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| Preferred Method of Contact: |
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If you currently have insurance, please provide current insured limit |
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Fridges, stoves, washers, dryers, window dressings, etc |
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| Building Sprinklered: |
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| Do you have a mortgage/secured line of credit on the property: |
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| Was your prior policy cancelled for non payment: |
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| Have you ever been cancelled, declined, or refused personal insurance: |
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| Kilometers to the nearest Fire Hall: |
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| Is Fire Hall: |
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| Distance to the closest fire hydrant: |
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| Solid Fuel Burning Stoves or Fireplace Inserts in the home: |
Do not count fireplaces, except inserts |
| Solid Fuel Burning Units are for: |
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| Oil tanks above or underground: |
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| Dog owner: |
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| Live in employees: |
Nannies, caretakers etc. |
| Short-term rentals of property to others: |
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Exclude basement & attached garage |
| Basement Type: |
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| Building Construction Type: |
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| Building Construction Quality: |
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| Building Shape: |
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| # of Full Bathrooms: |
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| # of Half Bathrooms: |
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| Garage Type: |
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| Garage # of Cars: |
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| Crawl Space: |
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| Finished Attic: |
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| Room over Garage: |
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| Swimming Pool: |
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| Hot Tub: |
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Please describe, including sq ft area(s) |
| Has the home been completely gutted (new plumbing, wiring)?: |
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| Home listed on any Historic Registry: |
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| Wiring Main Panel Amperage: |
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| Wiring Panel Type: |
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| Wiring Updated: |
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| Wiring Material: |
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if applicable |
| Plumbing Types: |
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| Plumbing Updated: |
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if known |
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Please advise of oldest installed hot water tank or year of on-demand system installation |
| Primary Heat: |
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if applicable |
| Primary heating system serviced annually: |
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| Primary Roof Material: |
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| Reverse slope driveway: |
A reverse slope driveway is one that leads downward from a public street to a parking area, such as a below-grade garage. |
| Cannabis grown at this location: |
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| Does the applicant own any other rental properties: |
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| Is the dwelling for sale: |
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| Is the dwelling for vacant: |
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| Do you take an active role in maintenance and upkeep of dwelling: |
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| Do you use a Property Management Company: |
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| How often do you, or your property manager, inspect the exterior of the dwelling: |
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| How often do you, or your property manager, inspect the interior of the dwelling: |
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| Do all tenants carry contents and liability place: |
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| What type of tenant lease is in place: |
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| Is the dwelling rented to students or unrelated individuals: |
Unrelated individuals are roommates, students, etc. A couple living together are considered "related". |
| Business activities conducted from the unit/dwelling: |
Do your tenant operate a business from the premises? |
| Have additional rental units been added to the structure: |
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| Does the applicant take steps to prevent illegal operations on premise (e.g. marijuana cultivation), such as performing regular interior inspections, checking for unoccupancy, blacked out windows, or asking neighbours to watch premise?: |
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Please use this area to tell us anything else you feel is important |
| front & back if available |
| This will allow us to provide a comparison |
| Required to prove you're not a bot! |
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