One Click, Home Insured Simplify Your Home Insurance Search First Name Last Name Date of Birth Marital Status Occupation Phone Email Current Mailing Address City / Town State Zip Code Property Address Indicate if new purchase If new purchase, indicate closing date Prior Address (if less than 4 years at current address) Residence Type Usage Occupancy Is the home in foreclosure? Is the current policy being NON-RENEWED? Current Insurance Company Expiration date of current policy Current premium Number of years with current insurance company Payor DWELLING AMOUNT LIABILITY AMOUNT DEDUCTIBLE AMOUNT Style of the home Number of families Number of rooms Number of bathrooms Year built Total square footage Roof update year Roof condition Roof type Plumbing update year Wiring update year Heating update year Type of heat Secondary heating system Construction type Exterior Walls Foundation Garage Garage type Distance in feet to any neighboring structure Pool Diving Board Slide Trampoline Dog(s) Type of breed(s) Bite History Other type of animals Type of animals Smoke alarm Burglar alarm Deadbolt locks Fire alarm Sprinkler system Automatic water shut-off Has any coverage been declined, canceled or non-renewed during the last five (5) years? Has any applicant or driver had a foreclosure, repossession, Bankruptcy, Judgement or lien during the last five (5) years? Is the risk currently under construction? Any business conducted on premises? Does the applicant own any recreational vehicles (snow mobiles, dune buggies, mini bikes, ATVs, etc.) not scheduled on this policy? Are solar panels present? If so, how much of the roof is covered? Is the dwelling/home for sale? Send Home Auto Business Life
