Royal Oath Rental Property Insurance Request

Rental Property Insurance Request

1-4 units only - for 5+ units please visit apartmentbuildinginsurancequote.com Contact us at (586) 229-1026 or owen@royaloathinsurance.com
Owner/Applicant Name*

First NameLast Name
Applicant Date of Birth*

MonthDayYear
Mobile Phone Number*
Applicant Email*
example@example.com
LLC/Trust/Other Entity Name if Applicable
Property Address*

Street Address

Street Address Line 2

CityState

Zip Code
Owner Home Address*

Street Address

Street Address Line 2

CityState

Zip Code
Mailing Address (if different than home address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Needed Effective Date for New Policy*

MonthDayYear
Date
Estimated Market Value or Purchase Price*
Year Built*
Square Footage*
Roof Update Year*
Please estimate if not certain
Electrical Update Year*
Please estimate if not certain
Heating Update Year*
Please estimate if not certain
Plumbing Update Year*
Please estimate if not certain
Number of Units*
Occupancy Type*
Type of Foundation*
Mortgage?*
Current Insurance Carrier (NA if new purchase or explain if no coverage)*
Property Insurance Claims in last 5 Years?*
Annual Rental Receipts*
Are you using a 3rd-Party Property Manager?*
Billing Preference*
Do you require renters insurance in your leases? (answer no for STRs)*
Any subsidized or student housing?*
Target Premium $*
Please upload current insurance declaration pages or other documents such as a property inspection or photos if available

Cancelof
Notes, questions, concerns?
Should be Empty: