Norgaard Agency Inc_23-0338-00

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Your Email:

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Currently Insured?

Name of current insurance carrier, if applicable:

How long have you been with current carrier?

Any home claims in the last five years?

How do you typically pay?

Bankruptcy or Foreclosure:

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Is there a loan on the home? If so, please list the mortgagee and their mailing address.

UPDATES:

Year Built:

Construction Type (Frame, Modular, Mobile, Manufactured):

Square Footage (above ground):

Roof - Year of Last Update:

Heat - Year of Last Update:

Plumbing - Year of Last Update

Electrical - Year of Last Update

Roof Type (Shingle, Metal, Rubber, etc.)

Do you have outbuildings that require scheduling? If so, how much of an additional value do you want?

Heating Source & Year of Last Update:

Any wood/pellet heat (solid fuel), if so please describe:

Foundation:

Central Station Alarm?

Lot Size/Acres:

Within the City Limits?

Distance to Nearest Fire Department:

Fire Hydrant Distance:

Pool?

Fenced?

Slide?

Diving Board?

Trampoline?

Dogs?

# of Dogs:

Breed:

Do you own an e-bike?

Farm Animals?

Type:

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