Information Needed For A Homeowner Policy Quote (A Separate Wind Policy Must Be Carried)

Each person named on property title must be listed on insurance policy:

Name

Date of Birth

Social Security Number

Phone Numbers:

Local

Cell

Other

Addresses:

Property

Mailing

Mortgage Information:

Lender

Premiums Escrowed?

Lender Phone/Contact Person

Closing Information:

Closing Date

Title Agent and Phone Number

Realtor Information:

Realtor and Phone Number

Home Information:

# of Months owner occupied?

CBS or Frame

On Slab or Stilt

Note: We cannot insure a home on a crawl space.

If stilt, enclosed underneath?

Base Square Feet

Year Built

Pool? If so, cage or fence

Note: If a pool, it must be fenced or caged.

Roof: Shingle, Metal, or Tile

Roof: Hip or Gable

Approx age of roof

List animals in household

       with brief description

Number of Baths

Any free standing structures

       other than home, i.e. sheds

Cathedral Ceiling?

Fire Place?

Central A/C and Heat?

Jacuzzi or Hot Tub?

Custom Bath or Kitchen?

How many feet from hydrant?