 



Area burned over during the past five years. 



Area of cleared land. 



Location of buildings, roads and fire lines. 



Public roads adjoining or passing through tract. 



Whether adjoining land is in timber, plantation, young growth, cleared, cut over or 

 burned. 



Locations of railroads if within two miles of tract. 



