Add or Delete a Property Request Form
Your Name
*
First Name
Last Name
Your Email
*
Your Phone Number
*
Format: (000) 000-0000.
Titled Name(s) of the Property
*
Are you adding or deleting a property?
*
Adding a property
Deleting a property
Is this property a new purchase?
*
Yes
No
Closing Date
/
Month
/
Day
Year
Date
Purchase Price
What is the Address of the Property?
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Effective Date of Removal
-
Month
-
Day
Year
Date
Describe the Occupancy/Use
*
Please Select
Primary Residence
Secondary Residence
Seasonal
Vacant
Tenant
Short-term Rental
Is there a mortgage on the property?
*
Yes
No
Describe the Mortgage for this property (Length and $ amount)
What style/type is the home?
*
Please Select
1 Story
1.5 Story
2 Story
2.5 Story
Bi-level Split
Tri-level Split
What year was it built?
*
What is the total finished square footage of the property?
*
What is the square footage of your foundation (footprint)?
*
Does this property have a basement
*
Yes - Standard Basement
Yes - Walkout Basement
No
What year was your roof installed/replaced?
*
What year was your heating system installed/replaced?
*
What year was your electric system last updated or replaced?
*
What year was the plumbing last updated or replaced?
*
Does this property have a sump pump?
*
Yes
No
Does your Sump Pump have a backup?
Yes - Gas
Yes - Battery
No
Does the property have any auxiliary heating units? (Select all that apply)
*
Gas Fireplace
Wood Fireplace
Wood Burning Stove
None
Is there a trampoline on the property?
*
Yes
No
Does the property have a pool?
*
Yes
No
Are pets kept on the property?
*
Yes
No
Describe the Pets
*
Does the property have an alarm?
*
Please Select
Local Alarm
Central Monitoring Alarm
No Alarm
Does the property use city water?
*
Please Select
Yes
No
Describe any scheduled maintenance, repairs, renovations, or other work to be done on the property (or indicate none)
*
What is the date you would like to see this change effective? - Date entered is a request only, not a confirmation of change.
*
-
Month
-
Day
Year
Date
Please sign your name below confirming you understand this request is not confirmed until the agency or carrier has confirmed, pending any possible requirements they may be needed to complete your request.
*
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