ACORD 45 (2009/04)

Section Name
Field Name
Field and/or Section Description
TITLE
ACORD 45 (2009/04)
Additional Interest Schedule
ACORD 45, Additional Interest Schedule, is used in multiple
situations to expand upon the additional interest sections within any form. This form may
be used for both personal and commercial accounts. The form is used to collect
information on additional interests and certificate holders.
IDENTIFICATION SECTION Agency Customer ID
Enter identifier: The customer's identification number assigned by the producer (e.g.
agency or brokerage).
IDENTIFICATION SECTION Date
Enter date: The month/day/year on which the form is completed. (MM/DD/YYYY)
IDENTIFICATION SECTION Agency
Enter text: The full name of the producer/agency.
IDENTIFICATION SECTION Policy Number
Enter identifier: The identifier assigned by the insurer to the policy, or submission, being
referenced exactly as it appears on the policy, including prefix and suffix symbols. If
required for self-insurance, the self-insured license or contract number.
IDENTIFICATION SECTION Effective Date
Enter date: The effective date of the policy. The date that the terms and conditions of the
policy commence.
IDENTIFICATION SECTION Carrier
Enter text: The insurer's full legal company name(s) as found in the file copy of the policy.
Use the actual name of the company within the group to which the policy has been issued.
This is not the insurer's group name or trade name.
IDENTIFICATION SECTION NAIC Code
Enter code: The identification code assigned to the insurer by the NAIC.
IDENTIFICATION SECTION Named Insured(s)
Enter text: The named insured(s) as it/they will appear on the policy declarations page.
ADDITIONAL INTEREST
Additional Insured
Check the box (if applicable): Indicates the additional interest type is an additional insured.
ADDITIONAL INTEREST
Breach of Warranty
Check the box (if applicable): Indicates the additional interest type is a breach of warranty.
ADDITIONAL INTEREST
Co-Owner
Check the box (if applicable): Indicates the additional interest type is a co-owner.
ADDITIONAL INTEREST
Employee As Lessor
Check the box (if applicable): Indicates the additional interest type is an employee as
lessor.
ADDITIONAL INTEREST
Leaseback Owner
Check the box (if applicable): Indicates the additional interest type is a leaseback owner.
ADDITIONAL INTEREST
Lienholder
Check the box (if applicable): Indicates the additional interest type is a lien holder.
ADDITIONAL INTEREST
Loss Payee
Check the box (if applicable): Indicates the additional interest type is a loss payee.
ADDITIONAL INTEREST
Mortgagee
Check the box (if applicable): Indicates the additional interest type is a mortgagee.
ADDITIONAL INTEREST
Owner
Check the box (if applicable): Indicates the additional interest type is an owner.
ADDITIONAL INTEREST
Registrant
Check the box (if applicable): Indicates the additional interest type is a registrant.
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Section Name
Field Name
Field and/or Section Description
ADDITIONAL INTEREST
Trustee
Check the box (if applicable): Indicates the additional interest type is a trustee.
ADDITIONAL INTEREST
Other
Check the box (if applicable): Indicates the additional interest is not any of the types listed
on the form.
ADDITIONAL INTEREST
Describe Other
Enter text: The description of the type of interest in the item.
ADDITIONAL INTEREST
Reason for Interest
Enter text: The description for the interest in the item.
ADDITIONAL INTEREST
Rank
Enter number: The ranking of 'this' additional interest when multiple additional interests
are associated with the same item.
ADDITIONAL INTEREST
Certificate
Check the box (if applicable): Indicates if the additional interest requires a Certificate of
Insurance,
ADDITIONAL INTEREST
Policy
Check the box (if applicable): Indicates the additional interest requires a copy of the policy.
ADDITIONAL INTEREST
Send Bill
Check the box (if applicable): Indicates the bill should be sent to the additional interest.
ADDITIONAL INTEREST
Name and Address
Enter text: The additional interest's full name. As used here, the complete name and
address of the additional interest, including the city, state and country. If the additional
interest is the owner of a motor vehicle, and the owner is different from the Named
Insured, show the owner's name here.
ADDITIONAL INTEREST
Enter text: The additional interest's mailing address line one.
ADDITIONAL INTEREST
Enter text: The additional interest's mailing address line two.
ADDITIONAL INTEREST
Enter text: The additional interest's mailing address city name.
ADDITIONAL INTEREST
Enter code: The additional interest's mailing address state or province code.
ADDITIONAL INTEREST
Enter code: The additional interest's mailing address postal code.
ADDITIONAL INTEREST
Enter code: The additional interest's country code.
ADDITIONAL INTEREST
Reference / Loan #
Enter identifier: The loan number, account number or other controlling number that the
additional interest may have assigned the insured.
ADDITIONAL INTEREST
Interest End Date
Enter date: The date the interest holder's interest terminates.
ADDITIONAL INTEREST
Lien Amount
Enter amount: The amount of the loan.
ADDITIONAL INTEREST
Phone
Enter number: The primary phone number of the additional interest.
ADDITIONAL INTEREST
Fax
Enter number: The primary fax number of the additional interest.
ADDITIONAL INTEREST
E-Mail Address
Enter text: The primary e-mail address for the additional interest.
ADDITIONAL INTEREST
Location
Enter number: The producer assigned number of the location which has an additional
interest.
ADDITIONAL INTEREST
Building
Enter number: The producer assigned number of the building which has an additional
interest.
ADDITIONAL INTEREST
Vehicle
Enter number: The producer assigned number of the vehicle which has an additional
interest.
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Section Name
Field Name
Field and/or Section Description
ADDITIONAL INTEREST
Boat
Enter number: The producer assigned number of the boat which has an additional
interest.
ADDITIONAL INTEREST
Airport
Enter identifier: The Federal Aviation Administration's designator for the airport (e.g. ORD -
O'Hare International Airport).
ADDITIONAL INTEREST
Aircraft
Enter number: The producer assigned number of the aircraft which has an additional
interest.
ADDITIONAL INTEREST
Item Class
Enter text: The description of the property class of the scheduled item (i.e. Jewelry, Furs,
Contractors Equipment, etc.).
ADDITIONAL INTEREST
Item
Enter number: The producer assigned number of the scheduled item which has an
additional interest.
ADDITIONAL INTEREST
Item Description
Enter text: The description of the item of interest if needed to further clarify. For a vehicle,
list the make, model and VIN number. For a scheduled item, list the description, such as
three carat diamond in six point setting.
ADDITIONAL INTEREST
Additional Insured
Check the box (if applicable): Indicates the additional interest type is an additional insured.
ADDITIONAL INTEREST
Breach of Warranty
Check the box (if applicable): Indicates the additional interest type is a breach of warranty.
ADDITIONAL INTEREST
Co-Owner
Check the box (if applicable): Indicates the additional interest type is a co-owner.
ADDITIONAL INTEREST
Employee As Lessor
Check the box (if applicable): Indicates the additional interest type is an employee as
lessor.
ADDITIONAL INTEREST
Leaseback Owner
Check the box (if applicable): Indicates the additional interest type is a leaseback owner.
ADDITIONAL INTEREST
Lienholder
Check the box (if applicable): Indicates the additional interest type is a lien holder.
ADDITIONAL INTEREST
Loss Payee
Check the box (if applicable): Indicates the additional interest type is a loss payee.
ADDITIONAL INTEREST
Mortgagee
Check the box (if applicable): Indicates the additional interest type is a mortgagee.
ADDITIONAL INTEREST
Owner
Check the box (if applicable): Indicates the additional interest type is an owner.
ADDITIONAL INTEREST
Registrant
Check the box (if applicable): Indicates the additional interest type is a registrant.
ADDITIONAL INTEREST
Trustee
Check the box (if applicable): Indicates the additional interest type is a trustee.
ADDITIONAL INTEREST
Other
Check the box (if applicable): Indicates the additional interest is not any of the types listed
on the form.
ADDITIONAL INTEREST
Describe Other
Enter text: The description of the type of interest in the item.
ADDITIONAL INTEREST
Reason for Interest
Enter text: The description for the interest in the item.
ADDITIONAL INTEREST
Rank
Enter number: The ranking of 'this' additional interest when multiple additional interests
are associated with the same item.
ADDITIONAL INTEREST
Certificate
Check the box (if applicable): Indicates if the additional interest requires a Certificate of
Insurance,
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Section Name
Field Name
Field and/or Section Description
ADDITIONAL INTEREST
Policy
Check the box (if applicable): Indicates the additional interest requires a copy of the policy.
ADDITIONAL INTEREST
Send Bill
Check the box (if applicable): Indicates the bill should be sent to the additional interest.
ADDITIONAL INTEREST
Name and Address
Enter text: The additional interest's full name.
ADDITIONAL INTEREST
Enter text: The additional interest's mailing address line one.
ADDITIONAL INTEREST
Enter text: The additional interest's mailing address line two.
ADDITIONAL INTEREST
Enter text: The additional interest's mailing address city name.
ADDITIONAL INTEREST
Enter code: The additional interest's mailing address state or province code.
ADDITIONAL INTEREST
Enter code: The additional interest's mailing address postal code.
ADDITIONAL INTEREST
Enter code: The additional interest's country code.
ADDITIONAL INTEREST
Reference / Loan #
Enter identifier: The loan number, account number or other controlling number that the
additional interest may have assigned the insured.
ADDITIONAL INTEREST
Interest End Date
Enter date: The date the interest holder's interest terminates.
ADDITIONAL INTEREST
Lien Amount
Enter amount: The amount of the loan.
ADDITIONAL INTEREST
Phone
Enter number: The primary phone number of the additional interest.
ADDITIONAL INTEREST
Fax
Enter number: The primary fax number of the additional interest.
ADDITIONAL INTEREST
E-Mail Address
Enter text: The primary e-mail address for the additional interest.
ADDITIONAL INTEREST
Location
Enter number: The producer assigned number of the location which has an additional
interest.
ADDITIONAL INTEREST
Building
Enter number: The producer assigned number of the building which has an additional
interest.
ADDITIONAL INTEREST
Vehicle
Enter number: The producer assigned number of the vehicle which has an additional
interest.
ADDITIONAL INTEREST
Boat
Enter number: The producer assigned number of the boat which has an additional
interest.
ADDITIONAL INTEREST
Airport
Enter identifier: The Federal Aviation Administration's designator for the airport (e.g. ORD -
O'Hare International Airport).
ADDITIONAL INTEREST
Aircraft
Enter number: The producer assigned number of the aircraft which has an additional
interest.
ADDITIONAL INTEREST
Item Class
Enter text: The description of the property class of the scheduled item (i.e. Jewelry, Furs,
Contractors Equipment, etc.).
ADDITIONAL INTEREST
Item
Enter number: The producer assigned number of the scheduled item which has an
additional interest.
ACORD 45 (2009/04) rev. 04-30-2009
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Section Name
Field Name
Field and/or Section Description
ADDITIONAL INTEREST
Item Description
Enter text: The description of the item of interest if needed to further clarify. For a vehicle,
list the make, model and VIN number. For a scheduled item, list the description, such as
three carat diamond in six point setting.
ADDITIONAL INTEREST
Additional Insured
Check the box (if applicable): Indicates the additional interest type is an additional insured.
ADDITIONAL INTEREST
Breach of Warranty
Check the box (if applicable): Indicates the additional interest type is a breach of warranty.
ADDITIONAL INTEREST
Co-Owner
Check the box (if applicable): Indicates the additional interest type is a co-owner.
ADDITIONAL INTEREST
Employee As Lessor
Check the box (if applicable): Indicates the additional interest type is an employee as
lessor.
ADDITIONAL INTEREST
Leaseback Owner
Check the box (if applicable): Indicates the additional interest type is a leaseback owner.
ADDITIONAL INTEREST
Lienholder
Check the box (if applicable): Indicates the additional interest type is a lien holder.
ADDITIONAL INTEREST
Loss Payee
Check the box (if applicable): Indicates the additional interest type is a loss payee.
ADDITIONAL INTEREST
Mortgagee
Check the box (if applicable): Indicates the additional interest type is a mortgagee.
ADDITIONAL INTEREST
Owner
Check the box (if applicable): Indicates the additional interest type is an owner.
ADDITIONAL INTEREST
Registrant
Check the box (if applicable): Indicates the additional interest type is a registrant.
ADDITIONAL INTEREST
Trustee
Check the box (if applicable): Indicates the additional interest type is a trustee.
ADDITIONAL INTEREST
Other
Check the box (if applicable): Indicates the additional interest is not any of the types listed
on the form.
ADDITIONAL INTEREST
Describe Other
Enter text: The description of the type of interest in the item.
ADDITIONAL INTEREST
Reason for Interest
Enter text: The description for the interest in the item.
ADDITIONAL INTEREST
Rank
Enter number: The ranking of 'this' additional interest when multiple additional interests
are associated with the same item.
ADDITIONAL INTEREST
Certificate
Check the box (if applicable): Indicates if the additional interest requires a Certificate of
Insurance,
ADDITIONAL INTEREST
Policy
Check the box (if applicable): Indicates the additional interest requires a copy of the policy.
ADDITIONAL INTEREST
Send Bill
Check the box (if applicable): Indicates the bill should be sent to the additional interest.
ADDITIONAL INTEREST
Name and Address
Enter text: The additional interest's full name.
ADDITIONAL INTEREST
Enter text: The additional interest's mailing address line one.
ADDITIONAL INTEREST
Enter text: The additional interest's mailing address line two.
ADDITIONAL INTEREST
Enter text: The additional interest's mailing address city name.
ADDITIONAL INTEREST
Enter code: The additional interest's mailing address state or province code.
ADDITIONAL INTEREST
Enter code: The additional interest's mailing address postal code.
ACORD 45 (2009/04) rev. 04-30-2009
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Section Name
Field Name
Field and/or Section Description
ADDITIONAL INTEREST
Enter code: The additional interest's country code.
ADDITIONAL INTEREST
Reference / Loan #
Enter identifier: The loan number, account number or other controlling number that the
additional interest may have assigned the insured.
ADDITIONAL INTEREST
Interest End Date
Enter date: The date the interest holder's interest terminates.
ADDITIONAL INTEREST
Lien Amount
Enter amount: The amount of the loan.
ADDITIONAL INTEREST
Phone
Enter number: The primary phone number of the additional interest.
ADDITIONAL INTEREST
Fax
Enter number: The primary fax number of the additional interest.
ADDITIONAL INTEREST
E-Mail Address
Enter text: The primary e-mail address for the additional interest.
ADDITIONAL INTEREST
Location
Enter number: The producer assigned number of the location which has an additional
interest.
ADDITIONAL INTEREST
Building
Enter number: The producer assigned number of the building which has an additional
interest.
ADDITIONAL INTEREST
Vehicle
Enter number: The producer assigned number of the vehicle which has an additional
interest.
ADDITIONAL INTEREST
Boat
Enter number: The producer assigned number of the boat which has an additional
interest.
ADDITIONAL INTEREST
Airport
Enter identifier: The Federal Aviation Administration's designator for the airport (e.g. ORD -
O'Hare International Airport).
ADDITIONAL INTEREST
Aircraft
Enter number: The producer assigned number of the aircraft which has an additional
interest.
ADDITIONAL INTEREST
Item Class
Enter text: The description of the property class of the scheduled item (i.e. Jewelry, Furs,
Contractors Equipment, etc.).
ADDITIONAL INTEREST
Item
Enter number: The producer assigned number of the scheduled item which has an
additional interest.
ADDITIONAL INTEREST
Item Description
Enter text: The description of the item of interest if needed to further clarify. For a vehicle,
list the make, model and VIN number. For a scheduled item, list the description, such as
three carat diamond in six point setting.
ADDITIONAL INTEREST
Additional Insured
Check the box (if applicable): Indicates the additional interest type is an additional insured.
ADDITIONAL INTEREST
Breach of Warranty
Check the box (if applicable): Indicates the additional interest type is a breach of warranty.
ADDITIONAL INTEREST
Co-Owner
Check the box (if applicable): Indicates the additional interest type is a co-owner.
ADDITIONAL INTEREST
Employee As Lessor
Check the box (if applicable): Indicates the additional interest type is an employee as
lessor.
ADDITIONAL INTEREST
Leaseback Owner
Check the box (if applicable): Indicates the additional interest type is a leaseback owner.
ACORD 45 (2009/04) rev. 04-30-2009
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Section Name
Field Name
Field and/or Section Description
ADDITIONAL INTEREST
Lienholder
Check the box (if applicable): Indicates the additional interest type is a lien holder.
ADDITIONAL INTEREST
Loss Payee
Check the box (if applicable): Indicates the additional interest type is a loss payee.
ADDITIONAL INTEREST
Mortgagee
Check the box (if applicable): Indicates the additional interest type is a mortgagee.
ADDITIONAL INTEREST
Owner
Check the box (if applicable): Indicates the additional interest type is an owner.
ADDITIONAL INTEREST
Registrant
Check the box (if applicable): Indicates the additional interest type is a registrant.
ADDITIONAL INTEREST
Trustee
Check the box (if applicable): Indicates the additional interest type is a trustee.
ADDITIONAL INTEREST
Other
Check the box (if applicable): Indicates the additional interest is not any of the types listed
on the form.
ADDITIONAL INTEREST
Describe Other
Enter text: The description of the type of interest in the item.
ADDITIONAL INTEREST
Reason for Interest
Enter text: The description for the interest in the item.
ADDITIONAL INTEREST
Rank
Enter number: The ranking of 'this' additional interest when multiple additional interests
are associated with the same item.
ADDITIONAL INTEREST
Certificate
Check the box (if applicable): Indicates if the additional interest requires a Certificate of
Insurance,
ADDITIONAL INTEREST
Policy
Check the box (if applicable): Indicates the additional interest requires a copy of the policy.
ADDITIONAL INTEREST
Send Bill
Check the box (if applicable): Indicates the bill should be sent to the additional interest.
ADDITIONAL INTEREST
Name and Address
Enter text: The additional interest's full name.
ADDITIONAL INTEREST
Enter text: The additional interest's mailing address line one.
ADDITIONAL INTEREST
Enter text: The additional interest's mailing address line two.
ADDITIONAL INTEREST
Enter text: The additional interest's mailing address city name.
ADDITIONAL INTEREST
Enter code: The additional interest's mailing address state or province code.
ADDITIONAL INTEREST
Enter code: The additional interest's mailing address postal code.
ADDITIONAL INTEREST
Enter code: The additional interest's country code.
ADDITIONAL INTEREST
Reference / Loan #
Enter identifier: The loan number, account number or other controlling number that the
additional interest may have assigned the insured.
ADDITIONAL INTEREST
Interest End Date
Enter date: The date the interest holder's interest terminates.
ADDITIONAL INTEREST
Lien Amount
Enter amount: The amount of the loan.
ADDITIONAL INTEREST
Phone
Enter number: The primary phone number of the additional interest.
ADDITIONAL INTEREST
Fax
Enter number: The primary fax number of the additional interest.
ADDITIONAL INTEREST
E-Mail Address
Enter text: The primary e-mail address for the additional interest.
ADDITIONAL INTEREST
Location
Enter number: The producer assigned number of the location which has an additional
interest.
ADDITIONAL INTEREST
Building
Enter number: The producer assigned number of the building which has an additional
interest.
ACORD 45 (2009/04) rev. 04-30-2009
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Section Name
Field Name
Field and/or Section Description
ADDITIONAL INTEREST
Vehicle
Enter number: The producer assigned number of the vehicle which has an additional
interest.
ADDITIONAL INTEREST
Boat
Enter number: The producer assigned number of the boat which has an additional
interest.
ADDITIONAL INTEREST
Airport
Enter identifier: The Federal Aviation Administration's designator for the airport (e.g. ORD -
O'Hare International Airport).
ADDITIONAL INTEREST
Aircraft
Enter number: The producer assigned number of the aircraft which has an additional
interest.
ADDITIONAL INTEREST
Item Class
Enter text: The description of the property class of the scheduled item (i.e. Jewelry, Furs,
Contractors Equipment, etc.).
ADDITIONAL INTEREST
Item
Enter number: The producer assigned number of the scheduled item which has an
additional interest.
ADDITIONAL INTEREST
Item Description
Enter text: The description of the item of interest if needed to further clarify. For a vehicle,
list the make, model and VIN number. For a scheduled item, list the description, such as
three carat diamond in six point setting.
ADDITIONAL INTEREST
Additional Insured
Check the box (if applicable): Indicates the additional interest type is an additional insured.
ADDITIONAL INTEREST
Breach of Warranty
Check the box (if applicable): Indicates the additional interest type is a breach of warranty.
ADDITIONAL INTEREST
Co-Owner
Check the box (if applicable): Indicates the additional interest type is a co-owner.
ADDITIONAL INTEREST
Employee As Lessor
Check the box (if applicable): Indicates the additional interest type is an employee as
lessor.
ADDITIONAL INTEREST
Leaseback Owner
Check the box (if applicable): Indicates the additional interest type is a leaseback owner.
ADDITIONAL INTEREST
Lienholder
Check the box (if applicable): Indicates the additional interest type is a lien holder.
ADDITIONAL INTEREST
Loss Payee
Check the box (if applicable): Indicates the additional interest type is a loss payee.
ADDITIONAL INTEREST
Mortgagee
Check the box (if applicable): Indicates the additional interest type is a mortgagee.
ADDITIONAL INTEREST
Owner
Check the box (if applicable): Indicates the additional interest type is an owner.
ADDITIONAL INTEREST
Registrant
Check the box (if applicable): Indicates the additional interest type is a registrant.
ADDITIONAL INTEREST
Trustee
Check the box (if applicable): Indicates the additional interest type is a trustee.
ADDITIONAL INTEREST
Other
Check the box (if applicable): Indicates the additional interest is not any of the types listed
on the form.
ADDITIONAL INTEREST
Describe Other
Enter text: The description of the type of interest in the item.
ADDITIONAL INTEREST
Reason for Interest
Enter text: The description for the interest in the item.
ADDITIONAL INTEREST
Rank
Enter number: The ranking of 'this' additional interest when multiple additional interests
are associated with the same item.
ACORD 45 (2009/04) rev. 04-30-2009
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Section Name
Field Name
Field and/or Section Description
ADDITIONAL INTEREST
Certificate
Check the box (if applicable): Indicates if the additional interest requires a Certificate of
Insurance,
ADDITIONAL INTEREST
Policy
Check the box (if applicable): Indicates the additional interest requires a copy of the policy.
ADDITIONAL INTEREST
Send Bill
Check the box (if applicable): Indicates the bill should be sent to the additional interest.
ADDITIONAL INTEREST
Name and Address
Enter text: The additional interest's full name.
ADDITIONAL INTEREST
Enter text: The additional interest's mailing address line one.
ADDITIONAL INTEREST
Enter text: The additional interest's mailing address line two.
ADDITIONAL INTEREST
Enter text: The additional interest's mailing address city name.
ADDITIONAL INTEREST
Enter code: The additional interest's mailing address state or province code.
ADDITIONAL INTEREST
Enter code: The additional interest's mailing address postal code.
ADDITIONAL INTEREST
Enter code: The additional interest's country code.
ADDITIONAL INTEREST
Reference / Loan #
Enter identifier: The loan number, account number or other controlling number that the
additional interest may have assigned the insured.
ADDITIONAL INTEREST
Interest End Date
Enter date: The date the interest holder's interest terminates.
ADDITIONAL INTEREST
Lien Amount
Enter amount: The amount of the loan.
ADDITIONAL INTEREST
Phone
Enter number: The primary phone number of the additional interest.
ADDITIONAL INTEREST
Fax
Enter number: The primary fax number of the additional interest.
ADDITIONAL INTEREST
E-Mail Address
Enter text: The primary e-mail address for the additional interest.
ADDITIONAL INTEREST
Location
Enter number: The producer assigned number of the location which has an additional
interest.
ADDITIONAL INTEREST
Building
Enter number: The producer assigned number of the building which has an additional
interest.
ADDITIONAL INTEREST
Vehicle
Enter number: The producer assigned number of the vehicle which has an additional
interest.
ADDITIONAL INTEREST
Boat
Enter number: The producer assigned number of the boat which has an additional
interest.
ADDITIONAL INTEREST
Airport
Enter identifier: The Federal Aviation Administration's designator for the airport (e.g. ORD -
O'Hare International Airport).
ADDITIONAL INTEREST
Aircraft
Enter number: The producer assigned number of the aircraft which has an additional
interest.
ADDITIONAL INTEREST
Item Class
Enter text: The description of the property class of the scheduled item (i.e. Jewelry, Furs,
Contractors Equipment, etc.).
ADDITIONAL INTEREST
Item
Enter number: The producer assigned number of the scheduled item which has an
additional interest.
ACORD 45 (2009/04) rev. 04-30-2009
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Section Name
Field Name
Field and/or Section Description
ADDITIONAL INTEREST
Item Description
Enter text: The description of the item of interest if needed to further clarify. For a vehicle,
list the make, model and VIN number. For a scheduled item, list the description, such as
three carat diamond in six point setting.
Edition
Date
The edition identifier of the form including the form number and edition (the date is
typically formatted YYYY/MM).
ACORD 45 (2009/04) rev. 04-30-2009
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