Homeowners Insurance Questionnaire
Homeowners Insurance Information
First & Last Names *
Address: *
Phone Number
Who is your Insurance through currently?
When does your current policy expire?
What is your expiring premium?
How much is your home currently insured for?
What year was your house built?
What year did you move into your home?
Construction
Clear selection
What type of siding do you have?
Clear selection
How many stories is your home?
Clear selection
What is the square footage of your home, not including your basement?
Does your Home have a basement?
Clear selection
What Percentage of your basement is finished?
Is it a walk-out basement?
Clear selection
What type of Garage do you have?
Clear selection
What # of stalls is your garage?
Clear selection
Any other detached structures?
Clear selection
Does your house have any decks, porches, or balconies? If so, what is the square footage?
How many bathrooms are in your house?
Clear selection
Do you have a fire place in your house?
Clear selection
Do you have a wood burning stove in your house or any outbuilding?
Clear selection
What year was the last update to your Electrical System?
What year was the last update to your Plumbing?
What year was the last update to your Heating/AC System?
What year was your roof last replaced?
What Deductible do you currently have?
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