Landlord Property Insurance

Landlord Property Insurance

Oklahoma & Texas
Business name (LLC, LLP, S-Corp, Corp)
Name*
Date of Birth*

MonthDayYear
Name
Date of Birth

MonthDayYear
Property Address (If you have more that 2 you can add in Notes or Upload)*

Street Address

Street Address Line 2

CityState / Province / Region

Zip Code
Mailing Address (must be different address then the property address)*

Street Address

Street Address Line 2

CityState / Province / Region

Zip Code
Property Address second location

Street Address

Street Address Line 2

CityState / Province / Region

Zip Code
AIRBNB (Will the lease terms for this dwelling be less than 3 months?)*

YESNO
Do you live within 100 miles of the property?*

YESNO
Is the property managed by a property manager?*

YESNO
Is the intent for this property to be occupied or renovated and resold?*

OCCUPIEDRENOVATINGSELLING
Will there be any major renovations in the 12 months after the policy becomes effective?*

YESNO
Will the tenants be required to have a renter's policy with at least $100,000 in liability?*

YESNO
Is the dwelling occupied as a fraternity, sorority, student housing, group home, halfway home, or other similar occupancy?*

YESNO
Mortgaged/Financed*

YesNo
Any Losses in the Past 5 Years?*

YesNo
How many days has it gone uninsured? *
When do you want your policy to start?*

MonthDayYear
How would you like us to contact you?*
TEXT (405) 369-4641 (We can send an Opt-in text) From OKC Insurance Brokers*

YesNo
Email*

Confirmation Email
Phone ( WE WILL ONLY CALL YOU IF YOU REQUEST US TO)*
Please enter a valid phone number.Format: (000) 000-0000.
How did you hear about us?*
NOTES/MORTGAGE CLAUSE IF APPLICABLE
Upload your old policy for a side-by-side comparison.

If you would like a side-by-side comparison, please send us your current policy documents. Accepted file types: jpg, gif, png, pdf
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