Investment Property, Long Term and Short Term Rental Property
Congratulations on your investment property. This is the first and important step to getting insurance for a home or condo that is rented out (short or long term) or that may be under renovation. It is highly encouraged that you provide the most complete and accurate information including Appraisals, Inspection Reports, Paid Invoices for completed work or other relevant documents. Goosehead Insurance - The Musico Agency. Agency License Numbers: NV# 3804381; OH# 1445049; TN# 3002000604; ID# 3002198889; NM# 3002654359
Your name
First Name
Last Name
Your contact phone number
Please enter a valid phone number.
Your email address
example@example.com
What address do you need the coverage for?
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is this property a NEW purchase?
*
Yes
No
Do you have a Mortgage or Loan on this property?
Yes
No
Current Insurance Carrier
(name of Insurance Company property is insured with today)
Current Insurance Policy Expiration Date
-
Month
-
Day
Year
Date
If no Current Insurance, Please provide the last company the property was insured with and when that policy expired.
Insurance Company Name and date (if not an exact date, please provide estimated month and year)
What date do you need this coverage to begin?
*
-
Month
-
Day
Year
Date
Estimated Monthly Rental Income for the property (all units)?
*
Will this property be fully furnished inside? (i.e. beds, couches, tables, chairs, etc.)
*
Yes - I need coverage for appliances AND furniture
Yes - but only appliances please
Reject - I will not need any coverage for contents and appliances
What is the occupancy status TODAY of the property?
*
Currently Vacant
Currently Occupied by a tenant
Do you lease to students?
Yes
No
Do you require your tenants to carry Renters Insurance?
Yes
No
Not sure - tell me more
30 days from today, which best describes the occupancy of the property?
Short Term Rental (less than 1 year, month-to-month, etc)
Long Term Rental (1 year or more)
Vacant - under renovation
Vanant - no renovation
What name is the property titled/held? If individual(s), list names; if Trust, LLC, or Corp, please provide legal name.
Have you filed a property insurance claim in the last 5 YEARS?
*
YES
NO
What is the mailing address for this policy?
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Landlord Optional Coverages and Property Characteristics
Would you like Tenant Protector coverage? (If you lease to students, you may need this optional coverage added).
Yes
No
Not sure - tell me more
Would you like to add Earth Movement coverage (earthquake and sinkhole)?
Yes
No
Not sure - tell me more
Would you like to add Flood coverage?
Yes
No
Not sure - tell me more
Would you like to add Ordinance and Law coverage?
Yes
No
Not sure - tell me more
Would you like to add Terrorism & Political Violence coverage?
Yes
No
Not sure - tell me more
Would you like to add Equipment Breakdown coverage?
Yes
No
Not sure - tell me more
Endorsements may be available to owner-managed properties. Would you like to add Property Management Errors & Omissions coverage?
Yes
No
Not sure - tell me more
Would you like to add service lines coverage?
Yes
No
Not sure - tell me more
Characteristics of the property
Is this property a Historical Landmark or on a Historical Registry?
Yes
No
Are there 'burglar bars' on windows and/or doors?
Yes
No
Are there any commercial operations occurring on the premises?
Yes
No
Is the location professionally managed?
Yes
No - I self manage
Is there any commercial cooking occurring on the premises?
Yes
No
Is there a pool, hot tub, or spa at the location?
Yes
No
Is the porch or any part of the roofline sagging?
Yes
No
Are functioning smoke detectors installed?
Yes
No
Are there fire sprinklers in the structures?
Yes - the buildings are fully covered
Yes - the buildings are partially covered
No
Are there structural issues with any part of the structures?
Yes
No
Is the property on stilts?
Yes
No
Is this a log cabin or log home?
Yes
No
Is this location used as vacation or seasonal rental?
Yes
No
Does the property have any of the following (check all that apply)?
*
None of these exist at this property
Knob & Tube
Aluminum Wire
Fuses
Federal Pacific breakers
Less than 100 amp service
Does any of this exist at the location (check all that apply)?
*
Wood burning fireplace
Wood burning stove
Neither - no fire/stove on premises
Are you aware of any exisitng city/state housing code violations associated with this property?
Yes
No
Are there any local/state rental law, code or statute violations associated with this property?
Yes
No
Is there any existing damage or maintenance issues at this property?
Yes
Yes - but they will be resolved before the effective date of the policy
No
What type of roof(s) does the location have (check all that apply)?
Wood Shake
Composite Shingle
Concrete/Ceramic Tile
Metal
Flat
Unknown
Have you, or will you regularly service when required, the Heating, Electrical, and Plumbing systems by a qualified trade professional?
Yes
No - I use my own generalist handyman or make repairs myself
Is the premises regularly kept well-maintained?
Yes
No
Are locks changed, replaced, or rekeyed upon a tenant leaving?
Yes
No
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Next
Upload any relevant documents including Lease Agreement(s); Proof of Alarm; Appraisal(s), etc.
Browse Files
Drag and drop files here
Choose a file
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of
Legal Name of the Property Owner
*
If a company is titled owner, provide the name of the Principal, President, Member, or Owner of entity that owns the property
Date of Birth of Property Owner
*
-
Month
-
Day
Year
Date
Cell Phone Number of responsible party/ person signing documents (for DocuSign)
Please enter a valid phone number.
Email address of responsible party/person signing documents (for DocuSign)
example@example.com
Any special notes or items that you would like to share or ask?
Submit to The Musico Agency Team
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