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  1. (a) In promulgating the antiarson application form, the Insurance Commissioner shall consider generally recognized two-tier application forms. If the initial first-tier application elicits certain predesignated answers, then the administration of a second-tier supplementary application shall be mandatory.

  2. (b) The two-tier application shall secure the disclosure of information, including, but not limited to:

    1. (1) The name and address of the applicant and any mortgagees and any other parties who have an ownership interest in the property;

    2. (2) The amount of insurance requested and the method of valuation used to establish the amount of insurance;

    3. (3) The dates and selling prices of the property in all real estate transactions involving the property during the last three (3) years;

    4. (4) The applicant’s loss history over the last five (5) years with regard to any property in which he or she held an equity interest or a mortgage and when any loss exceeded one thousand dollars ($1,000) in damages;

    5. (5) All taxes unpaid or overdue for one (1) or more years and any mortgage payments overdue by three (3) months or more;

    6. (6) All current violations of fire, safety, health, building, or construction codes on the property to be insured; and

    7. (7) The present occupancy of the structure.