Homeowners Questionnaire
What type of home do you own?	-- Condo Mobile Home Multi Family Single Family Townhouse

What month and year did you purchase your home?
Is your home in a HOA?
How many dogs?
Year Built:
Foundation Type:	-- Basement, Below Grade Basement, Walkout Crawl Space Slab
Year Roof Replaced:
Roof Material:	-- ARCHITECTURAL SHINGLES ASPHALT SHINGLES COMPOSITION COPPER(FLAT) COPPER(PITCHED) CORRUGATED STEEL(FLAT) CORRUGATED STEEL(PITCHED) GRAVEL METAL(FLAT) METAL(PITCHED) OTHER RUBBER FLAT RUBBER(PITCHED) T-LOCK TAR TILE(CLAY) TILE(CONCRETE) TILE(SPANISH) WOOD SHINGLES
Impact Resistant:	-- No Yes Not Sure
Garage:	-- No Carport Attached Detached
Garage Sizes:
Value of detached structures (shed, barn, greenhouse, fencing,etc):
Kitchen grade:
Bathroom grade:
Fireplace count:

What month and year did you purchase your home?
Is your home in a HOA?
How many dogs?
Year Built:
Kitchen & bathroom grade:	-- Basic Semi-Custom Designer Luxury
Floor Located:

What month and year did you purchase your home?
Is your home in a HOA?
How many dogs?
Year Built:
Kitchen & bathroom grade:	-- Basic Semi-Custom Designer Luxury
Basement:	-- No Yes
% Basement finished:
# Of Units:
End/Middle Unit:	-- End Middle

What month and year did you purchase your home?
Is your home in a HOA?
How many dogs?
Year Built:
Number of units:
Kitchen & bathroom grade:	-- Basic Semi-Custom Designer Luxury

What month and year did you purchase your home?
How many dogs?
Model Year:
Width:
Length:
Coverage amount needed: