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
Format: (000) 000-0000.
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
2 digit month, 2 digit day, 4 digit yearDate
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: