LANDLORD INSURANCE QUOTE

Preferred contact method(s) ✶

Call

Text

Age of electric

yrs

Age of plumbing

yrs

Central air?

Yes

Security system?

Yes

Finished basement?

Yes

Finished bsmt size

sq ft

Deck?

Yes

Deck size

sq ft

Screened porch?

Yes

Screened porch size

sq ft

Swimming pool?

Yes

Is the pool fenced?

Yes

Fire hydrant within 1,000 feet?

Yes

Currently insured?

Yes

Number of claims in past 5 years

Current Insurance Policy

Insurance company

Policy expiration

Coverage amount

Current policy declarations page (PDF)

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Comments or questions

I understand that insurance coverage is not bound or altered until I receive confirmation by an authorized representative of Summit Insurance Agency ✶

By submitting my phone number, I hereby authorize Summit Insurance Agency to communicate with me through text messaging.

Subject

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LANDLORD INSURANCE QUOTE

Personal Information

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