Homeowners Quote - Janet Sweeney
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Personal Information
First Name
Required
Last Name
Required
Postal Code
Required
Phone
Required
E-Mail
Required
Dwelling Information
Address of home to be insured
Required
Address of home to be insured
Name of all person(s) on the deed and/or mortgage
Required
Date(s) of Birth
Required
Occupation(s)
Required
Current/prior address
Required
Closing Date
Required
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Purchase Date
Required
January
February
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April
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Year of Construction
Required
Masonry or frame
Required
Are there any detached structures?
Required
Is this home a short sale or foreclosure?
Required
Mortgage Company Name
Required
Will it be your primary home or do you plan to rent it out?
Required
Roof Age
Required
Roof Material
Required
Do you have a wind mitigation inspection for this property?
Required
Is any part of the roof flat over living space?
Required
Do you have a favorable 4 point inspection? (for homes over 30 years)
Optional
Age of HVAC
Required
Age of hot water heater?
Required
Is your water heater tankless?
Required
Type of plumbing
Required
Any polybutylene, galvanized, copper or PEX?
Optional
What type of breaker box does the home have?
Required
Any cloth or aluminum wiring?
Optional
Will there be an alarm system at the home? If so, will it be monitored?
Required
Is the home on a paved road?
Required
Distance to a fire station
Required
Distance to a fire hydrant
Required
Is the home on a slab foundation?
Required
Any asbestos present?
Optional
Will there be any domestic animals?
Required
If so, what breed and is there any bite history?
Required
Will there be any farm or exotic animals?
Required
Will there be a trampoline?
Required
Is there a pool?
Required
If so, will there be a diving board or slide? Is it screened or fenced?
Optional
Is there any existing damage to the home?
Required
Are you aware of any sinkhole activity?
Required
Will there be any business activity on the property that involves client traffic?
Required
Any bankruptcies, repossessions or foreclosures in the past 5 years?
Required
Have you filed any claims for home insurance in the past 5 years?
Required
Are you aware of any claims filed on the home you are buying?
Required
Who is your auto insurance with?
Required
Will you need life insurance to cover this mortgage?
Required
Home Insurance does limit the coverage for jewelry, furs, silverware & guns within the policy. Do you have any items you’d like to schedule to policy?
Required
Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to
contact us
.
Per the terms of our
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we will not resell your information to any third-party.