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00 50. 00 2 Horses 180. 00 Each Additional Horse Minimum premium is 180. 00 Kentucky Surcharge between 1 Nov and 30 Apr 23. Policyholder/Applicant s Signature ONLY SIGN HERE IF YOU WANT TO DECLINE TERRORISM COVERAGE. Print Name and Title/Relationship to Applicant Send application with full premium payment to Stone Lane LLC Attention Kevin S. Lavin 3006 Eastpoint Pkwy Louisville KY 40223 Telephone 800-446-3112 or 502-228-1600 www. 00 19. 00 97. 00 21. 00 12. 00 Premium Computation Total...
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