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PUB SUP 02 14PIONEER STATE MUTUAL INSURANCE COMPANYHOMEBASED BUSINESS PROGRAM SUPPLEMENTAL AGENCY NAME: AGENCY CODE: INSURED/APPLICANT: SUPPORTING HO, MH or FM SUPPORTING HO, MH or FM POLICY NUMBER:

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PHB SUP 02 14 is a form used to report certain information to the authorities.

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Entities specified by the law are required to file PHB SUP 02 14.

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The purpose of PHB SUP 02 14 is to collect specific data for regulatory or compliance reasons.

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PHB SUP 02 14 requires reporting of financial, operational, or other relevant information as specified by the authorities.

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