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Address
Type of Property
Currently Insurance?
Yes
Not
Full Name owner:
Phone Number:
Email Address:
Date of Birth:
What year was it built?
How many stories is it?
1 Sotory
2 Story
1 ½ Story
3 Story
Bi-Level
Tri-Level
Other
What's the square footage?
Single Family or MultiFamily
Roof updated year How many years has the update been carried out?
Updated electrical How many times has the update been done?
Updated plumbing How many updates have been made?
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