Property Information

Property Type?

Select one Single Family Town house Condominium cooperative (co-op) Multi-Family dwelling Mobile Home

 Property Use?

Select one Primary Vacation home Rental Other

Construction:

Select one Wood Brick Veneer Stucco Stone Concrete Block Aluminum Siding Vinyl Siding EIFS Siding

Year Built:

No of Store:

Select one 1 1 1/5 2 3 Tri-Level Bi-Level

Foundation Type:

Select one Concert Slab Pire Beam

Living Area: (sq Ft)

Garage Type:

Select one 1 car attached 2 car attached 3 car attached 1 car detached 2 car detached 3 car detached 1 Car-Carport 2 Car-Carport other

No. of Bed Rooms:

No of Bath Room:

Within 1000 feet of fire hydrant?

Select one yes No

Distance to Fire Dept.

Select one 1 mile 2 miles 3 miles 4 miles 5 miles 6 or more miles

Fire Protection:

Select one Smoke Alarm Rep to Central Station Sprinkler System

Burglar Protection:

Select one No Alarm Monitor, Central Station Local Alarm  

Central Heat/Air:

Select one Yes No

Is there a basement?

Select one Yes No

Age of Roof:

Roof Type:

Select one Comp shingle Wood shingle Tile Metal Asbestor Other

Swimming Pool:

Select one None Inground Above Ground

Any Claims in the past 5 years?

Select one Yes No

Check items below that are part of the residence (Please check all that apply):

  Deadbolt Locks Fireplace Smoke Detectors Covered or Uncovered Patio/Deck