TRF Property Investor Insurance

TRF Property Investor Insurance

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Entity/Borrower Details
Estimated Effective Date*

MonthDayYear
Entity/Borrower Name*
ex. LLC, S Corp, Sole Proprietorship
Contact Name*

First NameLast Name
Entity/Borrower Mailing Address*
City*
State*
Zip*
Phone*
Please enter a valid phone number.
Entity/Borrower Email*
example@example.com
Loan Officer Email*
example@example.com
Who should our agency communicate with regarding this insurance quote?*

Loan OfficerEntity/BorrowerBoth

Claim History
Has THIS PROPERTY had any claims within the last 3 years? (If this is a new purchase, select no)*

Investment Property Details
Property Street Address*
City*
State*
Zip*
County*
Occupancy Type*
New build construction may require additional information. Agent will review and advise.
Briefly describe the rehab scope of work. *
Rehab properties with major renovations require additional information. Agent will review and advise.
Building Type*
5+ units, mixed use, manufactured/mobile home or other commercial properties may require additional information. Agent will review and advise.
Does the manufactured/mobile home have a skirt?
If other, please describe the building type. *
Construction Type*
Square Footage*
Monthly Rent (for loss of rental income coverage)*
Number of Units*
5+ unit properties may require additional information. Agent will review and advise.
Number of Units
Year Built*
If property is built before 1900, additional review is required by underwriting. Please allow up to 24 hours for a quote.

Property Condition
Estimated Year of most recent plumbing renovation *
Estimated Age of roof*
Properties with roof over 30 years old may require additional information. Agent will review and advise.
Is this property being used as a senior care facility, assisted living facility, hospice care facility, palliative care facility, sobriety and/or drug treatment facility, or home day care facility?*
Specialty care facilities may require additional information. Agent will review and advise.

Coverage Requests
Policy Term *
Building Coverage Amount*
If building coverage is over $500,000, additional data may be required. Agent will advise.
Loss of Rental Income Calculation:
Contents Coverage (Optional - Owner contents only)
Price Per Sqft Calculation:
Total Insured Value Calculation:
Sewer Backup Coverage (Optional Coverage)*
Ordinance or Law Coverage (Optional Coverage)*
Is insurance escrowed? *
If escrowed, an invoice will be mailed to the lender for payment.

Lender/Additional Insured Information
Select all that apply

LenderAdditional InsuredLoss Payee
Lender/Mortgagee Clause/Additional Insured
Lender/Additional Insured Mailing Address
City
State
Zip
Lender Contact Name
Lender Email Address
example@example.com
Lender Fax Number
Please enter a valid phone number.
Loan Number
Does the insured and/or entity representing the insured consent to receiving electronic communication from Trinity River Financial Insurance Agency for matters pertaining to their existing or potential insurance policy?*
Should be Empty:

Entity/Borrower Details