Homes, 2nd homes, cabins, rental properties, and condos. Property Quote Sheet Name First Last Email address: Phone: (Work) Phone: (Home) Spouse's name (if applicable): Business name (if applicable): Property address: City: State: Zip: Current address: City: State: Zip: Date of birth: ___/___/___: (Spouse) Date of birth:___/___/___ Occupation: (Spouse) Occupation: Replacement cost of home: Mortgage company: Year built: Type: Brick Frame Animals: Yes No Fenced yard: Yes No Square feet: Stories: Bi-level Tri-level Fireplace Yes No Wood stove: Yes No Gas: Yes No Third option Swimming pool/hot tub: Yes No If building is older than 20 years, have utilities been updated? Plumbing:? Yes No When? Furnace: Yes No When? Wiring/breakers: Yes No When? Roof: Yes No When? Material? Current insurance: Policy number: Expiration date: ___/___/___ Property claims: (please include date, type of loss, and the amount paid out) * Please note that we will need your social security number to fully quote a policy for you. One of our employees will be calling you soon to obain this information over the phone. Thank you.