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Dwelling Fire (Landlord) Insurance Quote

Name
First Last
DOB
Month
Day
Year
Phone
Email
Name if dwelling is in a name other than your own
First Last
Dwelling Address
Street Address Address Line 2 City State ZIP Code
Mailing Address
Street Address Address Line 2 City State ZIP Code
Has this been the mailing address for 3+ years?
- Yes
- No
Prior Address
Street Address Address Line 2 City State ZIP Code
Finished Basement?
- Yes
- No
What percent finished?
Pool?
- Yes
- No
Is it fenced in?
Do you prohibit vicious dog breeds
- Yes
- No
Do you prohibit smoking in the units
- Yes
- No
Are annual inspections performed
- Yes
- No
Are renters required to keep renters' insurance on file
- Yes
- No
Do you allow any short-term rental
- Yes
- No
Fireplace or wood burning stove
- Yes
- No
Year of roof
Year of furnace
Desired effective date
If you live outside of the state of Ohio, do you use a property management company local to the investment property?
- Yes
- No
If Yes, please list property management company
Current/desired coverage (current declarations)
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Wayne Agency

2044 2nd St
Cuyahoga Falls, Ohio 44221

Phone: (330) 928-1104

Mon-Thu: 9:00am-5:00pm
Fri: 9:00am-4:00pm
Sat-Sun: Closed

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