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Rating Info

1. Home Year built(required)
2. Total sq. feet (not incl. garage)(required)
3. Inside city limits? Yes No (required)
4. Within 1000' to hydrant? Yes No (required)
5. Size of lot Less than 1 Acre Between 1 and 5 Acres Between 5 and 10 Acres More Than 10 Acres (required)
6. Construction type Brick Veneer Stone Veneer Frame Stucco Other (required)
7. Dwelling type Single Family Duplex Condo Mobile/Prefab Other (required)
8. Please describe if "Other" for either of the above questions:
9. Roof type Asphalt Shingle Wood shake Metal Clay Tile Other (required)
10. Roof age(required)
11. Number of shingle layers 1 2 3 (required)
12. Age of water heater(s)(required)
13. Water heater location(s) Garage 1st Floor Closet 2nd Floor Closet Attic Multiple Locations Other (required)
14. How many full bathrooms?(required)
15. How many half bathrooms?(required)
16. How many stories?(required)
17. Garage size 1-car 2-car 3-car Other (required)
18. How many fireplaces?(required)
19. Do you have a swimming pool?
20. Yes No
21. If yes
22. Backyard fenced? Yes No
23. Diving board? Yes No
24. Slide? Yes No
25. ----
26. Do you have a trampoline?
27. Yes No
28. Security system?
29. Yes No
30. If yes, is it monitored?
31. Yes No
32. What is your usage of this home? Primary Residence Secondary Residence Seasonal Residence Lease to Tenant Other (required)
33. Any claims on a homeowners policy in the last 5 years?
34. Yes No
35. If yes, please describe
36. Do you have any pets?
37. Yes No
38. If yes, please describe. If dog(s), please include breed(s):
39. Please rate your credit (Select One) Poor Fair Good Excellent (required)
40. Have you had a bankruptcy in the last 7 years?
41. Yes No

 

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