Homeowners Quote Sheet
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HOMEOWNERS QUOTE SHEET
NAME
____________________________________________________________
ADDRESS
____________________________________________________________
DOB
____________________________________________________________
SS#
____________________________________________________________
Email address
__________________________Do you prefer work or home?
Current Ins Company__________________________Agency________________________
Renewal Date_________________
OTHER NAMED INSURED’S:
D.O.B., SS#, RELATION etc.
____________________________________________________________
____________________________________________________________
Prior Address____________________________________________________________
____________________________________________________________
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YEAR BUILT ____________________
# FAMILIES ___________________
STYLE
____________________
SQ FT
____________________
DISTANCE TO HYDRANT_______________Miles TO FIRESTATION___________
FRAME, BRICK, MASONRY, LOG __________________________________________
FINISHED BASEMENT
____________ % finished_________________
GARAGE____________ # of Cars_________
TYPE: ATTACHED DETACHED
BATHS: FULL __________ HALF __________
Building Type - Custom/ Builders Grade
FIREPLACE: CHIMNEY _____
DECK OR PORCH _____________ SQ FT ______________________________
ROOF TYPE ____________________
CENTRAL AIR ___________________
POOL __________________ DIVING BOARD _______________ FENCED __________
HEATING TYPE _________________
OIL STORED _____________________
DOGS __________ Bite History__________What kind___________
ALARM SYSTEM? _________________Explain ___________________________
SIDING TYPE____________________________________________
WOOD STOVE____________________Who installed it?________________________
TRAMPOLINE_____________
COMPLETE UPDATES?
*WIRING
_____________________
*ROOF
_____________________
*HEATING
_____________________
*PLUMBING _____________________
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Parent category: Financial