Residential Rentals Application

Are you currently working with an iPROTECT agent?

YesNo

Who is the agent you're currently working with?

Individual or Business Name that Property will be deeded to: (needs to read exactly as will be shown on deed)*

Mailing Address you wish to receive documents and notifications*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Name of Person to Contact*

First NameLast Name

Email of person to contact*

example@example.com

Good Phone Number we can contact you:*

Please enter a valid phone number.

What date does coverage need to be effective?

(Target Closing Date if this is for a new purchase)

How many locations need to be included?

What is the status of the property(ies) you're looking for quotes on?*

Any Section 8 Housing?*

Section 8 Housing is ineligible, but we do have markets for these type of risks. Please email your agent or info@iprotectinsurance.com if you do not have an agent or know who your agent is. Please don't hesitate to call us at (256) 325-3722, if you have any questions at all.

Any Short Term Rentals?*

If you have any short-term rentals they are not eligible for this specific program, however if you will please fill out our short-term rental application here and email it back to your agent, or to info@iprotectinsurance.com if you do not have/know your agent. If you have any questions at all, please don't hesitate to call us at (256) 325-3722.

1. Address for Property to be Insured*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Est. Original Year Built*

YYYY

Square Footage*

# of Rental Units*

Any renovations expected?*

If yes, the policy will be written as a rehab policy and unoccupied during the course of renovations. We can convert it to a permanent policy once renovations are completed.

Monthly Rent*

Age of Roof (In years - roofs over 15 years old will be adjusted at actual cash value)*

If left blank or unknown, we will use 15 years and ACV will apply

Year of most recent Plumbing Renovation*

If left blank or unknown, we will use the original year of construction, so please use your best guess estimate.

Is the electrical on circuit breakers?*

Does the property have a swimming pool? *

Any damage to the property?*

Have you had a loss on this property in the last 3 years?*

Do you have a mortgagee/lender that needs to be included?*

Include your mortgagee/Lender's full mortgagee clause with loan # if available:

Will you have a Fannie Mae/Freddie Mac loan?

Will the insurance premium payment be escrowed?

Include Sewer & Water Backup Coverage?*

YesNo

Include Ordinance or Law Coverage?*

YesNo

2. Address for Property to be Insured*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Est. Original Year Built*

YYYY

Square Footage*

# of Rental Units*

Any renovations expected?*

If yes, the policy will be written as a rehab policy and unoccupied during the course of renovations. We can convert it to a permanent policy once renovations are completed.

Monthly Rent*

Age of Roof (In years - roofs over 15 years old will be adjusted at actual cash value)*

If left blank or unknown, we will use 15 yearsand ACV will apply

Year of most recent Plumbing Renovation*

If left blank or unknown, we will use theoriginal year of construction, so please use your best guess estimate.

Is the electrical on circuit breakers?*

Does the property have a swimming pool? *

Any damage to the property?*

Have you had a loss on this property in the last 3 years?*

Do you have a mortgagee/lender that needs to be included?*

Include your mortgagee/Lender's full mortgagee clause with loan # if available:

Will you have a Fannie Mae/Freddie Mac loan?

Will the insurance premium payment be escrowed?

Include Sewer & Water Backup Coverage?*

YesNo

Include Ordinance or Law Coverage?*

YesNo

3. Address for Property to be Insured*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Est. Original Year Built*

YYYY

Square Footage*

# of Rental Units*

Any renovations expected?*

If yes, the policy will be written as a rehab policy and unoccupied during the course of renovations. We can convert it to a permanent policy once renovations are completed.

Monthly Rent*

Age of Roof (In years - roofs over 15 years old will be adjusted at actual cash value)*

If left blank or unknown, we will use 15 yearsand ACV will apply

Year of most recent Plumbing Renovation*

If left blank or unknown, we will use theoriginal year of construction, so please use your best guess estimate.

Is the electrical on circuit breakers?*

Does the property have a swimming pool? *

Any damage to the property?*

Have you had a loss on this property in the last 3 years?*

Do you have a mortgagee/lender that needs to be included?*

Include your mortgagee/Lender's full mortgagee clause with loan # if available:

Will you have a Fannie Mae/Freddie Mac loan?

Will the insurance premium payment be escrowed?

Include Sewer & Water Backup Coverage?*

YesNo

Include Ordinance or Law Coverage?*

YesNo

4. Address for Property to be Insured*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Est. Original Year Built*

YYYY

Square Footage*

# of Rental Units*

Any renovations expected?*

If yes, the policy will be written as a rehab policy and unoccupied during the course of renovations. We can convert it to a permanent policy once renovations are completed.

Monthly Rent*

Age of Roof (In years - roofs over 15 years old will be adjusted at actual cash value)*

If left blank or unknown, we will use 15 yearsand ACV will apply

Year of most recent Plumbing Renovation*

If left blank or unknown, we will use theoriginal year of construction, so please use your best guess estimate.

Is the electrical on circuit breakers?*

Does the property have a swimming pool? *

Any damage to the property?*

Have you had a loss on this property in the last 3 years?*

Do you have a mortgagee/lender that needs to be included?*

Include your mortgagee/Lender's full mortgagee clause with loan # if available:

Will you have a Fannie Mae/Freddie Mac loan?

Will the insurance premium payment be escrowed?

Include Sewer & Water Backup Coverage?*

YesNo

Include Ordinance or Law Coverage?*

YesNo

5. Address for Property to be Insured*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Est. Original Year Built*

YYYY

Square Footage*

# of Rental Units*

Any renovations expected?*

If yes, the policy will be written as a rehab policy and unoccupied during the course of renovations. We can convert it to a permanent policy once renovations are completed.

Monthly Rent*

Age of Roof (In years - roofs over 15 years old will be adjusted at actual cash value)*

If left blank or unknown, we will use 15 yearsand ACV will apply

Year of most recent Plumbing Renovation*

If left blank or unknown, we will use theoriginal year of construction, so please use your best guess estimate.

Is the electrical on circuit breakers?*

Does the property have a swimming pool? *

Any damage to the property?*

Have you had a loss on this property in the last 3 years?*

Do you have a mortgagee/lender that needs to be included?*

Include your mortgagee/Lender's full mortgagee clause with loan # if available:

Will you have a Fannie Mae/Freddie Mac loan?

Will the insurance premium payment be escrowed?

Include Sewer & Water Backup Coverage?*

YesNo

Include Ordinance or Law Coverage?*

YesNo

Thank you for interest in obtaining a quote from us! We are not able to provide quotes or figures from underwriters for properties that are not currently owned or under contract to purchase, however we do recommend checking out our Rate Map website, which is updated monthly to reflect the estimated insurance cost per door in the United States. You can view Rate Map by clicking here.

Please let us know if you have any owned properties you'd like us to look at quoting, and keep us in my mind for any new purchases.