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Condos Insurance Questionnaire
Please
click here for homeowners.
Closing Date:
Date:
Real Estate Company:
Contact Person:
First Name:
Last Name:
Phone Number:
Fax Number:
Personal Info:
Date of Birth:
First Name:
Last Name:
Marital Status:
Married
Single
Occupation:
Spouses Name:
Spouses Date of Birth:
Spouses Occupation:
Phone Number:
Email Address:
Date of Birth:
Street Address:
City:
State:
Zip Code:
Property Address: (If different)
Street Address:
City:
State:
Zip Code:
Purchase Price:
Occupancy:
Primary
Secondary
Seasonal
Rental
Type:
HO6
Type:
Owner Occupied
Tenant
Flood Zone:
Yes
No
New Purchase or Previous Insurance Co:
Year Built:
Security System:
Yes
No
Fireplace:
Yes
No
Number of Floors in Building:
Floor unit is on:
Number of Condos in Complex:
Construction:
Number of Buildings in Complex:
Roof Type:
How Old:
Circuit Breakers or Fuse Box:
Circuit Breakers
Fuse Box
What floor is property located?
If 30 years old, the year electrical was updated:
Square Footage:
Animals:
Yes
No
Type:
Swimming Pool
Spa
Hot Tub
Fenced
Screened
Slide
Diving Board
Pool Type:
Above Ground
Inground
Distance to Gulf (miles):
Amount of Insurance:
Dwelling (Additions and Alterations):
Contents (Personal Property):
Personal Liability:
Trampolines:
Yes
No
Bankruptcy:
Yes
No
Losses in 3 years (on any property):
Title Company/Contact Person:
Phone:
Mortgage Company/Contact Person:
Phone:
