Landlord Insurance Quote

Landlord Insurance Quote

 
Your Information
Property Owner's Name*
Property Owner's Residence Address
Email*
Phone Number*
Date of Birth
Occupation

Property Location
Address
City
State
Zip Code*
County
Current Insurance Information
Company Name
Current Annual Premium
Expiration Date
Coverage Information
Deductible Desired
Amount of Liability Desired
Is this a short-term, vacation or seasonal rental?  
Earthquake Coverage Desired?  
Do you occupy this dwelling at anytime during the year?  
If Any Dogs, What Breeds or Mixes and How Many?
Dwelling Information
Is this home tenant-occupied with a lease?  
Estimated Replacement Cost
Square Footage
Year Constructed
If Home is over 20 Years Old, What HVAC and Electrical Updates Have Been Made?
Age of Hot Water Heater?
Roof Age and Type (comp shingle, tile, metal) ?
Are water pipes all copper, galvanized iron, PEX or mixed?
How Many Floors?




Type of Construction




Clapboard Exterior
Other Home Features
(check all that apply)


Located within 5 miles of Fire Station
Located 1000 feet from Fire Hydrant
Claims
List any claims in past 3 years:

Date of Claim Amount Paid Claim Type Description
1.
2.
3.
Personal Property
Estimated value of your personal property on premises (appliances, etc.):

Do you own any other rental properties?    Yes     No
How many?