Frame
Stucco
Aluminum or Vinyl
Brick
Brick Veneer
Other:
Year dwelling was built:
House is:
1-family
2-family
Check if you have:
Central
heat
Fireplace
Central Air Conditioning
Swimming Pool
Monitored Alarm
Smoke Detector (s)
Fire Extinguisher(s)
Dead Bolt Locks on all outside doors
square ft.
Number of baths
Garage is:
NUMBER OF STORIES:
tYPE OF ROOF
PURCHASE AMOUNT
LOAN AMOUNT
Current Coverages
Dwelling Coverage Limit:
$
Other Structures Limit:
$
Personal Property Limit:
$
Deductible:
(NOTE: Higher deductibles
reduce your premium)
