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Policy Number (if known):

Current deeded owner(s) for this property:

Any renovations or updates done to your home?
Yes
No

Any supplemental heating units? (Woodstove, Coal Stove, Pellet Stove, etc.)
Yes
No

Do you have any dogs?
Yes
No

Is there any business conducted on the premises?
Yes
No

Do you own any farm animals?
Yes
No

Do you have a swimming pool?
Yes
No

Is the property occupied year round?
Yes
No

Please clarify occupancy:
Owner
Tenant
Seasonal
Vacant

As a condition of your policy, we are granted the right to survey your property. This usually will involve an exterior survey only and, therefore, is done without an appointment. The inspector will generally take measurements of your home and photographs of all structures. Please note that all of our inspectors carry proper identification and will gladly produce it upon request. If an interior survey is ordered, the inspector will contact you, prior to visiting the property, to set up an appointment.