| What year was the
house built: |
|
| Construction of home: |
|
| How many families
is your home: |
|
| Is this your primary
residence: |
|
| If this is new house
what is the closing date: |
|
| If this is a new purchase
what is
the moving date: |
|
| How many bedrooms: |
|
| How many bathrooms: |
|
| How many half-bathrooms: |
|
| What is the square
footage: |
|
How many floors: |
|
What type of basement: |
|
Do you have a fireplace: |
|
Do you have attached garage: |
|
Do you have a porch or deck: |
|
What is the primary source of heat: |
|
Do you have central air conditioning: |
|
Do you have a security system: |
|
Do you have a woodstove: |
|
Have you had any losses in
the past 5 years: |
(if YES please fill
in box below) |
If YES
to previous question please briefly describe the details: |
|
Do you have current
homeowners insurance: |
(if YES please fax
us the main page) |
Do you have any dogs or other pets: |
(if YES please fill
in the box below) |
If YES
to previous question please briefly describe your
pet: |
|
Do you have a swimming pool: |
|
How far are you from the shore: |
|
