Condo/Co-Op Insurance Step 1 of 5 20% Name* Email* Phone* List all owner(s) on title/deed (Including yourself)NameBirthdayRelationship to you Address of the Condo/Co-OpAddress you currently live in Is this condo/co-op a new purchase or an existing home? New Purchase Existing Home Are you living in this house or renting it out as an investment? Primary Home (Owner lives here) Rental/Investment(Rented to tenants) Will you have any pets living with you? Yes No Pet InfoType of AnimalBreedHas it ever bitten anyone before? Do you currently have homeowner insurance? Yes No Have you had any home/renter's claims before? Yes No Describe Claim IndividuallyDate of ClaimClaim AmountDescription of Claim Did you ever have homeowner insurance? Yes No Have you had any home/renter's claims before? Yes No Describe Claim IndividuallyDate of ClaimClaim AmountDescription of Claim If you had to replace everything you own today, how much money would you need? ( Electronics, Furniture, Clothing, Equipment, Jewelry, Kitchen accessories, Engagement ring, Wine Collection, Vintage Arts, Luxury Watches, etc...)Does above include any one or more items worth over $3000? Yes No List each item worth over $3000 individuallyType of itemWorth/Cost to replace When do you need the insurance to start?DDMMYYYY Any special concerns or questions? Please ask here
