LSIG - Homeowner's Punch List

LONE STAR INSURANCE GROUP
P: (936)449-6547 F: (936)449-6447 E: SERVICE@LONESTARINS.NET

HOME AUTO COMMERCIAL MOTORCYCLE BOAT MOBILE HOME RV's
1 Title Holders Names
2 Address of Property
3 Mailing Address
4 Email Address
example@example.com
5. Phone Number
Format: (000) 000-0000.
6 SSN
7 Date of Birth

MonthDayYear
Date
8 Tx DL Number
9 Current Carrier
10 Current Policy Expiration Date

MonthDayYear
Date
11. Is this a mobile home?
11a. If yes, is it in a mobile home community?
11b. Is it fully skirted?
11c. Tied Down?
12 Is this the primary residence?
13 Year built
14 Composition of home
15 Composition of roof
16 Year roof last updated

MonthDayYear
Date
17 Year electrical last updated

MonthDayYear
Date
18 Year plumbing last updated

MonthDayYear
Date
19 Square Feet
20 How Many Stories?
21 Is there a woodburning fireplace?
21a. If Yes, how many?
22 Is there a pool?
22a. If yes Is there a slide or diving board?
22b. Is it fenced in?
23 Garage attached or detached?
23a. How many cars garage?
24 Value of property to insure
25 Lien holder Mortgage Company name and address
26 If this is a new purchase please provide your previous address
27 How did you hear about us?
Should be Empty:

LONE STAR INSURANCE GROUP