Any lapse in coverage, cancellation, or non-renewal with any homeowners insurance?

Home is

Was the home purchased as foreclosure/short sale within the last 12 months?

Insurance Escrowed?

Is your home a

Have you filed any property insurance claims in the past 5 years?

Construction Type

Is home 100% serviced by circuit breakers?

Primary Heat Source:

Alternate Heat Source:

Fireplace:

If wood or pellet stove, was it proffesionally installed?

Stove cleaned annually?

Roof Material Type:

Roof Type:

Foundation Type:

If basement, is it under the entire house?

Do you have a sump pump?

If 'Yes', what type of backup source is used if sump pump fails?

Attached Structures:

Garage:

Central Air:

Fire Alarm

Burglar Alarm

Sprinkler System:

Smoke Detectors

Fire Extinguishers

Do you own any dogs or exotic pets?

Any incidents of biting?

Is there a swimming pool?

Is it fenced in?

Is there a trampoline?

Does it have a screen?

Do you belong to a homeowners association?

Member of any Board of Directors?

Any business activity conducted on the premises?

Any business property in the home/premises?

Would you like a quote for flood coverage?

Would you like water backup coverage?