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Declaration of Intent to Complete Repairs U. S. Bank Home account number This is to certify that I am the owner of the property located at. The undersigned further states that the repairs in connection with the damage that occurred on due to will be completed and the property will be restored to as good a condition or better than it was previous to the loss. The claim proceeds issued for claim number will be used for the restoration of the property. The undersigned also agrees to indemnify and hold U* S* Bank Home harmless against any and all claims which may arise as a result of funds being paid in advance for the above work or claim* Mortgagor Date Co-mortgagor Mailing address Contact numbers. The undersigned further states that the repairs in connection with the damage that occurred on due to will be completed and the property will be restored to as good a condition or better than it was previous to the loss. The claim proceeds issued for claim number will be used for the restoratio.

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