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Do you have collectibles: antiques, fine art, stamps, coins, etc.? |
Yes No |
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Do you have costly sporting equipment or firearms? |
Yes No |
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Do you have valuable jewelry or furs? |
Yes No |
|
Do you have valuable photography equipment? |
Yes No |
|
Do you have a business in your home? |
Yes No |
|
Do clients or customers come to your home? |
Yes No |
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Do you keep a large amount of others' business property in your home? |
Yes No |
|
Do you have a computer in your home? |
Yes No |
|
Do you own professional tools or equipment? |
Yes No |
|
Do you keep samples or items for sale in your home? |
Yes No |
|
Do you baby-sit or have child day care in your home? |
Yes No |
|
Do you own rental or income property? |
Yes No |
|
Are your contents covered for "replacement value"? |
Yes No |
|
Do you have a secondary residence? |
Yes No |
|
Do you own investment property? |
Yes No |
|
Have you installed home fire or security alarms? |
Yes No |
|
Do you keep more than $250 cash in your home? |
Yes No |
|
Do you own recreational vehicles: boat, jet-ski, camper, cycle, etc.? |
Yes No |
|
Have you remodeled your home? Have plans to do so? |
Yes No |
|
Do you have "umbrella" liability coverage? |
Yes No |
|
Do you have an above ground or in ground swimming pool? |
Yes No |
|
Do you have detached structures: gazebos, storage barn? |
Yes No |
|
Do you have a satellite dish? |
Yes No |
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Do you have pets? |
Yes No |
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Do you have roomers or boarders? |
Yes No |
|
Do you have domestic help such as babysitters, landscapers, or house cleaners? |
Yes No |
|
Do you travel frequently (domestic or foreign)? |
Yes No |
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Do you have a wood burning stove? |
Yes No |
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Do you have a fireplace? |
Yes No |
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Have you had your chimney professionally cleaned and inspected within the last 12 months? |
Yes No |
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Do you have flood insurance? |
Yes No |
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Is there or has there ever been evidence of water leakage or seeping in the residence? |
Yes No |
|
Do you have earthquake insurance? |
Yes No |
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When was the last time you refinanced your mortgage? mm/dd/yy |
/ / |
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Are you interested in protecting yourself from identity theft? |
Yes No |
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Is your home insured correctly should you sustain a total loss? |
Yes No |
|
Would you complete a residence cost estimator? |
Yes No |
