OCR Interpretation


Montana farmer-stockman. [volume] (Great Falls, Mont.) 1947-1993, November 01, 1962, Image 19

Image and text provided by Montana Historical Society; Helena, MT

Persistent link: https://chroniclingamerica.loc.gov/lccn/sn86075096/1962-11-01/ed-1/seq-19/

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A NEW WAY TO SAVE —Deal directly with Nationwide and
get low, low rates . . . because you benefit from reduced ad
ministrative and sales costs. Enjoy additional savings if you
own a compact car or qualify for a second car discount.
ENJOY BROAD PROTECTION— Despite the lower cost, this
is not reduced-protection insurance. Nationwide's Century
policy offers broader protection than most other companies.
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LOCAL CLAIMS SERVICE— You'll like Nationwide's fast,
fair claims service. You receive the address of your local
claims representative with your policy.
A SOUND, STRONG COMPANY— Nationwide is the second
largest mutual insurer in the nation in number of cars cov
ered. More than 2 1 A million drivers rely on Nationwide for
worry-free protection that meets today's driving needs.
COMPARE AND SAVE —Check the rates for your car on this
form and figure your premium. You'll see how quickly and
easily you can save some real dollars . . . without sacrificing
protection.
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NOTE: Even if your present car and truck insurance doesn't expire for
some time, this is worth l ooking i nto r ight now. You can order this new
low-cost insurance now and make it effective when you choose.
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ALSO, BOAT INSURANCE and FAMILY ACCIDENT
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. . . As advertised every month in The Saturday Evening Post. Both
available to you via money-saving, self-rating application forms from
your near-by Nationwide representative.
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'W. : ,
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Nationwide Mutual Insurance Company • Nationwide Mutual Fire Insurance Comapny
Home Office • Columbus, Ohio
NORTHWEST REGIONAL OFFICE
PORTLAND 14, OREGON
901 S.E. OAK ST.—PHONE BE 5-8493
IN BILUNGS:
910 Wyoming Ave.
Phone 252-7878
IN GREAT FALLS: IN CASPER, WYO.
2922 10th Ave. So.
Phone 454-2221
134 So. Pork St.
Phone 235-5925
IN THE NORTHWEST:
. . . Offices in Oregon, Washington, Idaho, Montana
and Wyoming
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MTORffffacnWpeTiai or uontinental rates contact Nationwide office.
'Male drivers under 25 add $1.50 if married; $3.00 if unmarried and drive family
$6.00 n unmarried and principal operator or owner.
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(F) COMPREHENSIVE FARM (RANCH) LIABILITY (protects you against lia
bility for injuries to others in non-auto accidents; includes operation of ranch
or farm.
car
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LIMITS AVAILABLE
QUARTERLY COST
!
10,001-100,000 Acres *
Add th« following rate for
•ach 100 acres over
10,000 to the 10,000
acre premium
s
2,001-10,000 Acres «
Add the following rats for
each 100 acres over 2,000
to the 2,000 acre premium
0-160
161-500
501-2,000
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Liability
Medical Payments
Acres
Acres
Acres
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$
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$ 25,000
$250
$3.00
$3.75
$7.05
$.05 per 100 acres
$.015 per 100 acres
50,000
500
4.80
4.05
8.25
.058 per 100 acres
.018 per 100 acres
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100,000
750
5.70
4.80
9.45
.068 per 100 acres
.02 per 100 acres
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Costs shown are for one family and the dwelling unit in which you live. If you maintain other resi
dences or rent residential units to others, please list in detail on separate sheet and attach.
These liability rates are for farmers who have below $500 in custom farming receipts. A higher rate
schedule is available for farmers with custom farm receipts of $500 and over.
Example: Ranch is 15,000 acres: limits desired are $25,000 liability. $250 medical payments. Total quar
terly premium is $7.05 for 1st 2,000 acres plus $4.00 for 8,000 additional acres ($.05 X 80 (00)
acres) plus $.75 for 5,000 additional acres over 10,000 ($.015 X 50 (00) acres) = $11.80.
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! $
$
$
(G) TOWING & LABOR (pays towing and labor costs for repairs at place of disable
Cost. $.60
(H) UNINSURED MOTORISTS (pays for bodily injury losses when you or resident
family members of your household are injured by an
uninsured driver)
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ment)
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$
Cost: $.45
ratal
I Total
! Quarterly
Total
Quarterly
Quarterly
Co*t
Cost
Cost
, 19__ (No sooner than 12:01 a.m. oil
Date policy to be effective
date following postmark on envelope. You may list date your present policy expires.)
STEP 2
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*
; $
i $
Answer the following questions: PLEASE PRINT
Multiply by 4 to find yearly rate.
Years Driving
Experience_
■in a me
Home Address
Directions_
.Mont.
County
Box Number
Rural Route
Route or Read
Direction
Nearest Tow
Miles
Single
Married
Separated □
Divorced □
n
Age
Names and Ages of all other drivers. Give license number and years driving experience
Any physical impairments?

Middle
Last
First
Name.
Name
Name
.No. of years driving.
.No. of years driving,
Driver's License No..
.Driver's License No.,
Driver's License No.
Age
Age
.No. of years driving.
Age
No. of
Drivers_
Serial or
Factory No,
First Car: Model Year_
IT still financed, with whom
Address___
Name of Car
Body Style
Date Loan Expires
No. of
.Drivers,
Serial or
Factory No.
Second Car: Model Year_
If still financed, with whom
Address _
Farm Truck:
Model Year__
If still financed, with whom
Address __
Do you have any other insurance with Nationwide?
Have you or any members of your household had:
(1) An accident or moving traffic violation or a conviction for any criminal offense in the last 5 years? Yes
give full details on separate sheet and attach.
(2) Driver's license ever suspended or revoked? Yes
(3) Does any state require you to furnish proof of auto insurance? Yes
(4) Insurance ever cancelled or refused? Yes
If you answer "yes" to questions (2), (3) or (4) ; have had more than two accidents or moving traffic violations in the last. 5 years;
are a single male driver under 25; or feel that your application may not be accepted for any other reason, please submit this
application without money at least 30 days before your present insurance expires. Acceptance in such cases is determined
only after investigation. This information will be verified by Nationwide.
(5) I certify by my signature that all of the above representations are true to the best of my knowledge and I understand that no
coverage will be provided if I have willfully misrepresented any facts.
Complete your request for your driving record. To; Department of Motor Vehicles, Helena, Montana.
request that my driving record for the past five years be
Name of Car.
Body Style
__Date Loan Expires
Serial or
Factory No.,
Make
Body Style
Date Loan Expires
Yes.
Give policy number.
No.
/ J
; if "Yes
.No.
No,
. If "yes r " what state?.
.No,
No.
When
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Print Full Nome
forwarded to Nationwide Insurance
Operotor'j licente No.
Return this application with at least the first quarter's premium installment to Nationwide Insurance, 901 S.E. Oak
Street, Portland 14, Oregon . (Or you may pay up to four quarters in advance.) We will mail your policy plus a handy
coupon packet for the balance of your first year's payments. For any assistance in filling out application, contact
Nationwide Insurance at either of the Montana addresses
Sign Your Name
STEP 5
1-MFS

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