Long Term or Short Term Rental Property
Welcome to step 1 of getting insurance for a home or condo that is either rented out (short term or long term) or under renovation. Submissions attached with appraisals, inspection reports, paid invoices for completed work, etc. (which you can upload) are highly encouraged :) Thank you! - Nick Ramirez // Goosehead Insurance// CA LIC#0K79987
What address do you need coverage for?
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Is this property a NEW purchase?
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YES
NO
Do you have a mortgage or loan on this property?
Yes
No
What's the name of the mortgage/lien holder or loan servicing company you have?
I.e Chase Bank, Wells Fargo, United Wholesale, Loan Depot, CENLAR, etc.
What's your loan/account number?
Is the property currently insured?
Yes, the property is current insured.
No, there's no current coverage.
What date do you need the policy to start?
*
-
Month
-
Day
Year
Date
Estimated Monthly Rental Income
*
Will this property be fully furnished inside? (i.e. beds, couches, etc.)
*
Yes, I need coverage for appliances AND furniture.
Yes, I appliances only please.
Reject coverage for contents and appliances.
What is the occupancy status TODAY of the property?
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Currently Vacant
Currently Occupied
30 days from today, which best describes the occupancy of the property?
*
Short Term Rental
Long Term Rental
Vacant Under Renovation
Just Vacant No Renovation
Is the property held in a TRUST, LLC or Corporation?
Have you filed a property insurance claim in the last 5 years?
*
YES
NO
What's the mailing address of this policy? (Must Be Different from Above)
*
Upload Docs - Lease Agreements, Proof of Alarms, Appraisals, etc.
Browse Files
Drag and drop files here
Choose a file
Preferred rates come when you attach more docs like lease agreements or anything related to the property.
Cancel
of
Legal Name of the Property Owner
*
DOB of the Property Owner
*
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Month
-
Day
Year
Date
Cell Phone Number (for DocuSign)
*
E-mail Address (for DocuSign)
*
example@example.com
Any special notes or items you'd like to share or ask?
Submit to Nick's Team
Should be Empty: